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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.
Sores or localized abnormalities inside the mouth can arise from a number of causes. Mouth sores can occur on the tongue, gums, lips, or inside the cheeks. They may appear as ulcers or red or white patches in the mouth. Bleeding may sometimes occur if ulceration is severe. Bite injuries to the tongue or inside of the cheek are a common cause of mouth sores.