Why Do My Gums Hurt? Reasons and Treatments for Gum Pain
Gum pain can be a miserable experience. Even in its mildest form, it’s a major annoyance, and if it’s caused by an abscess or infection, the pain can be excruciating. We’re going to examine the most common reasons for gum pain, with tips on how to treat it and prevent it from recurring.
Types of Gum Pain
As a quick overview, here are some common types of gum pain, with causes that may apply to your condition:
Why Do My Gums Hurt When I Brush My Teeth?
If you experience pain during or after brushing, you may be brushing your teeth too vigorously, or using a brush with bristles that are too hard. Try using a brush with softer bristles that are easier on your teeth. And be sure to brush gently, using small circular movements combined with short strokes that move back-and-forth along your teeth and gumline.
Flossing too forcefully can also cause gum pain. When you floss, use gentle sliding motions with a quality coated floss, and don’t overdo it.
Why Do My Gums Hurt in One Spot?
Gum pain in one particular spot could be caused by inflammation due to gingivitis in that particular area. Canker sores, an abscessed tooth, or a more serious problem can also cause gum pain, either in one spot or in multiple areas.
Why Do My Gums Hurt on the Top/Bottom?
General pain along the length of your top or bottom gums may be symptomatic of conditions from mild inflammation caused by gingivitis, to serious mouth diseases such as cancer, which we’ll discuss below.
Why Do My Gums Hurt All the Time?
If you’re experiencing unrelenting gum pain, it may be due to a chronic condition like gingivitis, inflammation, and infection from an untreated abscess, or a more serious condition.
Here’s a look at some specific causes of gum pain, and what you can do to prevent them.
Gingivitis and Periodontitis
According to the CDC, 47.2 percent of adults (30 and older) experience some form of periodontal disease. This is often gingivitis, a relatively mild inflammation, or periodontitis, which is an advanced form of the same condition.
Gingivitis is an inflammation of the gums that, in severe cases, can cause gum tissue to disintegrate, resulting in gum infections, bone damage, and tooth loss.
Gingivitis is caused by a number of factors, including:
- Poor oral hygiene
- Smoking or chewing tobacco
- Health conditions (including diabetes, HIV, and autoimmune conditions)
- Acid reflux and GERD
- Pregnancy
- Genetics
- Hard-to-clean teeth (such as crooked or tightly-positioned teeth)
- Genetics
- Medications such as cancer drugs, calcium channel blockers, anti-epilepsy drugs, and oral contraceptives
One of the primary symptoms of gingivitis is gums that hurt, since the condition causes gum inflammation. Common warning signs of gingivitis include:
- Gum pain
- Red, tender, swollen gums
- Mouth sores
- Bleeding gums
- Sensitive teeth
- Receding gums
- Gums that separate from teeth
- Bad breath
- Pus between gums
- Loose teeth
- Bad taste in the mouth
- Changes in your bite
- Changes in how dentures fit
If you’re experiencing any of these symptoms, visit a dental professional as soon as possible to begin treatment before it gets worse. Treatments for gingivitis include:
- Oral rinses with active ingredients such as cetylpyridinium chloride and chlorhexidine
- Antibiotics
- Supplements like vitamin C
- Behavioral modification, including preventative oral hygiene and quitting smoking
Abscesses
An abscess occurs when the soft tissue inside a tooth’s root canal dies and gets inflamed. If the inflammation goes untreated, the area can get infected and cause your gums to hurt.
Symptoms of an abscessed tooth include:
- Gum pain
- Gum swelling and tenderness
- Throbbing mouth or jaw ache
- Jaw swelling
- Bad taste in your mouth (from the liquid when the abscess ruptures)
- Pain while chewing
An abscess is typically treated with a root canal, as well as antibiotics. If you suspect an abscess, be sure to see your dentist right away, because you don’t want the inflammation and infection to spread.
Canker Sores
Canker sores are painful sores usually located inside your cheeks and lips or under your tongue. Canker sores are sometimes red, and sometimes coated in white. Doctors aren't sure what causes them, but you might be able to prevent them by limiting spicy or acidic foods and practicing good oral hygiene.
If your canker sores are mild, you can successfully treat them at home by taking ibuprofen or acetaminophen for the pain. In addition, you might try two over-the-counter medicines, Orabase and Zilactin-B, which you can apply to the sores.
Oral Cavity Cancer and Oropharyngeal Cancer
In many cases of "Why do my gums hurt?" the cause isn't serious and can be easily remedied. However, it’s important to mention that, in some cases, the culprit may be oral cavity or oropharyngeal cancer. Hopefully, your gums hurt because of something less serious. But if it is cancer, you’ll want to get diagnosed and start treatment immediately.
When it comes to oral cancers, the numbers are indeed sobering, with annual statistics from the American Cancer Society showing 54,000 new cases of oropharyngeal or oral cavity cancer, and 11,230 resulting deaths, per year.
Oral cavity cancer and oropharyngeal cancer typically occur in these specific areas:
- Gums
- Floor of the mouth
- Other parts of the mouth
- Tongue
- Tonsils and oropharynx
Warning Signs of Oral Cavity and Oropharyngeal Cancer
If you’re experiencing any of these symptoms, you’ll want to see your doctor right away:
- Mouth or lip sore that won’t heal
- Chronic mouth pain
- Trouble chewing
- Trouble swallowing
- Trouble moving tongue or jaw
- Numbness in lip, tongue, or other areas in the mouth
- Swelling or jaw pain
- Dentures that become uncomfortable
- Lump or thick area in mouth, cheek, or lips
- White or red patch on the tongue, gums, tonsils, or mouth lining
- Sore throat
- Feeling of throat obstruction
- Ear pain
- Weight loss
- Mass or lump in back of throat or neck
- Loose teeth
- Pain around the teeth
- Changes in voice
Risks for Getting Oral Cancers
One of the biggest risk factors for oral cavity and oropharyngeal cancer is tobacco use. There are other risk factors as well, including age, overall health, genetics, and diet.
Tobacco Use
It’s an unavoidable fact that oral cancer risks are much higher in people who continue to smoke or chew tobacco. When it comes to cancer risks, no tobacco product is safe for you to use — whether you smoke a cigarette, a pipe, or a cigar.
In addition, tobacco products such as snuff, chewing tobacco, or dissolvable tobacco are strongly linked to cancers of the gums, cheeks, and inner lips. These tobacco products can also destroy bone sockets and cause gum disease and tooth loss.
On the plus side, if you quit, you have a chance of saving yourself from these devastating cancers. The American Cancer Society offers a page, “How to Quit Smoking or Smokeless Tobacco,” which can help.
Here are several other primary risk factors for developing oral cancers:
- Alcohol
- Age
- Excess weight
- UV light
- Poor dietary habits (specifically, diets low in fruits and vegetables)
- Gender
- Age
- Genetics
- Human papillomavirus (HPV) infection
Even if you don’t think these risk factors apply to you, if you have any of the symptoms mentioned above, be sure to schedule a visit with your doctor. Your doctor may decide to send you to a specialist or dentist. Regardless, the sooner you get diagnosed, the sooner your healing can begin.
Oral health is a huge factor in your physical fitness and quality of life. If you’re ready to improve your health through better oral care, Pearly can help. We offer the world’s first oral health management app, where you’ll learn all about good oral hygiene, plus tips for better dental healthcare and maintenance.
Just download the app to get started, and learn how to enjoy better health and well-being through daily dental care.