Sensitive gum above one tooth
A tender area above one tooth can come from irritated gum, root exposure, a cavity, a cracked tooth, or infection.
The short answer
The gum above one tooth may be tender because plaque has inflamed the tissue, the root surface is exposed, a filling edge irritates it, or infection is developing. The appearance alone cannot identify the cause.

What is the direct answer?
What does this question mean?
The area may be the attached or free gingiva over a tooth root, or the mucosa above it. A dentist checks the gum pocket, tooth vitality, decay, restorations, bite, and an X-ray when the findings call for one.
What can you do next?
Use a soft brush, clean the gumline without scrubbing, and avoid repeatedly pressing the sore spot. Record triggers such as chewing, cold drinks, brushing, bleeding, swelling, or a bad taste.
When should you seek dental care?
Arrange prompt care for swelling, pus, fever, facial swelling, severe or spreading pain, loose tooth, or difficulty swallowing or breathing. Recurrent tenderness without those signs still merits a routine examination.
What should you ask the dentist?
Ask whether the tenderness is in the gum or tooth, whether a pocket or root exposure is present, and whether you need cleaning, a filling repair, a bite adjustment, or treatment for infection.
Frequently asked questions
Could another cause produce this problem?
The area may be the attached or free gingiva over a tooth root, or the mucosa above it. A dentist checks the gum pocket, tooth vitality, decay, restorations, bite, and an X-ray when the findings call for one.
What may happen at the dental visit?
Ask whether the tenderness is in the gum or tooth, whether a pocket or root exposure is present, and whether you need cleaning, a filling repair, a bite adjustment, or treatment for infection.
