Painful, sore, red gums can be signs and symptoms of gingivitis (inflammation of the gums) or, more likely, periodontitis (inflammation of the attachment fibers of the teeth and supporting bone), which can arise due to a number of different causes, including poor oral hygiene with improper brushing or flossing. Inflammation of the gums may manifest as
- painful gums,
- sensitivity,
- redness,
- swelling, and
- bleeding of the gums either after brushing or when otherwise irritated.
Gum disease can ultimately lead to receding gums and even damage to the bones of the jaw. Hormonal changes during pregnancy can also increase the sensitivity of the gums, which may in some cases lead to soreness or pain. Painful gums can also arise due to localized sores on the gums, such as abscesses or aphthous ulcers (canker sores).
Other causes of painful gums
- Abscess
- Bacterial Infection
- Dental or Orthodontic Procedures
- Excessively Hard Toothbrushing
- Malnutrition
- Poorly Fitting Dentures
- Poor Oral Hygiene
- Tartar
- Tooth Loss
- Trauma to the Mouth and/or Gums
- Trench Mouth
Stephen, James M. "Gingivitis." Medscape.com. Aug. 3, 2016. <http://emedicine.medscape.com/article/763801-overview>.
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Causes of Painful Gums
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Canker Sores
Canker sores are a common complaint, and are small ulcers on the inside of the mouth. Canker sores aren't contagious (as opposed to cold sores), and typically last for 10-14 days usually healing without scarring. A variety of things cause canker sores, for example, medications (aspirin, beta-blockers, NSAIDs, high blood pressure medication, and antibiotics); injury to the mouth from dental work, braces, or sports accidents; acidic foods; allergies; and diseases or conditions like celiac disease, Crohn's disease, and lupus. Canker sores can be cure with home remedies, and prescription and OTC topical and oral medication.
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Gum Disease (Gingivitis)
Gum disease is caused by plaque and may result in tooth loss without proper treatment. Symptoms and signs of gum disease (gingivitis or periodontal disease) include receding gums, bad breath and pocket formation between the teeth and gums. Treatment depends upon the stage of the gum disease, how you responded to earlier treatments, and your overall health.
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Gum Problems
Gum problems may be caused by improper brushing and flossing, gum disease, canker sores, treatments and hormonal changes. Symptoms of gum problems include red, swollen, sore and bleeding gums. These symptoms can be prevented by brushing twice a day, flossing daily, eating a well-balanced diet, drinking enough water, not smoking, and relaxing.
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Human Immunodeficiency Virus (HIV)
The human immunodeficiency virus (HIV) causes HIV infection and the acquired immunodeficiency syndrome (AIDS). Symptoms and signs of HIV infection include fatigue, enlarged lymph glands, and recurrent vaginal yeast infections. Highly active antiretroviral therapy (ART) is the standard treatment for HIV infection.
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Is Gingivitis Contagious?
Gingivitis is inflammation of the gums. Poor dental hygiene, stress, smoking, some medications, and a poor diet can cause gingivitis. Gingivitis-causing bacteria can be passed from one individual to another.
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Oral Cancer
The term oral cancer includes cancer of the mouth (oral cavity) and the back of the mouth (oropharynx). Red and white patches inside the mouth, bleeding, loose teeth, pain upon swallowing, a lump in the neck, earache, and a sore on your lip or in your mouth that won't heal are all symptoms of oral cancer. Treatment for oral cancer depends upon the staging of the disease and usually involves surgery, radiation therapy, or chemotherapy.
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Pericoronitis
Pericoronitis is inflammation of the gum tissue around the molars. Pericoronitis commonly occurs in teens or young people when the wisdom teeth erupt. Symptoms include pain, swelling, swollen lymph nodes, and difficulty opening the mouth. Pericoronitis can be diagnosed by a dentist and is treated with pain medication. Severe cases may be treated with surgery.
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Pregnancy (Week by Week, Trimesters)
Signs and symptoms of pregnancy vary by stage (trimester). The earliest pregnancy symptom is typically a missed period, but others include breast swelling and tenderness, nausea and sometimes vomiting, fatigue, and bloating. Second trimester symptoms include backache, weight gain, itching, and possible stretch marks. Third trimester symptoms are additional weight gain, heartburn, hemorrhoids, swelling of the ankles, fingers, and face, breast tenderness, and trouble sleeping. Eating a healthy diet, getting a moderate amount of exercise, also are recommended for a healthy pregnancy. Information about the week by week growth of your baby in the womb are provided.
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Toothache
A toothache is pain on or around a tooth. It may have a variety of causes, including a cavity, abscess, or even sinusitis. Toothache symptoms include pain, headache, earache, bad taste in the mouth, and gum swelling. Dental X-rays and other tests performed by a dentist are used to diagnose the cause of a toothache. Toothache treatment depends on the underlying cause. Taking proper care of the teeth and gums can help prevent toothache.
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