Gum pain can be a sign of irritation, infection, or injury to the gums and teeth. It can often be a temporary symptom, but other times a person may require dental treatment to prevent further health complications.
•Canker sores: These are small, painful ulcers that can occur on the gums. Causes of canker sores can include emotional stress, mouth injuries, an impaired immune system, or other underlying health conditions.
• Cuts or injuries: Food and objects that enter the mouth can sometimes cause minor cuts or injuries to the gums and teeth. A person may also accidentally bite down on the gums, which can sometimes cause pain and bleeding.
• Gum disease: Also known as gingivitis, this condition occurs when bacteria build up under the gums and causes inflammation and bleeding. Without treatment, gingivitis can develop into periodontitis and lead to loose teeth. People who smoke are at a higher risk for gum disease than nonsmokers.
• Hormonal changes: Hormonal fluctuations, especially, during pregnancy can cause a person to experience swelling, pain, and bleeding in the gums.
• Improper flossing or brushing techniques: Brushing or flossing too vigorously or frequently can sometimes cause the gums to bleed and be painful.
• Sinusitis: A bacterial or viral infection in the sinuses can cause swelling of the sinus cavity. Some people with sinusitis also experience gum pain and toothache.
• Tooth abscess: A bacterial infection in the root of a tooth can cause an abscess or pus-filled sac. Tooth abscesses can lead to gum swelling and pain. They can also be serious and spread to other parts of the body, so it is essential to see a dentist quickly.
For people with gum disease, for example, a dentist may recommend professional cleaning to remove plaque and tartar from the gums. They may also prescribe an antibacterial mouthwash, containing alcohol or chlorhexidine, to kill excess bacteria and prevent future buildup of plaque.
If a person has severe gums disease, a dentist may recommend surgery to repair bone or gum loss the condition has caused. Sometimes this may include bone and tissue grafting to encourage the growth of new, healthy tissue.
People with tooth abscesses may require root canal treatment. During this procedure, a dentist will remove the infected pulp, or soft tissue inside the tooth, and the abscesses from the root and then repair and seal the damaged tooth.
Gum pain due to sinusitis usually lessens once the infection is clears up. For bacterial infections, a doctor may prescribe antibiotics.
People with gum pain that they cannot explain should see their dentist for a checkup. However, some simple home remedies may help relieve the discomfort. These include:
• Gargling salt water: A person can prepare a gargle by mixing 1 teaspoon of salt with 8 ounces of warm water.
• Clove oil: Applying clove oil to gums can reduce pain or swelling.
• Pain medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce gum pain.
•Brush carefully: Brush sore, swollen, or bleeding areas of the gums gently.
Avoiding foods that can irritate or scratch the gums may also help while they are healing. Examples include:
• Acidic foods, such as citrus fruits and tomatoes
• Sharp or scratchy foods, such as chips, nuts or pretzels
• Spicy foods, such as those containing chilis or hot peppers
Taking vitamins and mineral supplements, such as iron and vitamin B-12 may help reduce gum pain caused by canker sores.
Good oral hygiene can help prevent gum pain and other dental issues. This includes:
• Brushing teeth twice daily with a fluoride toothpaste for at least 2 minutes
• Flossing once daily
• Using a dental mouthwash daily
• Having regular checkups with a dentist, such as every 6 months
If a person stops smoking, this can also improve gum health. Smoking can reduce blood flow to the gums, which may impair healing and lead to discomfort.
It is advisable for people with severe, persistent, or recurring gum pain see a dentist for a checkup.
A dentist can examine the gums, teeth and mouth for signs of infection, tooth decay and other dental issues.
A person may also want to consider seeing a dentist if pain occurs alongside any of the following symptoms:
• Bad breath that does not improve with brushing
• Bleeding gums
• Gums that are receding
• Loose teeth
• Pain when chewing
• Red gums
• Sensitive teeth
Original article by Rachel Nail, RN, MSN
Last reviewed Mon 4 February 2019
Reviewed by Deborah Weatherspoon, PhD, RN, CRNA
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