Gum Pus: Causes, Symptoms, and Treatment Options - Dentistry

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Gum pus discharge


Hello, recently I have noticed that the area where my gums connect to my teeth appears to be purulent or has a pus-filled bump.
I'm not quite sure what it is, but when I gently press on it, a white substance comes out, and there is also a little bit of blood, similar to squeezing a pimple.
However, it doesn't hurt normally, and pressing on it doesn't cause pain either.
This has been going on for 2-3 weeks.
I would like to ask what this could be.

Miss K, 20~29 year old female. Ask Date: 2015/06/03

Dr. Zhuang Suhui reply Dentistry


It is recommended to seek medical attention as soon as possible.

Reply Date: 2015/06/03

More Info


Gum pus, or the presence of pus in the gums, can be indicative of several dental issues, primarily related to infections or inflammation. The symptoms you describe—pus that appears when you apply pressure, along with some bleeding—are often associated with conditions such as periodontal disease, abscesses, or even a localized infection around a tooth.


Causes of Gum Pus
1. Periodontal Disease: This is a common cause of gum pus. It occurs when plaque builds up on the teeth and leads to inflammation of the gums (gingivitis). If left untreated, it can progress to periodontitis, where the infection can cause the gums to pull away from the teeth, forming pockets that can fill with pus.

2. Dental Abscess: An abscess is a localized collection of pus that can occur in the gums or around the roots of teeth. It is typically caused by bacterial infection and can result from untreated cavities, gum disease, or trauma to the tooth.

3. Pericoronitis: This condition occurs when the gum tissue around a partially erupted tooth (often wisdom teeth) becomes inflamed and infected, leading to pus formation.

4. Trauma or Foreign Body: Sometimes, trauma to the gums or the presence of a foreign object can lead to localized infections that produce pus.


Symptoms
While you mentioned that there is no pain associated with the pus, it is important to note that other symptoms can accompany gum infections, including:
- Swelling of the gums
- Bad breath (halitosis)
- A metallic taste in the mouth
- Loose teeth (in cases of advanced periodontal disease)
- Increased sensitivity to hot or cold

Treatment Options
1. Professional Dental Cleaning: The first step in treating gum disease is often a thorough cleaning by a dental professional. This can help remove plaque and tartar buildup that contribute to gum inflammation.

2. Antibiotics: If there is a significant infection, your dentist may prescribe antibiotics to help eliminate the bacteria causing the pus.

3. Scaling and Root Planing: For more advanced gum disease, a deep cleaning procedure known as scaling and root planing may be necessary. This involves cleaning below the gum line to remove plaque and tartar from the roots of the teeth.

4. Surgical Intervention: In severe cases, surgical procedures may be required to restore the health of the gums and bone structure.

5. Home Care: Maintaining good oral hygiene is crucial. This includes brushing your teeth at least twice a day, flossing daily, and using an antibacterial mouthwash to help reduce plaque and bacteria.

6. Regular Dental Check-ups: Regular visits to the dentist for check-ups and cleanings can help prevent gum disease and catch any issues early.


When to Seek Help
Since you have been experiencing this issue for 2-3 weeks, it is advisable to consult a dentist as soon as possible. Even if there is no pain, the presence of pus is a sign of infection that should not be ignored. Early intervention can prevent more serious complications, such as tooth loss or the spread of infection to other areas of the body.

In summary, gum pus can be a sign of underlying dental issues that require attention. Maintaining good oral hygiene and seeking professional dental care are essential steps in managing and treating gum infections effectively.

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