Why are my gums always inflamed

Persistent gum inflammation usually comes from plaque at the gumline, but infection, irritation, medicines, or medical conditions can also contribute.

Inflamed gingiva may look red or swollen and bleed when brushed. Plaque bacteria trigger an immune response; hardened plaque called calculus keeps that response active and cannot be removed by brushing alone.

Brush twice daily with a soft brush, clean between teeth, and avoid smoking. A dental cleaning can remove calculus, while the dentist checks pockets, fillings, and contributing medicines or health conditions.

Arrange an examination if swelling or bleeding persists after improving cleaning, or if gums pull away from teeth. Seek prompt care for facial swelling, fever, pus, or trouble swallowing.

Ask whether you have gingivitis or periodontitis, whether calculus or a local irritant is present, and whether a periodontal cleaning, pocket measurements, or medical review is needed.