Sore Gums: Causes & Treatments

Comprehensive guide to understanding sore and painful gums, including causes like gingivitis, periodontitis, thrush, hormonal changes, and evidence-based treatment approaches

Sore Gums: Causes & Treatments
Dr. Rob Jung _

Gums make up much of the surface area of your mouth, making even the slightest sensitivity or soreness quite uncomfortable. Having this pain when you talk, eat, or brush is unnecessary and should be dealt with. Sore or painful gums can have multiple different causes; some of them easy to treat.

Oral Health Causes of Sore Gums

There are three health-related causes of painful or sore gums. The first, and most common, reason your gums hurt is gingivitis.

Gingivitis is a gum disease where the gums next to the teeth swell, bleed, recede, or are tender. Typically caused by poor dental hygiene, gingivitis is a common condition and something every dentist checks for during regular checkups. It is vital to catch gingivitis early so that it does not turn into something more serious.

Periodontitis occurs when gingivitis goes untreated. This gum disease may lead to tooth loss, oral abscesses, bite changes, or a range of health problems outside the mouth.

If you do not think your sore gums are caused by either of these diseases, it could be thrush. Common in infants, thrush is a fungal infection due to an overgrowth of Candida yeast. Thrush produces white blotches on the inside of the mouth, usually on the tongue and cheeks, but it can spread to the gums, causing irritation and soreness.

Other Causes

Fungal infections and poor dental hygiene are not the sole causes of sore gums, though. Here are some additional causes that may cause sore gums:

  • Changes in hormones: During puberty, pregnancy, menopause, or when taking birth control, hormones change drastically. An increase in progesterone often makes the body react more aggressively to bacteria. So, if you have any excess bacteria in your mouth, gums may swell or become sore in defence.
  • Dental appliances: Having foreign objects in your mouth is never comfortable. If you have a new bracket or appliance, check if the gum is irritated, red, or swollen at the base of the bracket.
  • Canker sores: these small sores in your mouth irritate the area around them, but usually go away on their own.
  • Hard-Bristled Toothbrushes: Most things become uncomfortable when poked or prodded too much, and gums are no different. A hard-bristled toothbrush may make you feel like you are cleaning your mouth more effectively, but it may actually be irritating your gums. Repetitive motion with stiff bristles can lead to gum irritation and soreness.

Treatment

When looking for a sore gums treatment, it is essential to first understand the cause. You can then work with your dentist on the right treatment. However, there are some universal tricks to help treat sore or painful gums:

  • Use a soft-bristled toothbrush to minimize irritation
  • Brush two times a day for at least two minutes each
  • Floss once daily
  • Use an antiseptic mouthwash
  • Have a dental cleaning twice per year or as recommended by your dentist
  • Use dental wax if appliances are irritating your gums

Whatever is causing your sore or painful gums, the first step to treating and caring for your mouth is always to establish a good dental hygiene routine.

Sources and References

  1. [1]
    Gingivitis - StatPearls
    NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK557422/
  2. [2]
    Periodontitis and systemic diseases: A literature review
    Dentistry Journal (PubMed Central)
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3590713/
  3. [3]
    Oral Candidiasis - StatPearls
    NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK545282/
  4. [4]
    Understanding the Link Between Hormonal Changes and Gingival Health in Women: A Review
    Cureus Journal of Medical Science (PubMed Central)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC12131131/
  5. [5]
    Primary prevention of periodontitis: managing gingivitis
    Journal of Clinical Periodontology
    https://pubmed.ncbi.nlm.nih.gov/25639826/

All sources accessed and verified on . Medical information reviewed for accuracy and compliance with current guidelines.

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Reviewed by Dr. Nasim Mechoui , BDS (Bristol)

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Dr. Rob Jung

Award-winning cosmetic and implant dentist specializing in smile makeovers and dental implants in London.

Experience: 10+ years

Dr. Rob Jung is an award-winning cosmetic and implant dentist with a passion for creating beautiful, healthy smiles. He specializes in comprehensive smile makeovers and advanced implant procedures, offering patient-centered care with flexible payment options.

Education

  • Dentistry
    Medical University of Łódź, Poland (2016)

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  • GDC Registration
    General Dental Council (2017)
  • Digital Dentist of the Year
    Industry Award (2021)
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