Inflamed gum behind back molar
Inflamed gum behind a back molar may trap food, surround a partly erupted wisdom tooth, or reflect gum or tooth infection.
The short answer
Inflamed gum behind a back molar may trap food, surround a partly erupted wisdom tooth, or reflect gum or tooth infection. Examination is needed to distinguish a local irritant from pericoronitis or disease in the molar.

What is the direct answer?
What does this question mean?
The tissue behind the last molar is the retromolar or pericoronal gum area. When a wisdom tooth is partly covered by a gum flap, bacteria and food can collect beneath it and cause tenderness, redness, swelling, or an unpleasant taste.
What can you do next?
Rinse gently with warm water, brush the molars carefully, and use an interdental tool if it fits without forcing the tissue. Do not cut the gum flap or probe beneath it; a dentist may irrigate the area, treat the molar, or assess wisdom-tooth removal.
When should you seek dental care?
Seek prompt care for recurrent swelling, pus, fever, severe pain, restricted mouth opening, or difficulty swallowing. Facial swelling or breathing difficulty requires emergency assessment.
What should you ask the dentist?
Ask whether a wisdom tooth, gum pocket, trapped food, decay, or a cracked molar is responsible. Ask whether cleaning, restoration, root canal treatment, or removal is indicated and how recurrence will be managed.
Frequently asked questions
Can I clean under the gum flap?
Clean gently around it, but do not force an instrument beneath the flap; professional irrigation may be needed.
Does this always mean a wisdom tooth must be removed?
No. The decision depends on the tooth position, recurrence, disease, and whether it can be kept clean and functional.
