Very often, gum disease can be triggered by inflammatory processes in dental tissues and vice versa. If you have a toothache and the gums underneath it hurt, it is advisable to get examined and find out the cause of this ailment, since minor changes in the gum tissue can turn into a systemic problem in the body and lead to the loss of one or more teeth.

Complex gum treatment is offered by the LeaderStom network of clinics. Here you will find the best specialists in the field of periodontology, and the clinic’s modern diagnostic equipment will allow you to establish an accurate diagnosis and begin treatment in the shortest possible time.

Main types of gum disease

This disease ranks second among oral diseases after caries. Such cases can be divided into two categories.

Gingivitis

Gingivitis is a disease of the upper edge of the gums adjacent to the teeth. The main cause of gingivitis is poor oral hygiene, which results in a large amount of plaque on the teeth and pain under the tooth. As you know, pathogenic bacteria actively multiply in dental plaque, so lack of hygiene leads to inflammatory processes in the gum tissue. Additional factors influencing the pathological process include disruptions in the body such as severe stress, hormonal changes, pregnancy, and chronic diseases of internal organs.

It is very important to differentiate the cause of the disease at an early stage. If symptoms of bleeding and localized swelling of the gums appear, then most likely this inflammatory reaction is provoked by a diseased tooth. If a change in gum tissue is observed throughout the entire oral cavity or in several places at once, then such a symptom will indicate generalized inflammation, independent of the teeth. Identification of this factor will be decisive in making a diagnosis and choosing a treatment method.

At the initial stage, gingivitis may not bother you much, occasionally causing discomfort when chewing or drinking hot or cold drinks. However, if the tooth and gums hurt for more than two weeks and do not go away on their own, then further waiting can lead to new complications of the disease. In some cases, this leads to acute ulcerative gingivitis, which is accompanied by high fever, severe pain and the formation of a thick brown-gray plaque on the teeth in the oral cavity.

Periodontitis

If gingivitis is not stopped and no therapeutic measures are taken, the inflammation can penetrate deep into the gums and spread to the bone tissue of the dental jaw. At the same time, the swelling of the gum tissue increases significantly, new symptoms appear: loosening of one or more teeth, discharge of pus from the gum pockets, exposure of the necks of the teeth. This indicates that the ligamentous apparatus of the periodontal tissues is being destroyed and it is necessary to urgently begin massive complex treatment.

Periodontitis progresses in the gum pocket of the teeth due to the proliferation of pathogenic bacteria (staphylococci, streptococci, fungi, etc.). In a healthy body with a strong immune system, all pathogenic flora is in constant balance, kept from disease by the body’s forces. As soon as factors arise that weaken the protective mechanisms, these bacteria begin to multiply and destroy the soft and hard tissues of the oral cavity.

Patients with gingivitis and periodontitis experience itching and pain in the gums. Very often such symptoms are caused by the following reasons:

• many women complain that they have pain under their teeth during pregnancy, which is due to changes in the body;
• during menstruation and taking contraceptives, the risk of encountering gum and dental disease also increases, as the body’s immune functions decrease;
• In almost all cases, the cause of the disease is improper or irregular oral care;
• a lack of vitamin C in the body can also cause problems with gum tissue and their peeling from the surface of the teeth;
• Failure to see a dentist in a timely manner can only worsen the disease, and mild symptoms can develop into more serious consequences, including tooth loss.

Treatment for gingivitis and periodontitis

The basis of all treatment is proper oral care. Dentists at the LeaderStom clinic network use the Vector ultrasound device to treat gums. With its help, you can clean the gum pockets of teeth to a sufficiently large depth. The effectiveness of this procedure is great, but other approaches are also required. If the bacterial infection has spread over the entire surface of the gums, then it is most likely that you will be prescribed a course of antibiotics to treat the disease. The patient will also need to be disciplined in terms of daily cleaning procedures and regular rinsing of teeth and gum tissue. Rinses are prescribed with Chlorhexidine, after which you will also need to apply medicinal Cholisal gel to the teeth.

The course of anti-inflammatory therapy can take from 10 days to a month. In case of chronic manifestations of these dental diseases, even longer treatment is required.

In addition to the above causes of pain in the gums (gingivitis, periodontitis), there are other disease factors that cause swelling and inflammation of the soft tissues of the oral cavity.

Inflammation of the gums after treatment of pulpitis

If a diseased tooth has been depulped (the nerve has been removed), but the root canal cleaning was of poor quality, then over time such a tooth will certainly show inflammation. It can be in the form of aching periodic pain in soft tissues or in the form of an inflammatory process in the gums. In this case, you need to take an X-ray of the tooth and determine the source of the disease. Errors in the treatment of pulpitis often lead to chronic inflammation in the periodontal tissues that secure the tooth in the socket. A periodontal abscess is an accumulation of purulent contents in the tissues at the apex of the tooth root. In this case, pathogenic bacteria will “eat away” the nearby bone tissue and surrounding gums. This, in fact, is the provocateur of redness and hyperemia (swelling) of the gum tissue.

Dental care in such situations with teeth involves several effective measures, which include re-filling the canals, treating root tissue with an antiseptic and installing a new high-quality filling. If you eliminate the route of infection and prescribe a course of intensive antibacterial therapy, then the swelling of the gums and pain in the tooth will stop. The healing period for this disease can take up to two weeks.

Pain in the gums after installing a new filling

Here, again, we are talking about poor quality or dishonest work of the dentist. If during tooth restoration the part of the filling on the side was not polished, then when chewing it can be pressed into the gum tissue and injure them. This defect cannot always be seen with the naked eye, but when using dental floss, it will tear at the sharp edge of the filling. An experienced doctor will always be able to detect such an error. If you find yourself in a similar situation, then it is better to carry out the correction in the office of a professional, experienced dentist. Take one appointment at the LeaderStom clinic - and the example of quality will become obvious to you.

If you have problems with your gums immediately after a visit to the dentist, then there is no need to sound the alarm. Intervention in the oral cavity, exposure to metal instruments and a drill, installation of a rubber dam - all this can cause microtrauma to the soft tissues of the gums. A completely natural reaction the next day will be the manifestation of signs of gingivitis, which will go away on their own within a few days.

You should not ignore the symptoms of gingivitis or periodontitis and hope for spontaneous healing. Indeed, the gums regenerate very quickly, but the presence of a chronic provocateur of the disease (sick tooth or endocrine system failure) will inevitably lead to serious complications. An earlier visit to a dental specialist will prevent this destructive process in your gum tissue.

Dentists often hear complaints from their patients about pain and redness of the gums around the tooth. With this phenomenon, a lot of inconvenience arises - discomfort appears while eating, the sensitivity of the mucous membrane to excessively cold or hot food increases, and unpleasant sensations arise while brushing your teeth. In order to understand why your gums hurt, what you need to do, and what you should never do, read our material.

Why gums become inflamed: causes and symptoms of the disease

To find out why the gums near the tooth become inflamed, it is necessary to take into account the factors causing the pathology. The most common cause of pain in the gums near the tooth is inflammation in the gum tissue, or the development of pathology in the tooth itself (we recommend reading: inflammation in the gums: causes, photos and treatment). The main causes of aching pain can be infectious and inflammatory diseases of the gums in acute and chronic forms. A possible cause of acute pain may be a complication after treatment and installation of a filling. The inflammatory process sometimes appears under the crown of the tooth, some time after prosthetics (more details in the article: what to do if the tooth under the crown hurts when pressed, even though the nerve has been removed?). It is necessary to determine the exact cause of the pathology in order to get rid of gum problems forever.

Periodontitis

If the gums are red and inflamed, the cause may be periodontitis (we recommend reading: what to do if the gums are inflamed under the crown?). The disease is expressed in the occurrence of an inflammatory process between the bone base of the tooth and the soft tissues. Symptoms of the disease appear as:

1. loosening of teeth;
2. severe pain in the affected area;
3. the appearance of swelling of the lips or cheeks.

A fistula appears at the site of the disease, from which pus is discharged. If periodontitis occurred a long time ago, there is a possibility that the disease has become chronic. In this case, it can only be discovered by chance, for example, when visiting a dentist. The latent form of periodontitis is characterized by minor manifestations of discomfort and mild pain.

Periodontitis is a concomitant disease and occurs against the background of chronic sinusitis, untimely treatment of caries, or when drugs enter the tissue space during the treatment of pulpitis.

Gingivitis

When the gums near a tooth hurt very much, this could be a sign of gingivitis (see also: how to relieve pain from a tooth at home if it hurts a lot?). As the disease develops, the gum tissue does not lose its integrity. Signs of gingivitis may include the following:

In most patients, the disease proceeds unnoticed. Often, a disease can be recognized only when it has already entered the chronic stage, in which the body’s defenses are not able to independently overcome intoxication. The main factors that cause gingivitis are:

1. hormonal imbalances;
2. traumatization of soft tissues by sharp edges of teeth or broken fillings;
3. formation of tartar due to irregular oral care.

Periodontitis

In some cases, if the gum near the tooth hurts and is inflamed, this may be a manifestation of periodontitis (we recommend reading: what to do if the gum is very swollen and hurts?). This condition is a complication of other inflammatory diseases of the mucous membrane. Manifestations of periodontitis are: exposure of the neck of the tooth, the appearance of purulent discharge from the gum pockets and loosening of the teeth. The infection affects the mucous membrane and bones of the jaw. This type of disease is characterized by very severe pain inside the jaw, swelling of the tissues around the tooth, and an increase in the depth of the gum pockets. The main cause of periodontitis is considered to be poor oral hygiene. In addition, the occurrence of periodontitis may indicate a decrease in the level of immunity. Against the backdrop of a weakening of the body’s protective functions, conditions arise that contribute to the appearance of periodontitis, namely:

1. hormonal imbalance during pregnancy, menopause or taking hormonal contraceptives;
2. lack of vitamins and microelements;
3. consequences of chronic diseases (gastrointestinal diseases, diabetes mellitus, diseases of the hematopoietic system).

Inflammation under the crown

When a tooth becomes inflamed under the denture, a sharp throbbing pain appears, which radiates to the ear or temple area (see also: what are the reasons for pain near the ear that occurs when pressure is applied?). This occurs as a result of improper preparation of the tooth for a crown. The appearance of pain and inflammation can be caused by significantly exceeding the period of use of the crown. After five years of use, the prosthesis needs to be replaced. Incomplete fit or damage to the crown provokes food particles to enter the gap, which contributes to the development of an infectious process in the oral cavity.

After treatment and tooth extraction

After installing a filling, a complication of treatment often arises when a tooth hurts or the gums hurt. This is due to insufficiently thorough sanitation of the canals, which leads to the occurrence of periodontal abscess. Inaccurate polishing of the surface of the filling can cause it to be indented when closing the teeth and chewing food. Constant trauma to the gingival margin contributes to the appearance of pain in the gums. Irritation and redness of the mucous membrane is observed due to exposure to medications or dental instruments during dental treatment. Depulping a tooth does not always go smoothly. Pain can occur if the quality of root canal treatment is poor, or if the root is not completely removed. Sometimes it happens that the jaw hurts in a place where there are no roots. In this case, chronic inflammation appears in the periodontium, which leads to inflammation of the gum tissue.

Treatment of inflammation of the gums near the tooth: a review of medications

If your gums are inflamed and hurt, the question arises - what to do (we recommend reading: what to do at home if the gum is inflamed near the tooth)? You can treat redness and relieve pain using various methods: painkillers, rinsing solutions, traditional medicine. A good result in the fight against gum inflammation is achieved by using special ointments and gels. In special cases, the use of antibiotics is recommended. Such strong remedies are prescribed for throbbing pain, severe tooth mobility, and discharge of pus from peri-gingival pockets.

Painkillers

In order to choose medications for pain relief, you need to take into account the mechanism of action of each drug. Any type of analgesic has a main active ingredient, which determines the duration of the therapeutic effect. However, you need to understand that taking medications does not eliminate the cause, but only relieves the symptoms.

1. Analgin, Pentalgin, Baralgin - recommended for mild pain;
2. Ketanov, Ketorol - can relieve pain of high intensity;
3. Aspirin - has an anti-inflammatory effect and relieves mild pain;
4. Spasmolgon, No-shpa - are prescribed in combination (the antispasmodic complements the action of the analgesic).

Dental gels and ointments

Non-steroidal anti-inflammatory drugs in the form of ointment or gel can be purchased at any pharmacy without a prescription. Cholisal ointment is very popular. It has an analgesic and anti-inflammatory effect. Its use reduces bleeding and relieves swelling of the gums. The use of Metrogyl Dent in gel form gives good results with the initial signs of irritation of the mucous membrane and gums. Kamistad is available in gel form; the product has an antimicrobial effect, relieves pain and reduces swelling.

Pharmacy preparations for rinsing

Mouth rinses are prescribed in many cases - if a tooth hurts, tonsils or when stomatitis occurs. Rinse products are prescribed to relieve inflammation, accelerate mucosal recovery, and eliminate pain. The use of rinses can stop the spread of infection and slow down the development of the disease. The group of antiseptic agents that are produced in the form of solutions include: Chlorophyllipt, Eludril, Rotocan, Iodinol.

Miramistin is very popular for the treatment of diseases of the gums and oral cavity. The drug has antiseptic and antibacterial properties. The solution is widely used for fungal infections and viral diseases.

Folk remedies for aching and acute pain

There are a large number of folk recipes that help if your jaw or red mucous membranes hurt and ache. As an addition to the main type of treatment, it is possible to use infusions and decoctions of natural medicines. Oak bark, chamomile, sage, aloe juice - these plants have a pronounced anti-inflammatory effect, promote healing and restoration of the mucous membrane.

To quickly relieve pain, you can make a soda-salt solution for rinsing. To prepare it, you need to add one teaspoon of soda and salt to a glass of warm water. You should rinse your mouth three times a day.

Prevention of gum inflammation

1. learn the correct technique for brushing your teeth;
2. use dental floss;
3. include in your diet foods rich in vitamins and microelements;
4. Massage your gums daily with a soft toothbrush;
5. use high-quality teeth cleaning products;
6. Get regular dental check-ups.

Get the facts about this serious infection to save your teeth and protect your health.

Misconceptions about gum disease

Misconception: Tooth loss is a natural part of aging.
FACT: With good oral hygiene and regular professional checkups and preventative care, teeth will last a lifetime. However, if left untreated, periodontal (gum) disease can lead to tooth loss. It is the leading cause of tooth loss in adults 35 years of age and older.

Misconception: People who have gum disease are "dirty" and don't brush their teeth.
Fact: Research suggests that up to 30% of the population may be genetically susceptible to gum disease. Given the hostile microbial environment in the mouth, these individuals may be six times more likely to develop periodontal disease.

Misconception: Gum inflammation does not affect your overall health.
FACT: As new research shows, periodontal diseases significantly affect a person’s overall health, and the development of diseases such as stroke; including heart and respiratory diseases; premature children during pregnancy, low birth weight of children; osteoporosis and diabetes.

Misconception: Gum inflammation is an infection.
FACT: For example, if a person has redness, bleeding and swelling on the skin of his hand, wouldn’t you consult a doctor? Inflammation of the gums is no less significant infection! Its consequence is the loss of teeth, which leads to changes in appearance, speech, breathing and ability to chew food.

Misconception: bleeding gums are normal.
FACT: Bleeding gums are one of the 9 warning signs of gum disease. Think of your gum tissue as the skin on your body. If your hands bled every time you washed them, would you think something was wrong? Other signs of gum disease include: red, swollen gums; ulcers in the mouth and gums, persistent bad smell from the mouth due to pus between the teeth and gums; Gaps or separations in teeth; tooth mobility.

Misconception: Treatment for gum disease is painful.
FACT: Modern periodontal procedures, including local anesthesia, make patient treatment absolutely painless and comfortable.

Misconception: Gum disease is easy to spot, even in the early stages, so my dentist would have told me if I had it.
FACT: Millions of people do not know that if left untreated, periodontitis can lead to tooth loss. You should always seek dental care, and tell your dentist if any signs of gum disease are present. This level of involvement will allow you to work as a team with your dentist and identify subtle changes that may occur in your mouth.

Misconception: how As soon as teeth are removed, there are only two options for prosthetics - treatment of teeth for crowns and bridges, or the need to make removable dentures.
FACT: Implants are a permanent option for replacing a lost tooth. Dental implants are so natural in appearance and feel that many patients forget they ever lost a tooth.

Misconception: Since gum disease is caused by a bacterial infection, antibiotics can be used to treat it.
Fact: Research shows that antibiotics may be a useful adjunct to the treatment of periodontal disease, as it can only be cured by topical treatments. However, the medical and dental communities are concerned about the overuse of these drugs to treat infections due to the possibility of antibiotic-resistant strains of bacteria developing. This overuse will have detrimental consequences for patients if they ever need to treat other life-threatening diseases for which antibiotics no longer work.

Misconception: Pregnant women should not have professional dental examinations.
FACT: Teeth and gums suffer during pregnancy like other tissues in the body. To reduce the risk of damage to the gums and tissues surrounding the teeth, pregnant women should make an appointment with a dentist!

Types of Gum Disease

If left untreated, gingivitis can progress to periodontitis and ultimately lead to tooth loss.

Word periodontium literally means "around the tooth." Periodontal disease is a chronic bacterial infection that severely affects the gums and bones that support the teeth. Periodontal disease can affect one tooth or several teeth. It begins when bacteria in plaque (the sticky, colorless film that constantly forms on the teeth) causes the gums to become inflamed.

Gingivitis

Gingivitis is the mildest form of periodontal disease. This is when the gums become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is often the cause of poor oral hygiene. Gingivitis is a reversible process and requires professional treatment and good oral care at home.

Periodontitis

Advanced gingivitis can progress to periodontitis. Over time, inflammation can spread and grow below the gum line. Toxins produced by bacteria in plaque irritate the gums, forming pockets (spaces between the teeth and gums) that become infected by microorganisms. As the disease progresses, the pockets deepen and affect the bone tissue in which the teeth are located. Often, this destructive process has very mild symptoms. Eventually, the teeth begin to become loose, which becomes a reason to remove them. There are many forms of periodontitis. The most common ones include the following.

• Aggressive periodontitis General features are a rapidly developing inflammatory process that spreads deeply into the bone tissue, forming deep gum pockets. The causes of aggressive periodontitis are hormonal changes in the body, decreased immunity, and exposure to certain types of microorganisms. This disease leads to early tooth loss.
• Chronic periodontitis. This is the most common form of periodontitis and is characterized by the formation of pathological gum pockets or gum recession. It exists in older people, but can develop at a young age. The progression of gum loss usually occurs slowly, but there are also periods of rapid progression of the process.
• Periodontitis as a manifestation of systemic diseases often begins at a young age and develops against the background of diseases such as cardiovascular diseases, respiratory diseases, diabetes mellitus, and diseases of the immune system.
• Necrotizing periodontal disease- characterized by necrosis of gum tissue, periodontal ligament and alveolar bone. These lesions are most often observed in patients with systemic lesions such as HIV infection, malnutrition and weakened immunity.

What to do at home if your gums hurt? It is important to understand that self-therapy without the supervision of a dentist can cause even greater harm to the health of not only the oral cavity, but also the entire body.

Pain in the gums does not allow you to fully work, carry out everyday activities, and also affects the quality of sleep. To help relieve the condition before visiting the dentist, you can try some self-help methods to relieve pain.

Reasons

The variety of reasons leading to discomfort in the oral cavity is great, but often inflammatory phenomena cause situations where the gums hurt very badly:

• – gum disease, which is accompanied by bleeding, swelling and hyperemia. Usually appears against a background of low hygiene;
• marginal periodontitis – causes changes in the soft tissue and bone structure, which often explains why the gums are swollen and red. In this case, bleeding occurs, and pathological pockets are formed, which are a source of maintaining infection in the oral cavity;
• apical periodontitis – a purulent infiltrate develops on the root of the tooth, which leads to thickening of the gums and the growth of a painful rounded seal near the causative tooth;
• mechanical trauma - the overhanging edge of poorly executed dental restorations or sharp areas of artificial crowns cause irritation of the mucous membrane and contribute to the occurrence of ulcerations. This also occurs in cases where a removable denture strongly rubs the gums, causing them to swell and hurt;
• difficult growth of a wisdom tooth - the “figure eight” appears in adulthood, when the tissues of the maxillofacial area are already formed, which disrupts its passage through the bone and aggravates eruption;
• pain after extraction - tooth extraction is sometimes complicated by an atypical location of the roots or difficult access, followed by the inability to fully grasp the crown with forceps, which leads to damage to the mucous membrane and the development of pain;
• discomfort after grinding - when treating the cervical area with diamond burs, small cuts of the gums occur, which causes discomfort for several days.

The main pathological conditions that arise against the background of inflammatory disorders appear due to certain factors.

1. Low level of care for gums and teeth (?).
2. Decrease in the body's defense response.
3. Vitamin deficiency.
4. Burdened with chronic diseases.
5. Cysts.
6. Bad habits.
7. Poor quality or high wear of the toothbrush.

What to do at home if your gums hurt?

When discomfort appears in the area of ​​the mucous membrane near the tooth, it is forbidden to perform rough interventions, because this can provoke a worsening of the condition and cause infection from dirty hands or untreated instruments.

• do not press on the gums to check the degree of pain;
• do not open ulcers yourself;
• do not apply irritating substances such as pepper, garlic, etc. to the inflamed area;
• If pain increases and the clinical picture worsens, contact a specialist immediately.

In case of problems in the oral cavity, special attention should be paid to hygiene procedures and dental care products. If your toothbrush has frayed or dented bristles, you need to replace it with a new one.

At the same time, pay attention to the degree of hardness - choose a product with soft bristles for periods when the gums are inflamed or bleeding. During an exacerbation of the disease, give preference to toothpastes containing plant extracts and anti-inflammatory components.

Drugs

If there is severe aching pain, you should not hope that it will go away on its own - contact your dentist for help, because a seemingly banal inflammation may hide a serious disease that requires timely treatment. An unsanitized pathological process can become chronic or contribute to the development of serious complications.

You can relieve the condition before visiting the dentist by taking painkillers. Here are the most effective remedies for dental pain:

1. Nurofen.
2. Ketorolac.
3. Nise.
4. Nimesulide.
5. Pentalgin.

Before taking the tablets, be sure to read the instructions for the medications and do not exceed the permissible dosage of the drug. If contraindications to use are found, discard the medicine.

• – an antiseptic with a bitter taste that is effective against a wide range of bacterial strains;
• Miramistin is a solution whose active component is a quaternary ammonium compound, which fights the proliferation of microorganisms and eliminates symptoms of inflammation;
• Hydrogen peroxide is a liquid that foams in the presence of purulent contents or blood. The medication calms pain and affects microbes;
• Diarotocan is an alcohol infusion of medicinal herbs, used for oral baths and must be diluted with water to avoid burns to the mucous membrane.

Gels and ointments for topical use in the oral cavity help reduce pain and inflammation symptoms.

1. Metrogil Denta.
2. Solcoseryl.
3. Kalgel.
4. Asepta.

The drugs act on pathogenic microorganisms, eliminate swelling and redness of the soft membranes, relieve pain, and also promote rapid healing.

Folk remedies

Phytotherapeutic methods help to cope with gum pain at home. It is not advisable to engage in independent selection of products; it is better to check with your dentist before you are allowed to rinse your mouth in order to get rid of unpleasant sensations.

Chamomile flowers, sage flowers, medicinal marigolds, and oak bark are well-deservedly popular. Indoor plants such as aloe and Kalanchoe can help cope with inflammation.

The most effective recipes of traditional medicine:

• infusion from, sage or - the recipe for preparing the product is the same for each of the three plants. To prepare the decoction, pour 5-7 grams of dry collection into a thermos and pour 250 ml of boiling water. After infusion, strain, cool and rinse your mouth 3-5 times a day. It is important to note that only freshly brewed herbs should be used;
• oak bark - place 2 tablespoons of the dry substance in a fireproof container, add water and boil for about 10 minutes. When the decoction has cooled, use for mouth baths as needed;
• aloe or Kalanchoe - remove the thin protective skin from the leaf and apply the pulp to the diseased area, then hold for a quarter of an hour;
• – a beekeeping product helps relieve gum pain; to do this, chew it for 10 minutes.

Video: gum pain - what to do? Elena Malysheva answers in the “Live Healthy” program.

Possible complications during self-medication

If you are trying to cope with the symptoms of the disease yourself and are postponing a visit to the dentist indefinitely, then be prepared for the fact that serious consequences may arise that can damage your health.

1. If the cause of discomfort in the gum area is a sharp edge of the crown or a rough area of ​​the filling, then you will not be able to fix it on your own. Regular injury to soft tissues leads to the formation of abrasions and ulcers, so rinsing and lotions will not eliminate the source of the problem.
2. If apical periodontitis occurs and there is no medical intervention, the purulent contents of the cavity surrounding the tooth root will, at best, create a fistulous tract, and at worst, it will be complicated by periostitis or phlegmon.
3. When persistent inflammation of the gums is present, without appropriate treatment the process spreads deeper and affects the bone structures, which leads to tooth mobility and tooth loss.

Without medical help at home, you can only alleviate your condition and reduce the severity of a pain attack, but it will not be possible to remove the cause that led to the occurrence of such a condition.

Gums are indicators of the health of the oral cavity and the entire body as a whole. A symptom of many systemic or dental ailments is a violation of the trophism of the oral mucosa and sore gums. Caries, poor hygiene, damage and injury, the development of dangerous diseases are the main factors of gum inflammation. Only a dentist can establish an accurate diagnosis and prescribe treatment. Gums hurt

Why can the gums around the tooth hurt?

Pain in the gums is a symptom of gingivitis, periodontitis or periodontal disease, which develops due to improper installation of the prosthesis or due to insufficient hygiene. Each of the diseases has a specific characteristic set of symptoms, but common ones include a change in the color of the mucous membrane, pain and discomfort when chewing. Also, pain around the tooth in the gum may occur immediately after treatment. Accurate identification of the cause of the pathology and timely treatment will help get rid of the problem.

Gingivitis

During the disease, periodontal tissues become inflamed, but the connection between the gums and teeth is not destroyed. Manifestations of gingivitis are slight swelling, swelling, hyperemia and mild bleeding. The main development factors are improper hygiene and the formation of tartar, hormonal imbalances and injury to soft tissues due to chipped teeth. The disease also occurs as one of the symptoms of somatic pathology.

Periodontitis

When the disease occurs, the gums become swollen and red, as disturbances occur in the soft tissues and bone structure. Also, with periodontitis, the gums bleed, pus is released, and pathological pockets appear - places where infection accumulates in the mouth. A person feels severe pain inside the jaw, the affected gum swells greatly

How is gingivitis different from periodontitis? In the first case, the gums suffer only in the cervical area, in the second, the entire surface of the gums swells and turns red. The most severe stage of destruction is periodontal disease, one of the consequences of which is tooth loss.

Advanced gingivitis can lead to more dangerous diseases.

Gum injury

Chronic mechanical damage leads to deterioration of the condition. This could be an overhanging edge after restoration or a sharp area of ​​the crown. Large carious cavities or picking the teeth with sharp objects irritate the mucous membrane and lead to the appearance of ulcerations.

Also, pain and swelling appear due to constant rubbing of the gums by the removable denture.

Development of inflammation under the crown

The peculiarity is pain of a pulsating nature, radiating to the ear or temple. Pathology develops due to the fact that the preliminary preparation before installing the crown was carried out incorrectly. Long-term wear of the structure also provokes inflammation: it is recommended to replace the crown after 5 years of use.

Acute inflammation is accompanied by the accumulation of pus under the crown, which increases pain. The pathology may be accompanied by the growth of a fistula or cyst.

After treatment and tooth extraction

A possible complication after filling is pain in the gums and teeth. The cause of the problem is poor-quality sanitation of the canals and the development of periodontal abscess against this background. Irritation and redness appear after touching this area with dental instruments. Other causes of pain after treatment:

• incomplete polishing of the filling surface;
• constant touching of the gum edge;
• complications of depulpation - incomplete removal or poor quality of treatment.

Tooth extraction can be complicated by an atypical location of the root or blocked access to the tooth - there is no possibility of full grip with forceps. After difficult removal, the gums hurt for several days. Pain in such a situation is the body’s response to injury.

Inflammation of the gums behind the wisdom tooth (behind the last tooth)

The cause of the inflammatory process is difficulty in cutting through the figure eight. This is typical for adulthood, when the tissues in the maxillofacial area are already fully formed, and this makes it difficult for the wisdom tooth to pass through the bone.

When a figure eight grows, the “hood” of the gums hurts – the part that covers the crown. The pain is more pronounced when the lower eights erupt.

Inflamed hood over a wisdom tooth

Other Possible Causes

Among other unfavorable factors, dentists identify apical periodontitis - an accumulation of purulent infiltrate on the roots. The gums thicken, the painful lesion grows.

What else causes pain?

• If the pain is localized between the teeth, this is a sign of the presence of tartar.
• Residual effects after preparation for prosthetics. During treatment of the cervical canals, soft periodontal tissues are injured.

Treatment

Therapy depends on the cause and diagnosis, but many treatment methods and medications are used for any gum pathology. Severe aching or sharp pain is a reason to see a dentist as soon as possible. Self-medication and the hope that the pain will go away on its own leads to the development of complications.

If you feel pain on the gum near the tooth, it is strictly forbidden to put pressure on it to check the severity of the pain. Abscesses cannot be opened. It is forbidden to apply irritating compresses of pepper or garlic to the inflamed surface.

Painkillers

Taking medications does not eliminate the root cause, but only relieves symptoms for a short time. Painkillers can help relieve symptoms before going to the dentist. The duration of the pain relief effect depends on the main substance in the drug (you can find out this time by reading the instructions).

To relieve pain of varying degrees, you can drink:

• Pentalgin with aching pain;
• Ketorol, Ketanov with intense pain;
• Aspirin– elimination of mild pain;
• Spasmalgon, No-shpa for complex use.

Dental gels and ointments

Available without a prescription. The general effect of the drugs in the group is to influence pathogenic microflora, eliminate swelling and redness, relieve pain, and promote active healing.

Holisal

Cholisal ointment has a good effect. Its use reduces bleeding gums. Metrogyl Denta will show results with minor irritation of the gums or mucous membranes. Kamistad gel has an antimicrobial effect.

Rinse preparations

The purpose of use is to eliminate inflammation, heal the mucous membrane, relieve pain, stop the spread of infection, and slow down the progression of the disease.

• Chlorhexidine. Antiseptic to fight bacteria. It has a bitter taste.
• Miramistin. Rinse solution. Stops the proliferation of microorganisms, eliminates symptoms
• Chlorophyllipt. A solution from an extract of medicinal herbs. Reduces pain, kills germs.
• Rotokan. Used for oral baths to relieve symptoms. Folk remedies

Self-medication is allowed after approval of the chosen method by the treating dentist. An infusion of chamomile, shelf grass, marigold and oak bark has a well-deserved and proven effect. House plants - aloe, kalanchoe - will also help eliminate inflammation.

Detailed recipes for relief

• Take 1 tsp. chamomile, calendula and sage. Place in a thermos, pour 300 ml of boiling water. Leave for 1 hour. Use the infusion for rinsing 3-5 times a day.
• 2 tbsp. oak bark, pour 250 ml of water, boil over low heat for 10 minutes. The decoction is suitable for mouth baths.
• Remove the protective film from the aloe (Kalanchoe) leaf and apply to the gum for 10-20 minutes. Repeat 2-3 times during the day.
• Add 1 tbsp to 1 glass of water. soda, 1 drop of iodine. Mix thoroughly and rinse your mouth up to 6 times a day.
• Grate the beets and mix with butter. Apply the resulting mixture to the sore gum for 20 minutes.

Oak bark

Prevention of gum inflammation

To maintain healthy gums, you need to follow simple but effective tips. The first rule is proper oral care and hygiene. Just brushing your teeth is not enough; you also need to use additional means: dental floss, irrigator. You need to systematically rinse your mouth with a decoction of medicinal herbs. The toothbrush should be changed in a timely manner: at least once every 3 months.

If your gums are inflamed and bleeding, you need to choose a brush with soft bristles to brush your teeth. At the time of exacerbation of the condition, you should also use a herbal anti-inflammatory toothpaste.

It is recommended to visit the dentist for a preventive examination once every 6 months. To improve your condition, your daily diet must be rich in vitamins, include raw vegetables and fruits, seafood and dairy products. ENT diseases and dental diseases are treated completely and in a timely manner. Strengthen the immune system by hardening, walking, traveling.

So, pain in the gums near the tooth is a sign of the development of a certain pathology. If the condition worsens, pain and swelling intensify, or additional symptoms appear (severe pain or high temperature), you should immediately contact your dentist. After examination and identification of the cause, professional remedies and some folk recipes are prescribed to improve the therapeutic effect.