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Posted by Dr. Alison. Tweet. Painful gums may be caused by local gum or mouth disease, injury, or a manifestation of other more generalized conditions. Although gum disease is a very common cause of gum pain, it is often a late symptom of gingivitis. Bleeding and/or swollen gums are more likely to precede gum pain. For this reason, even transient or mild gum pain should be investigated as soon as possible so that the cause can be rectified without delay.
Toothache is merely a symptom of being sick. It can cause sore throat, swelling of the gums, neck glands and muscle pains. There is a dull or sharp pain on the head or jaw bones. Toothache cause by abscess formation can spread to oral parts of the mouth. Ulcers can break open and release more bacteria.