Why do you have sore gums?

Gingivitis and gum disease, and canker sores and other mouth ulcers are common causes of gum soreness. As much as they have in common pain-wise, there are some big differences in what they are.

Gum disease and gingivitis are not the same; and not all mouth ulcers are canker sores. Most cases of gingivitis are treatable and reversible with intervention. Bleeding gums, swelling, and pinkness or redness may be symptoms, but gingivitis is caused mostly by an invisible buildup of tartar and bacteria that irritates the gum tissues. When gingivitis is treated by removal of the hard buildup, gums can heal, but if it is left to grow and spread, periodontal, or gum disease, can develop, and it is not reversible but can lead to the loosening of gums and loss of teeth. Treating gum disease requires professional cleanings and a more aggressive treatment plan. Preventing either problem requires good oral hygiene.

Mouth ulcers and canker sores are less linked to the health of teeth, but they are very often the cause of gum pain for millions of people. Both are a form of open sore that directly exposes nerves in the mouth, causing mild to severe tenderness. Some sores have external causes, for example accidentally biting into the inside of your cheeks when eating; burning the tender tissues with scalding food or drinks; and developing sore spots from orthodontics or sharp-edged dental work.

Other mouth ulcers develop from the inside out. The sores aren't caused by injury -- they simply erupt; some of these ulcers come from herpes viruses, vitamin deficiencies, common colds and flus, and even heredity or stress [source: Hicks].

Other causes of gum soreness include the following:

If you have gum soreness linked to any of these causes, what can be done to treat or relieve the soreness and to keep it from getting worse? We'll look at some lifestyle and possible full-scale scaling interventions, next.

Getting to the root of gum soreness usually involves a little bit of self-examination and often professional follow-up. Sores in the mouth from accidental biting or too much hot or acidic food, for instance, have a more obvious cause and relief: Refrain from eating irritating foods and wait for the sores to heal.

Those mouth ulcers mentioned earlier might require antibiotics and specialized rinses for combating bacteria, as can many physically connected oral problems such as dry mouth or hormonal changes. Aside from gingivitis and gum disease that result from poor brushing and flossing habits, some sources of gum pain need dental and medical attention. Taking additional vitamins, focusing on diet and scheduling more frequent teeth cleanings during pregnancy is one example.

Sometimes gum irritation is treatable with simple home remedies such as rinsing with salt water, using a water-pressure, inter-tooth device, or massaging gums with picks, rubber tips and other gum tissue stimulants. At first sign of pain, many find relief with over the counter (OTC) analgesics, which can be applied topically, but when OTC products don't work or the condition doesn't improve, a dentist may prescribe anti-bacterial rinses, a below gum cleaning called scaling or a trip to the periodontist for further treatment.

One reaction to gum soreness can actually cause an escalation of the problem. If pain in the mouth stems from gingivitis, and pockets between teeth and gums are widening, many people tend to go overboard by ramping up brushing and flossing routines. Unfortunately, more brushing and flossing can damage gum tissue if it's done too vigorously or with rapid motions that tear at the gums.

Angling the brush gently into the area where teeth and gum meet and circling gently will clean plaque residue after eating. Flossing with gentle twining around the tooth, rather than jerking the floss way down into the gums and back up, also rids the teeth and gumline of residue and bacteria [source: ADA]. Teeth get cleaner and breath gets fresher with better technique, not harder brushing more often.

In all but extreme cases, the prognosis for sore gums is good to great -- tissues can heal and pockets can shrink. If a painful mouth doesn't get better within a few days, it is advisable to have a professional take a look. Early intervention can prevent costly fixes and keep your mouth healthy for eating and drinking without pain, which means you can keep your eye on your tight jean pockets instead of those dental pockets.