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How To Treat Swollen Gums In Back Of Mouth

August 21, 2025
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Swollen gums located at the back of the mouth can be particularly uncomfortable. Whether it's a persistent ache near your molars or a sudden onset of inflammation around your wisdom teeth, it's a symptom that warrants attention. While mild swelling may seem harmless, untreated gum inflammation can escalate into more serious conditions like gum abscesses or periodontal disease. Understanding the causes, symptoms, and appropriate treatment options is key to restoring oral health and comfort. 

What Are the Common Causes of Swollen Gums at the Back of the Mouth? 

Swelling in the gums behind the molars or near wisdom teeth often stems from a few distinct causes. These include: 

  • Erupting wisdom teeth (pericoronitis) 

  • Trapped food particles that trigger inflammation 

  • Poor oral hygiene leading to plaque and bacterial buildup 

  • Gingivitis or early gum disease 

  • Gum abscesses or infection 

  • Tooth decay near the gumline 

  • Impacted teeth or orthodontic issues 

Each of these causes shares a common thread: bacterial activity and poor access to cleaning. The back of the mouth is notoriously difficult to clean thoroughly, making it more vulnerable to issues. 

What Symptoms May Indicate a Problem? 

Gum swelling often develops alongside other oral symptoms. While some signs may be subtle, others can be more urgent. Look out for: 

  • Persistent tenderness or throbbing 

  • Gum redness or bleeding when brushing 

  • Difficulty chewing or opening your mouth 

  • A foul taste in your mouth or bad breath 

  • Presence of pus (suggesting an abscess) 

  • Fever or facial swelling (indicating systemic involvement) 

 

When Should You Seek Professional Help? 

Although early gum swelling might seem minor, it’s important not to ignore it. A dental professional can evaluate whether the inflammation is a sign of a more serious problem. 

You should seek dental care immediately if: 

  • Swelling lasts more than 48 hours 

  • Pain is severe or worsening 

  • You notice a pimple-like bump on the gums 

  • You have a fever or feel generally unwell 

  • Your jaw movement becomes restricted 

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What Are the Available Clinical Treatment Options? 

Treating swollen gums in the back of the mouth depends on the underlying cause. Dental professionals follow targeted approaches to manage symptoms and restore gum health. 

Professional Treatment Options Table 

Treatment Type 

Example 

Effectiveness 

When to Use 

Scale & polish 

Professional cleaning 

High 

For plaque & calculus build-up 

Debridement 

Deep cleaning around molars 

High 

For early gum disease 

Antibacterial mouth rinse 

Chlorhexidine-based solution 

Moderate–High 

To control infection 

Local antibiotic therapy 

Applied under gums 

High 

Localised gum infection 

Wisdom tooth extraction 

Surgical removal 

High 

Impacted or infected wisdom tooth 

Drainage of abscess 

Performed under anaesthesia 

High 

Gum abscess with pus 

Prescription medication 

Antibiotics or anti-inflammatories 

High 

Systemic or advanced infection 

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What Contributes to Gum Inflammation in Hard-to-Reach Areas? 

The anatomical position of molars and wisdom teeth makes them especially difficult to maintain. This often leads to inadequate brushing and flossing, which allows plaque, bacteria, and food debris to accumulate. If not removed, this accumulation can lead to: 

  • Gingivitis 

  • Pocket formation around teeth 

  • Pericoronitis (infection of gum flap over wisdom teeth) 

  • Bone loss or tissue breakdown 

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How Can Swollen Gums at the Back Be Prevented? 

Preventing gum issues in the back of the mouth requires consistent and thorough oral hygiene, alongside regular dental care. Here are effective strategies: 

Oral Care Habits 

  • Use a soft-bristled toothbrush to reach the molars and clean around wisdom teeth 

  • Floss daily, paying special attention to the rear teeth 

  • Use an alcohol-free antibacterial mouthwash 

  • Rinse thoroughly after meals 

Preventive Dental Visits 

  • Attend routine check-ups at least twice a year 

  • Request scale and polish services during cleanings 

  • Discuss wisdom tooth monitoring with your dentist

Lifestyle Considerations 

  • Maintain a balanced diet, avoiding excessive sugar 

  • Stay well-hydrated to support saliva production 

  • Avoid smoking or vaping, which can delay gum healing 

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What Symptoms Point to a Gum Infection or Abscess? 

In some cases, gum swelling in the back of the mouth is a sign of a more serious condition, such as a gum abscess. Recognising these symptoms early can prevent further complications. 

Symptoms vs Causes Table 

Symptom 

Likely Cause 

Swelling behind molars 

Food impaction or erupting wisdom tooth 

Throbbing or pulsating pain 

Gum abscess or infection 

Red and bleeding gums 

Early-stage gum disease or gingivitis 

Restricted mouth opening 

Pericoronitis 

Bad taste or pus discharge 

Infected pocket or abscess 

If you experience any combination of these, professional treatment should not be delayed.  

Why Do Wisdom Teeth Frequently Cause Swelling? 

Wisdom teeth often erupt in late adolescence or early adulthood. Due to limited space at the back of the jaw, they may grow at odd angles or only partially emerge. This results in: 

  • Pericoronitis, an infection of the gum flap over the tooth 

  • Trapped bacteria and food, leading to inflammation 

  • Difficulty cleaning the area, promoting recurring infection 

In such cases, dentists may recommend wisdom tooth removal to prevent chronic issues. 

Where Can You Get Professional Help for Swollen Gums? 

If you’re dealing with swollen gums in the back of your mouth, Tamworth Oral Health and Dental Care offers expert assistance tailored to your specific condition. With a strong focus on comprehensive oral diagnostics and patient-centred treatment, our team is equipped to manage everything from routine cleanings to complex surgical cases involving gum abscesses and wisdom teeth. We use modern techniques and a gentle approach to ensure your comfort while delivering optimal results. Whether you're experiencing discomfort from an impacted tooth, swollen gums, or signs of a developing gum infection, Tamworth Oral Health and Dental Care is committed to helping you regain your oral health with precision and care. Don’t ignore the signs—book your appointment today with a team that prioritises both your health and comfort. 

Important FAQs 

Q1. What should I do if my gums are swollen near my wisdom tooth? 

Seek a dental evaluation. The swelling could be caused by pericoronitis or a developing infection, which may require cleaning, medication, or even tooth removal. 

Q2. How long does gum swelling in the back of the mouth usually last? 

Mild swelling may subside in a few days with professional care, but persistent or recurring swelling can indicate gum disease or abscess and requires targeted treatment. 

Q3. Can brushing too hard cause gum swelling at the back? 

Yes, aggressive brushing can irritate the gums, particularly in hard-to-reach areas. It’s best to use a soft-bristled toothbrush and gentle technique. 

Q4. Will antibiotics alone fix swollen gums? 

Antibiotics may reduce infection temporarily, but without proper cleaning or addressing the cause, symptoms may return. A full dental assessment is essential. 

Q5. Are swollen gums a sign of serious dental disease? 

They can be. While swelling may result from temporary irritation, it can also signal gum disease, abscess, or bone involvement—early diagnosis is key. 

Q6. Can I prevent swollen gums in the back of the mouth if I already have wisdom teeth? 

Yes, by maintaining excellent oral hygiene, attending regular check-ups, and using proper techniques to clean around wisdom teeth, you can reduce the risk of inflammation.

References 

  • Australian Dental Association – Gum disease:
    https://www.teeth.org.au/gum-disease 

  • HealthDirect – Pericoronitis:
    https://www.healthdirect.gov.au/pericoronitis 

  • Better Health Channel – Gum disease:
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gum-disease 

 

Any surgical or invasive procedure carries risks, and we recommend seeking a second opinion from an appropriately qualified health practitioner before proceeding.