How to Remove a Gum Boil: Treatments & Prevention

A gum boil is a pus-filled swelling on the gums, signaling an underlying bacterial infection. Though small, gum boils indicate a serious issue requiring professional dental attention. It is important to address a gum boil and avoid attempting to pop or drain it at home.

What is a Gum Boil?

A gum boil, also known as a dental abscess, develops from bacterial infections. Common causes include severe tooth decay, which can lead to an infection deep within the tooth that spreads to the gums, or advanced gum disease where bacteria accumulate in gum pockets. Other factors, such as mouth trauma or impacted teeth, can also create an entry point for bacteria.

These boils appear as red, swollen, pimple-like bumps on the gum tissue. They might be soft and fluid-filled or firmer if the pus is contained.

Individuals with a gum boil may experience localized pain, tenderness, and sensitivity to hot or cold temperatures. Additional symptoms can include a bad taste in the mouth, bad breath, pus or blood discharge, or even facial swelling and fever, indicating a spreading infection.

At-Home Comfort Measures

While professional dental treatment is necessary to resolve a gum boil, some at-home measures can help manage discomfort temporarily. Rinsing the mouth with a warm saltwater solution can provide relief. Mix about one teaspoon of salt into a cup of warm water and swish for approximately 30 seconds, repeating two to three times daily. This helps reduce swelling and cleanse the affected area.

Over-the-counter pain relievers, such as ibuprofen, can help alleviate pain and inflammation. Applying a cold compress to the outside of the cheek near the affected area may also help reduce swelling and discomfort.

A hydrogen peroxide rinse, prepared by mixing one part hydrogen peroxide with two parts water, can offer temporary relief due to its antibacterial properties. These measures offer only symptomatic relief and do not treat the underlying infection.

Never attempt to pop, squeeze, or drain a gum boil at home. Doing so can push the infection deeper into tissues or spread bacteria to other parts of the mouth or body, potentially leading to severe complications. These measures provide comfort until a dental professional can evaluate and treat the infection.

Professional Dental Treatment

Professional dental treatment for a gum boil depends on the underlying cause and infection extent. A dentist often begins by draining the abscess. This involves making a small incision to release accumulated pus, which immediately relieves pressure and pain.

Antibiotics are commonly prescribed to eliminate the bacterial infection and prevent its spread. It is important to complete the full course of antibiotics as directed, even if symptoms improve, to ensure the infection is fully eradicated.

If the gum boil is caused by an infection within a tooth, such as a periapical abscess, root canal therapy may be necessary. This procedure involves removing the infected pulp, cleaning the canals, and then sealing them to prevent future infection.

For gum boils linked to advanced gum disease, a deep cleaning procedure called scaling and root planing may be performed. This involves removing plaque and tartar from above and below the gumline and smoothing tooth roots to help gums reattach.

If a tooth is severely damaged or decayed and cannot be saved, extraction may be the most appropriate course of action to eliminate the infection source.

Preventing Gum Boils

Maintaining consistent oral hygiene practices is a primary way to prevent gum boils. Brushing teeth twice daily with a fluoride toothpaste helps remove plaque and food particles that contribute to bacterial growth.

Daily flossing is equally important for cleaning between teeth and along the gumline, where bacteria can easily accumulate and lead to infection. Using an antibacterial mouthwash can further reduce bacteria in the mouth.

Routine dental check-ups and professional cleanings are also important for prevention. These visits allow a dentist to identify and address potential issues like cavities or early signs of gum disease before they escalate into more severe infections.

A balanced diet further supports oral health. Limiting sugary foods and drinks reduces the fuel source for harmful oral bacteria, while consuming fruits, vegetables, and dairy products provides nutrients beneficial for healthy gums and teeth.