Gum Behind Back Tooth Hurts

Have you ever experienced that nagging pain behind your back tooth, leaving you puzzled and seeking answers? Tooth pain can be a real concern, especially when it's not immediately obvious what's causing it. In this comprehensive guide, we'll delve into the possible causes and solutions for gum pain behind the back tooth, offering expert insights and practical advice to help you find relief.
Understanding Gum Pain Behind the Back Tooth

Gum pain, especially when it occurs behind the back tooth, can be a perplexing and often uncomfortable experience. It’s essential to recognize that this type of pain can have various underlying causes, some of which may be more serious than others. By understanding the potential reasons, you can take the necessary steps to alleviate the discomfort and address the root issue.
Potential Causes of Gum Pain Behind the Back Tooth
There are several factors that could be contributing to the pain you’re experiencing. Let’s explore some of the most common causes and the signs that may accompany them:
- Tooth Decay: Cavities or tooth decay can often extend beyond the visible tooth surface, affecting the underlying dentin and causing pain. Look out for signs like sensitivity to hot or cold temperatures and visible holes or dark spots on the tooth.
- Abscessed Tooth: An abscess is a painful infection that can develop at the root of a tooth or between the gum and tooth. Symptoms include severe pain, swelling, and sometimes a visible bump on the gum.
- Gum Disease: Gum disease, also known as periodontal disease, can cause inflammation and pain in the gums. This condition often starts with mild gum irritation but can progress to more severe stages if left untreated.
- Impacted Wisdom Tooth: When wisdom teeth don't have enough space to erupt properly, they can become impacted, causing pain and pressure on the adjacent teeth and gums. This is more common with the lower wisdom teeth.
- Pericoronitis: This is an inflammation of the gum tissue surrounding a partially erupted or impacted tooth, often affecting the wisdom teeth. Symptoms include severe pain, swelling, and a bad taste in the mouth.
- Teeth Grinding (Bruxism): Chronic teeth grinding can lead to gum pain and inflammation, especially if it's not addressed and managed effectively.
- Injury or Trauma: Accidents or injuries to the mouth can result in gum pain, especially if a tooth has been damaged or knocked loose.
It's important to note that while these are common causes, there could be other underlying factors contributing to your gum pain. A thorough examination by a dental professional is essential to identify the exact cause and develop an appropriate treatment plan.
When to Seek Professional Help
If you’re experiencing persistent or severe gum pain behind your back tooth, it’s crucial to schedule an appointment with your dentist as soon as possible. They can perform a comprehensive examination, which may include X-rays and other diagnostic tests, to determine the underlying cause. Early intervention is key to preventing potential complications and ensuring effective treatment.
Diagnosis and Treatment Options

The first step in addressing your gum pain is to obtain an accurate diagnosis. Your dentist will consider your symptoms, medical history, and the results of any diagnostic tests to identify the cause of your pain. Once the underlying issue is determined, they can recommend an appropriate treatment plan.
Treatment Options for Gum Pain
The treatment for gum pain behind the back tooth will depend on the specific cause. Here are some common approaches your dentist may suggest:
- Tooth Decay Treatment: If your gum pain is due to tooth decay, your dentist will likely recommend a filling or, in more severe cases, a root canal treatment to remove the infected pulp and save the tooth.
- Abscessed Tooth Treatment: For an abscessed tooth, your dentist will likely drain the abscess and prescribe antibiotics to clear the infection. In some cases, a root canal treatment may be necessary.
- Gum Disease Treatment: Depending on the severity of your gum disease, your dentist may recommend a deep cleaning (scaling and root planing) to remove plaque and tartar from below the gum line. In more advanced cases, periodontal surgery may be required.
- Wisdom Tooth Extraction: If your impacted wisdom tooth is causing pain and cannot be saved, your dentist may recommend extracting it to alleviate the pressure and prevent further complications.
- Pericoronitis Treatment: For pericoronitis, your dentist may clean the area, remove any debris, and prescribe antibiotics to manage the infection. In some cases, they may recommend extracting the partially erupted tooth.
- Bruxism Management: If teeth grinding is the cause of your gum pain, your dentist may suggest wearing a custom-made mouthguard at night to protect your teeth and reduce grinding. They may also recommend stress management techniques or address any underlying causes.
- Injury Treatment: For gum pain resulting from an injury, your dentist will assess the damage and provide appropriate treatment, which may include pain management, splinting, or, in severe cases, surgical intervention.
It's important to follow your dentist's instructions and complete any recommended treatments to ensure a full recovery and prevent future issues.
Preventing Gum Pain Behind the Back Tooth
While not all causes of gum pain can be prevented, there are several steps you can take to reduce your risk and maintain optimal oral health:
- Practice Good Oral Hygiene: Brush your teeth twice a day with fluoride toothpaste and floss daily to remove plaque and prevent tooth decay and gum disease.
- Visit Your Dentist Regularly: Schedule routine dental check-ups and cleanings to detect and address any potential issues early on. Your dentist can also provide personalized advice to maintain your oral health.
- Address Bruxism: If you grind your teeth, consider using a mouthguard and explore stress management techniques to reduce the habit.
- Maintain a Healthy Diet: Eat a balanced diet rich in nutrients, especially calcium and vitamin D, to support strong teeth and gums. Limit sugary and acidic foods and drinks, as they can contribute to tooth decay.
- Stay Hydrated: Drinking water throughout the day can help wash away food particles and bacteria, reducing the risk of plaque buildup and tooth decay.
- Be Mindful of Habits: Avoid chewing on hard objects like ice or pens, as this can damage your teeth and lead to gum pain.
By adopting these preventive measures, you can significantly reduce your chances of experiencing gum pain behind your back tooth and maintain a healthy smile.
Conclusion: Finding Relief and Peace of Mind
Gum pain behind the back tooth can be a distressing experience, but with the right knowledge and professional guidance, you can find relief and peace of mind. Remember, early intervention is crucial, so don’t hesitate to schedule an appointment with your dentist if you’re concerned about your oral health. By addressing the underlying cause and following a personalized treatment plan, you can restore your oral comfort and enjoy a pain-free smile.
FAQ

How long does it typically take for gum pain behind the back tooth to go away with treatment?
+The duration of pain relief varies depending on the underlying cause and the treatment approach. For mild cases, such as tooth decay or early-stage gum disease, relief can be achieved within a few days to a week after treatment. However, more severe conditions like abscessed teeth or advanced gum disease may require a longer recovery period, sometimes extending over several weeks or even months. It’s important to follow your dentist’s instructions and attend all recommended follow-up appointments to ensure a successful recovery.
Can over-the-counter pain relievers help with gum pain behind the back tooth?
+Over-the-counter pain relievers like ibuprofen or acetaminophen can provide temporary relief from gum pain. However, they are not a long-term solution and should not be used as a substitute for professional dental treatment. It’s important to consult with your dentist to determine the underlying cause of your gum pain and receive appropriate care.
What are some home remedies that can provide temporary relief for gum pain behind the back tooth?
+While home remedies can provide temporary relief, they should not replace professional dental treatment. Some home remedies for gum pain include rinsing your mouth with warm salt water, applying a cold compress to the affected area, and using over-the-counter oral numbing gels. However, it’s crucial to address the underlying cause of your gum pain through proper dental care.