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January 15, 2020

Sore, Swollen Gums: Eight Causes and What You Can Do About It

Watercolor of a tooth cradled in healthy gum tissue and green leaves in soft azure and spring green

Have you noticed your gums looking red and swollen? Do they feel sore, maybe even achy? Do you bleed a little when you brush or floss? Those symptoms are worth paying attention to, but they are not a reason to panic. They can be signs of gum disease, and gum disease caught in time is something you can stop. They can also come from causes that have nothing to do with disease at all. Sorting out which one you are dealing with is the first step, and it is easier than you might think.

Eight reasons gums get sore and swollen

Swollen gums have more possible causes than most people expect:

  • Gum disease, whether early gingivitis or more advanced periodontitis
  • Medications
  • Pregnancy
  • Mouth breathing
  • Poor-fitting dentures
  • Brushing too hard
  • An irritant, like a lodged popcorn kernel
  • Immune system issues

Identifying the underlying cause is what lets your dentist remedy the situation quickly, so it helps to think through your own situation before you assume the worst.

Is it gum disease, or something else?

Start with the pattern. Gums that bleed when you brush or floss, look red along the gumline, and feel generally tender are the classic picture of gum disease. That is the cause you want caught early, because early treatment is what stops it.

Then consider timing. If the soreness showed up alongside something else in your life, that something else may be the answer. A new medication, a pregnancy, or dentures that have never sat quite right can each inflame gum tissue on their own. So can habits you may not notice, like breathing through your mouth at night or scrubbing your teeth with too much pressure. And if one spot flared up suddenly after snack night, check for a popcorn hull before you worry about anything larger.

You do not have to diagnose yourself. Whatever the cause turns out to be, naming it is our job, and there is no version of this conversation where you get a lecture.

What you can do at home

Two habits do most of the work of taking gums from red and sore back to pink and healthy.

Switch to an electric toothbrush. Electric brushes help you clean more thoroughly, and most have a built-in protection that stalls or stops the brush if you press too hard. If heavy-handed brushing is part of your problem, the brush itself will retrain you.

Floss at least once a day. Floss is the only thing that reaches between your teeth and down into the pockets along your gums. Those areas have to be cleaned for gum tissue to heal, so a once-a-day habit is the minimum worth aiming for. For a fuller home routine, we collected our home-care tips for healthy gums in a separate post.

Why a professional cleaning still matters

No one does home care perfectly. Everyone skips a day of flossing now and then or has a spot their brush keeps missing. Plaque builds up fast in those gaps and hardens into tartar, and tartar is something only a dental professional can remove. That is where Dr. Balaban and his hygiene team come in, with regular cleanings and, when gums need more help, periodontal therapy to treat gum disease directly.

The payoff is long-term. No one wants to lose their teeth, and the care you invest now is what keeps them with you down the road.

Ready when you are

Has it been a while since your last cleaning? That is true of many of our new patients, and it changes nothing about how you will be treated here. Request an appointment online or call (317) 575-1995, and if you are new to the practice, our $79 new-patient special covers your exam and X-rays so getting started is simple.

This article is for general education only and is not a substitute for professional dental advice. For guidance about your own smile, talk with your dentist.

Ready when you are

Questions about your own smile? Ask us in person.