Gum pain and swelling

If it hurts, it’s an emergency!

We aim to help all people with dental pain on the day they call our practice.

Call us now on
98671252

98671252

For after-hours contact, complete the Emergency eForm. This eForm service is monitored very regularly – in most cases we will respond without delay.

The latest dental technology and 30 years of experience means we are skilled at handling all emergencies including toothache, gum ache, denture repairs, broken or chipped teeth and painful wisdom teeth.

Relief is only a call or click away

There are two common causes of swelling of the gums?

Wisdom teeth

  • Most of the time pain associated with wisdom teeth is actually gum pain.
  • An impacted tooth is one that only partially emerges from under the gums.
  • The remaining portion trapped under the gum tissue collects debris and bacteria.
  • A major flare-up of this condition can cause severe tenderness and swelling in the area behind the last tooth, difficulty in opening and closing your mouth, and sometimes a bitter metallic taste is present.
  • Rarely, the swelling can spread to cause problems with swallowing or breathing.
  • There may also be associated ear pain or a headache and at times jaw movements can be effected.
  • This pain should be assessed as soon as possible. Rarely this can develop into a medical emergency.

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Abscess

What is an abscess?

An abscess is literally a pus-filled sac. It’s usually related to a long standing infection in or around the tooth. It can be very painful. If the underlying infection isn’t treated, it can spread further and you can lose your tooth or have other health problems.

What causes an abscess?

An abscess is generally related to a lack of proper and timely dental care.

People with underlying medical conditions such as autoimmune disorders or conditions that weaken the immune system (diabetes, chemotherapy or people taking immunosuppressive therapy) may be more susceptible to developing a dental abscess.

An abscess is related to an infection of:

The Pulp

(commonly referred to as the nerve)
Infection of the tissues inside the tooth can lead to a Dental abscess

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The Gums.

Infection of the tissues surrounding the tooth can lead to a gum abscess.

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What are the symptoms of an abscess?

  • Throbbing pain, especially when you chew. It may even be very tender or sore to the touch.
  • Red, swollen gums or bump in your mouth. The bump may have pus or blood oozing from it.
  • A bad, bitter or salty taste in your mouth.
  • Swelling in your jaw or face.

With an advanced infection, a dental abscesses can make you generally ill with nausea, vomiting, fevers, chills, sweats, difficulty swallowing, opening the mouth, or breathing.

  • In extreme cases, a dental abscess can result in death:
    • if it spreads to the brain, causes septicaemia (infection of the bloodstream), or
    • if swelling obstructs the airway and compromises breathing.

What's the treatment for an abscess?

The treatment depends on what type of abscess you have:

 

Dental abscess treatment

We will always try to provide active treatment on the day you call.

Sometimes treatment cannot be started immediately:
The tooth can be too painful to for us to touch.
Significant swelling may prevent the use of an anaesthetic.
You may not be ready for treatment, particularly if you have not slept or eaten well in the recent past.

If there’s any doubt that the treatment will be completely painless, we may ask you to settle the infection first with a course of antibiotics.

Strong painkillers may also be provided to get you through the first couple of days.

Active treatment involves either:

Starting Root Canal Treatment (RCT)
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Tooth removal (Extraction)
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Gum abscess treatment

As described above in Dental abscess treatment, we may first have to settle the area with antibiotics.
Active treatment involves the careful and gentle placement of anaesthesia. Once we are certain this is effective, we will drain the abscess and remove the local pressure that is causing pain and swelling. This is done by cleaning the root surfaces of the exactly as we do during routine hygiene visits.

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