Swollen Gums: When You Need To See An Endodontist

Swollen gums are a common dental issue that can indicate anything from mild irritation to serious infections. While temporary gum swelling may be due to minor causes like food particles or aggressive brushing, persistent or painful swelling can be a sign of a deeper problem requiring professional care. In some cases, an endodontist—a specialist in diagnosing and treating problems inside the tooth – may be needed to prevent severe complications.

This article will explore the possible causes of swollen gums, when they require urgent medical attention, and how an endodontist can help treat underlying conditions affecting the teeth and gums.

Common Causes Of Swollen Gums

1. Poor Oral Hygiene And Gingivitis

One of the most common reasons for swollen gums is gingivitis, the earliest stage of gum disease. It occurs when plaque buildup along the gumline leads to inflammation. Symptoms include:

• Red, swollen gums
• Bleeding when brushing or flossing
• Bad breath

If left untreated, gingivitis can progress into more severe periodontal disease, which can cause gum recession and tooth loss.

2. Food Irritation And Trauma

Sometimes, gums swell due to minor irritation from trapped food, sharp foods (like chips), or aggressive brushing and flossing. These cases usually resolve on their own with proper care and gentle oral hygiene.

3. Hormonal Changes

Pregnancy, puberty, and menopause can cause hormonal changes that increase blood flow to the gums, making them more sensitive, swollen, and prone to bleeding.

4. Nutritional Deficiencies

A lack of vitamins, especially vitamin C, can lead to gum inflammation. In severe cases, it may cause scurvy, a condition that weakens the gums and teeth.

While these causes are common and often manageable with good oral care, some cases of swollen gums signal more serious dental problems that require an endodontist’s expertise.

When To See An Endodontist For Swollen Gums

If swollen gums persist, worsen, or are accompanied by severe pain, an endodontist may need to evaluate your teeth and gums for infections inside the tooth. Below are conditions that may require their specialised care:

1. Dental Abscess (Tooth Infection)

A dental abscess is a serious bacterial infection that forms when pus collects inside a tooth or at the gumline. It is usually caused by deep decay, a cracked tooth, or untreated cavities.

Symptoms of a dental abscess:

• Intense, throbbing tooth pain
• Swollen gums near a specific tooth
• Pus or an unpleasant taste in the mouth
• Fever and swollen lymph nodes

Endodontists treat abscesses by performing root canal therapy, which removes the infected pulp, cleans the tooth’s interior, and seals it to prevent further infection.

2. Gum Swelling Due To A Failed Root Canal

If you’ve had a previous root canal and experience swollen gums around the treated tooth, it may indicate reinfection. This can happen due to bacteria re-entering the tooth or an incomplete initial treatment.

In such cases, an endodontist may perform root canal retreatment or root tip surgery (Apicoectomy) to remove the infection and save the tooth.

3. Cracked Or Fractured Teeth

A cracked tooth can allow bacteria to enter the pulp, leading to infection and gum swelling. Unlike cavities, cracks may not be visible, but symptoms include:

• Sensitivity to hot, cold, or sweet foods
• Pain when biting or chewing
• Localized swollen gums around the affected tooth

An endodontist may perform a root canal to remove infected pulp or recommend other restorative treatments to protect the tooth.

4. Internal Resorption

This rare condition occurs when the inside of a tooth breaks down from within, often due to trauma or untreated infections. It can lead to swollen gums and discomfort. Endodontists treat internal resorption with root canal therapy to remove damaged tissue and prevent further tooth deterioration.

Preventing And Managing Swollen Gums

While some causes of swollen gums require an endodontist’s expertise, most cases can be prevented with proper oral hygiene and lifestyle changes:

• Brush Twice A Day – Use a soft-bristled toothbrush and fluoride toothpaste.
• Floss Daily – Removes plaque and food debris between teeth.
• Rinse With Antibacterial Mouthwash – Helps reduce bacteria and inflammation.
• Stay Hydrated – A dry mouth can contribute to gum irritation.
• Eat A Balanced Diet – Ensure adequate intake of vitamins and minerals.
• Schedule Regular Dental Checkups – Early detection prevents complications.

Contact Us For An Appointment With An Endodontist

Occasional swollen gums may not be a cause for concern, but persistent, painful, or infected gums require immediate attention. If you experience severe gum swelling, especially alongside tooth pain, pus, or a bad taste, you may need an endodontist to address a deeper dental issue. Endodontists specialise in saving teeth through root canal therapy, treating abscesses, repairing cracked teeth, and preventing further infections. Seeking timely treatment can prevent tooth loss and restore your oral health.

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If you’re dealing with swollen gums and suspect a serious dental problem, don’t wait – schedule an appointment with an endodontist today. Contact us via the button below.

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