Gum above my tooth hurts
Pain in the gum above a tooth can come from irritation, sinus pressure, decay, or infection near the tooth root.
The short answer
Pain in the gum above a tooth may come from inflamed gum tissue, trauma, sinus pressure, decay, or infection around the tooth root. Examination distinguishes a gum surface problem from pain generated inside the tooth or in the maxillary sinus.
Why can sinus pressure feel like pain above a tooth?
The upper teeth sit close to the maxillary sinus, and pain can sometimes feel like it is in the gum above a tooth. A tender bump, pain on biting, hot or cold sensitivity, or a bad taste gives the dentist useful clues about the source.
What can you do at home while gum pain is assessed?
Rinse gently with warm water, keep brushing carefully, and use a cold compress on the cheek if swelling is present. Avoid placing heat or medication directly on the gum, and do not delay care if pain is increasing.
When does pain above a tooth need prompt dental care?
Arrange prompt dental care for persistent pain, swelling, pain on biting, or a tooth that has become sensitive or dark. Seek emergency help for spreading facial swelling, fever, difficulty opening the mouth, swallowing, or breathing.
What should you ask about the source of pain above a tooth?
Ask whether the pain is from the gum, pulp, root, or sinus and whether an X-ray or pulp test is needed. Ask which treatment is appropriate, such as cleaning, a filling, root canal treatment, drainage, or removal of the tooth.
Frequently asked questions
Can a sinus problem hurt the gum above a tooth?
Yes, pressure or inflammation in the maxillary sinus can feel like aching in the upper teeth and nearby gum, especially with nasal symptoms.
Will antibiotics fix gum pain?
Antibiotics do not remove decay or infected pulp; the dentist must treat the dental source and use medication only when clinically indicated.
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Who wrote this page
This library is published by Dental Nation, a licensed dental group practising in the United Arab Emirates. Pages are written and overseen by the same clinical team that treats patients in our clinics, and are held to a fixed editorial standard for safety and accuracy.
This page is patient education, not medical advice, and cannot replace an examination. Anything urgent — facial swelling, trauma, uncontrolled bleeding or severe pain — needs a dentist or emergency care now.