HomeAnswersOrthodontistgingival problemsI have red, swollen gums with white spot on one side of it. What could be the reason?

What could be the reason for red and swollen gums?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At March 24, 2022
Reviewed AtJuly 19, 2023

Patient's Query

Hi doctor,

My gums are red, swollen, and is hard on one side, and on the other side, a large white spot is seen. I have not checked my mouth in a long time. Now it hurts while chewing the food. I have prominent gums I assume are from teeth clenching. Can you help me with this?


Welcome to icliniq.com.

Hope you are doing well. As per the pictures shared by you (attachment removed to protect patient's identity) and the details mentioned, a gingival abscess has most likely formed near the premolar tooth on the tongue side. From the picture, dental decay is not seen in the tooth of the concerned site. It is a positive sign that it is not painful now, but it will start aching once the infection spreads deeper. It could be due to a decayed tooth or periodontal reasons (related to gums). Rarely trauma to the gums could be the reason. It surely needs care from a dental surgeon. I would suggest you get a check-up done with radiographic like IOPA (intraoral periapical radiograph) or RVG (radiovisiography) for confirmation and followed by appropriate treatment. If no tooth involvement is seen, then abscess drainage and follow-up are sufficient. If there is tooth involvement, root canal treatment or dental restoration (depending on the extent of tooth involvement) and abscess drainage are needed, followed by a review. I would suggest you get an OPG (orthopantomogram) radiograph done to check the status of wisdom teeth and decide if it has to be removed. With the teeth alignment and jaw space, it is highly doubtful that wisdom teeth will erupt without any problem. So I would suggest you get it removed before it causes any issues. Do reach out for further information or clarifications. Have a great day. Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mayank Khandelwal
Dr. Mayank Khandelwal


Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online


*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy