Differential Diagnosis for Gum Tender Teeth
Single Most Likely Diagnosis
- Gingivitis: This is the most likely diagnosis given the symptoms of gum tenderness and bad teeth. Gingivitis is a common condition characterized by inflammation of the gums (gingiva) due to poor oral hygiene, leading to plaque and tartar buildup. It causes symptoms such as red, swollen, and tender gums, which align with the described condition.
Other Likely Diagnoses
- Periodontitis: This condition is an advanced stage of gingivitis where the inflammation spreads to the periodontal ligaments and alveolar bone, leading to potential tooth loss. Symptoms include tender gums, bad breath, and loose teeth, making it a plausible diagnosis.
- Dental Abscess: A dental abscess is a localized collection of pus in the teeth or gums, often caused by a bacterial infection. It can cause severe toothache, gum tenderness, and bad breath, fitting the described symptoms.
- Tooth Decay or Cavities: Advanced tooth decay can cause pain, sensitivity, and tenderness in the gums and teeth, especially if the decay reaches the pulp of the tooth.
Do Not Miss Diagnoses
- Acute Necrotizing Ulcerative Gingivitis (ANUG): Although less common, ANUG is a serious condition that can cause severe gum pain, ulcers, and bad breath. It requires immediate dental attention and can lead to more severe complications if not treated promptly.
- Oral Cancer: While rare, oral cancer can cause a variety of symptoms including gum tenderness, bad breath, and changes in the teeth or jaw. Given its potential severity, it's crucial not to miss this diagnosis.
Rare Diagnoses
- Eruption Cysts: These are benign cysts that can form over erupting teeth, causing local inflammation and tenderness. They are more common in children and adolescents but can occur in adults with impacted teeth.
- Gingival Hyperplasia: This condition involves an overgrowth of gum tissue and can be caused by a variety of factors including poor oral hygiene, genetic predisposition, or as a side effect of certain medications. It can lead to gum tenderness and aesthetic concerns.
- Temporomandibular Joint (TMJ) Disorders: While primarily affecting the jaw joint, TMJ disorders can also cause referred pain to the teeth and gums, leading to tenderness and discomfort.