Pain in Upper and Lower Gums: Causes and Solutions - Dentistry

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Pain in the upper and lower gums?


I experienced severe pain in the upper and lower gums on the left side of my face last night.
Even after taking pain relievers, the pain persisted, so I took two pills and didn't fall asleep until around 3 AM.
Why is only the left side of my gums hurting? Additionally, there are no teeth in my lower left gums.
Should I see a dentist for this? Thank you.

Da Cao, 40~49 year old female. Ask Date: 2015/12/27

Dr. Zhang Xiangyuan reply Dentistry


Dear user, based on your description, you are experiencing abnormal pain in the gums of your left upper and lower jaw, although there are no teeth present in the lower left gum area.
It is advisable for you to seek an early consultation with a dentist to examine the source of the pain.
The dentist should check for any abnormalities in the gums and teeth of the left upper and lower areas, or in the edentulous region, including signs of inflammation, cavities, retained roots, or other issues.
Identifying the source of the pain is essential for appropriate treatment.
Thank you for your inquiry.

Reply Date: 2015/12/27

More Info


When experiencing pain in the gums, particularly localized to one side of the mouth, it can be quite distressing and may indicate several underlying issues. Your description of severe pain in the left upper and lower gums, even in the absence of teeth in the lower left, suggests a few potential causes that warrant consideration.

1. Gum Disease (Periodontal Disease): One of the most common causes of gum pain is periodontal disease, which can affect the gums even in areas where teeth are absent. Inflammation and infection can occur in the gum tissue, leading to pain, swelling, and discomfort. This condition can be exacerbated by poor oral hygiene, smoking, or systemic health issues such as diabetes.

2. Dental Abscess: An abscess can form in the gum tissue or the bone surrounding the teeth, often due to untreated cavities or gum disease. This localized infection can cause significant pain and may require drainage and antibiotics for treatment.

3. Impacted Wisdom Teeth: If you have wisdom teeth that are partially erupted or impacted, they can cause pain in the surrounding gum tissue. This is particularly relevant if the wisdom teeth are on the left side, even if they are not fully visible.

4. Nerve Issues: Sometimes, pain in the gums can be referred pain from issues related to the nerves in the jaw or face. Conditions like trigeminal neuralgia can cause sharp, severe pain that may be felt in the gums.

5. Sinus Infection: The upper gums are closely related to the sinus cavities. A sinus infection can lead to pressure and pain in the upper gums, particularly on one side. This is often accompanied by other symptoms such as nasal congestion or facial pressure.

6. Oral Lesions: Conditions such as canker sores or other lesions can cause localized pain in the gums. These may be due to stress, dietary deficiencies, or other factors.

Given the severity of your pain and the fact that over-the-counter pain medications were not effective, it is advisable to seek dental care. A dentist can perform a thorough examination, which may include X-rays, to determine the exact cause of your discomfort. They can assess the health of your gums, check for any signs of infection, and evaluate the condition of any remaining teeth.

In the meantime, maintaining good oral hygiene is crucial. This includes gentle brushing and flossing, avoiding irritants such as tobacco and alcohol, and possibly using an antiseptic mouthwash to help reduce inflammation and bacteria in the mouth.

If the pain persists or worsens, or if you develop additional symptoms such as fever or swelling, it is important to seek immediate medical attention. Persistent gum pain should not be ignored, as it can lead to more serious complications if left untreated.
In summary, while your symptoms may be related to a variety of dental or medical issues, a visit to a dentist is essential for proper diagnosis and treatment. They will be able to provide you with the best course of action to alleviate your pain and address any underlying conditions.

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