Inflamed gums toothache
Inflamed gums can feel sore, but a toothache may also indicate decay, a cracked tooth, or infection inside or around the tooth.
The short answer
Inflamed gums can feel sore, but a toothache may also indicate decay, a cracked tooth, or infection inside or around the tooth. Gingival inflammation causes tender tissue and bleeding, while tooth pain often comes from irritated pulp, a crack, decay, or infection at the root.

What is the direct answer?
What does this question mean?
Gingival inflammation causes tender tissue and bleeding, while tooth pain often comes from irritated pulp, a crack, decay, or infection at the root. Pain on biting, lingering hot or cold pain, or a bad taste can help the dentist distinguish these sources.
What can you do next?
Clean gently around the area, rinse with warm water, and use label-directed pain relief suitable for you. Avoid chewing on the painful side and do not apply heat, aspirin, or household chemicals directly to the gum.
When should you seek dental care?
Seek prompt care for persistent toothache, facial swelling, fever, pus, or difficulty opening the mouth, swallowing, or breathing.
What should you ask the dentist?
Ask whether the pain is from the gum or pulp, whether an X-ray is needed, and whether treatment involves cleaning, a filling, root canal treatment, extraction, or periodontal care.
Frequently asked questions
What is the first clinical step?
Ask whether the pain is from the gum or pulp.
Can home care replace an examination?
Home care may reduce irritation, but it cannot diagnose or treat a damaged tooth, deep infection, or advanced gum disease.
