My gum is really swollen

A swollen gum is usually inflamed from plaque, trapped food, trauma, or infection, and the cause determines the treatment.

Swelling can affect the gum beside one tooth or a wider area. A dentist checks the gum margin, tooth, filling, periodontal pocket, and nearby tissues to distinguish surface inflammation from an abscess or deeper periodontal disease.

Brush gently with a soft brush, clean between the teeth, and rinse with warm salt water. Do not squeeze a lump or place aspirin on the gum; arrange an examination so plaque, decay, a trapped object, or infection can be treated directly.

Seek prompt care if swelling is painful, recurring, associated with pus, fever, a loose tooth, or difficulty opening the mouth. Emergency care is needed for swelling that affects swallowing, breathing, or the eye area.

Ask whether the swelling is in the gum or coming from the tooth, whether a periodontal pocket or abscess is present, and which examination or radiograph is needed.