
Dr Anupam Sinha
BDS, MDS - Orthodontics
- Delhi State Dental Council registration number A-6723 (2015).
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Swollen gums · Greater Kailash 1, Delhi
Swollen gums are red, puffy and sore, and the cause can be anything from plaque to an infection to a medicine you take. At Orion Dental Clinic, a dentist in Greater Kailash 1 (GK 1), South Delhi, this page explains the common causes, which ones are urgent, what the research says about swelling linked to medicines and braces, and how each cause is treated, in plain language.
Care is planned by Dr Anupam Sinha (BDS, MDS) and Dr Natalia DeSilva (BDS, MDS). If swelling spreads to your face or neck, or you cannot swallow or breathe easily, call 112 or go to a hospital now. Ask as many questions as you need.
These statements come from NHS patient information, a consensus report and a systematic review, listed at the end of the page. Your dentist will explain what applies to your own gums.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, .
Quick answer
Swollen gums at Orion Dental Clinic in Greater Kailash 1, Delhi are examined to find the cause, which may be plaque, gum disease, an abscess, a wisdom tooth, braces or a medicine. Dr Anupam Sinha and Dr Natalia DeSilva explain the options. Swelling of the face or neck, or trouble swallowing or breathing, is an emergency.
01 Overview
Gum disease makes the gums red, swollen and sore, and they may bleed. It is caused by plaque building up on the teeth and irritating the gums.1 The consensus report on gum diseases describes plaque-induced gingivitis as the most common kind, which can be returned to health with treatment, and says other gum conditions are not caused by plaque and do not clear when plaque is removed.3
Swelling can also come from infection. A dental abscess is a build-up of pus caused by infection, with intense pain, redness, swelling of the face or jaw and a high temperature, and it needs urgent dental treatment.2 An infection can also start around a wisdom tooth that has broken the skin but lacks room to come through.5 A review of 349 papers found that most gum enlargement was linked to medicines such as phenytoin, calcium-channel blockers and cyclosporine A, and to fixed braces, with poor oral hygiene the most consistent risk factor.4
That is why the dentist finds the cause before treating it. Our page on gum disease treatment explains the usual plan, and our page on tooth pain explains an infection that comes with pain.
Swollen gums have several causes, and plaque is the commonest, but infection must not be missed.
02 Candidacy
These are the causes the dentist looks for, with the ones that need urgent care marked.
Swelling with pain, fever or facial swelling should be seen quickly.
03 Options
Treatment follows the cause, so these are the usual choices.
In the review of gum enlargement, oral hygiene instructions and professional plaque removal appeared effective at improving it, and were advised for people starting medicines linked to it or having fixed braces.4 For gum disease, the NHS says a dentist advises on cleaning and may arrange a hygienist clean.1
Effective in review 4
A dentist drains an abscess, usually under local anaesthetic, and the tooth may need root canal treatment or extraction, with painkillers and antibiotics if needed.2 An infected wisdom tooth may need to come out.5
Urgent 2
If a medicine is the cause, the review found that changing the offending medication or taking systemic azithromycin were valid options in persistent cases, and these are decisions for the doctor who prescribes the medicine, not for you to make alone.4
With your doctor 4
Never stop a prescribed medicine on your own because of swollen gums, and speak to the doctor who prescribed it.
| Cleaning | Abscess or wisdom tooth | Medicine review | |
|---|---|---|---|
| Used for | Plaque, gum disease, braces 14 | Infection 25 | Medicine-linked enlargement 4 |
| What it involves | Hygiene advice, plaque removal 4 | Draining pus, root canal or removal 2 | A conversation with the prescriber 4 |
| Main limit | Needs daily effort 1 | Urgent, not self-treatable 2 | Needs the prescriber's decision |
The right treatment depends on the cause, so the first step is a proper examination.
04 Procedure
Every case is individual, so your steps may differ. This is the usual order.
Urgent causes are dealt with first, and the rest is cleaning and checking.
The dentist asks where the swelling is, how long it has been there, whether it hurts or bleeds, and whether you have a fever, a bad taste or trouble opening your mouth.2
You are asked about every medicine you take, including those for epilepsy, blood pressure and after transplant, and about pregnancy and diabetes.14
The dentist looks at the shape and colour of the swelling, measures the pockets, checks for pus and for a partly erupted wisdom tooth, and takes X-rays where needed.25
If there is an abscess, it is drained, usually under local anaesthetic, before anything else.2
Plaque is removed professionally, and you are shown how to clean the gum edges and between the teeth.14
If a medicine may be causing the swelling, the dentist writes to or advises you to see the prescriber, and does not change the medicine themselves.4
A re-check shows whether the swelling has gone, and persistent swelling is investigated further.
05 Aftercare
These are the NHS self-care steps. They ease symptoms, but they do not treat the cause, so you still need a dentist.12
Brush with fluoride toothpaste at least twice a day and spit without rinsing, clean between your teeth daily, and use a soft toothbrush.12
Take paracetamol or ibuprofen within the recommended dose, and eat soft foods such as soup or scrambled eggs. Children under 16 should not take aspirin.2
If you take a regular medicine, do not stop it without talking to your doctor, even if you think it is causing the swelling.
Call the clinic on 098115 01995 if your gums are very sore and swollen, if a tooth is loose, if you have a fever, a bad taste or trouble opening your mouth, or if swelling is spreading. Go to a hospital emergency department if you have trouble breathing, speaking or swallowing, a swollen or painful eye or changes in eyesight, or swelling of the face or neck, and ask someone to take you rather than driving yourself.
Home care eases things for a while, and the dentist treats the cause.
06 Limits and risks
Some swelling is more than inflamed gums. These are situations where another plan is needed:
In these cases urgent drainage, a medical review or a removal of the problem tooth may be needed.
An abscess will not clear on its own. It needs urgent dental treatment, and swelling that affects breathing, speaking or swallowing, or the eye, needs a hospital emergency department.2
The evidence on medicines is limited. The review of gum enlargement drew on 349 papers, mostly observational, and found that adjunct treatments such as azithromycin or changing the medicine may help in severe or recurrent cases.4
Cleaning does not fix every cause. Gum conditions that are not caused by plaque usually do not resolve when plaque is removed.3
Swollen gums can be gum disease. Without treatment gum disease can cause shrinking gums, loose or lost teeth and an abscess.1
A good plan finds the cause first and says clearly which swelling cannot wait.
07 Your visit
At your first visit, a dentist at Orion Dental Clinic asks where the gums are swollen, how long it has lasted, whether it hurts, bleeds or oozes, and whether you have a fever or a bad taste. You are asked about all your medicines, your health, pregnancy and any braces.
The dentist examines the gums and teeth, measures the pockets and takes X-rays where needed. You then talk through what is causing the swelling, what treatment is needed and how urgent it is, and you can ask any question.
The first visit is for finding the cause and dealing with anything urgent.
08 Why this clinic
You meet the doctors who examine your gums, and you can ask them how they tell an infection from simple inflammation.

Dr Anupam Sinha
BDS, MDS - Orthodontics

Dr Natalia DeSilva
BDS, MDS - Oral Medicine and Radiology
Dr Anupam Sinha and Dr Natalia DeSilva see patients with gum problems, and a patient mentions Dr Natalia DeSilva in a review about gum problems.
If swelling is linked to braces, orthodontic and gum care can be planned at the same clinic.
Imaging is available at the clinic, so the X-rays used to find an infection can be taken there.
Ask what is causing the swelling and whether it could be an infection.
09 Reviews
4.9 out of 5 overall Google rating from 804 reviews, as of . Read more patient reviews
“Great experience and the right treatment helped me with my gum problems. Thanks to Dr. Natalia and team.”
Ruchi GandhiGoogle review
“Dr Natalia is highly professional.Takes lot of pain to make you comfortable and explains the steps required.Highly recommended.Thanks”
Ratan KukrejaGoogle review
“Treatment was excellent and done with proper care. Doctor Natalia is very efficient and treats the patient with utmost care without causing any pain. I strongly recommend patients with Dental problems to undergo treatment here at Orion.”
nagendra parimiGoogle review
10 Visit us
Mon to Sat, 9:30 am to 8:00 pm
Orion Dental Clinic Basement, E 75, Greater Kailash-1,| Monday to Saturday | 9:30 am to 8:00 pm |
|---|---|
| Sunday | Closed |
If you are looking for a dentist for swollen gums in Greater Kailash or nearby, Orion Dental Clinic is in the basement of E 75, Greater Kailash Enclave 1 (GK 1), opposite Anubhav Play School, with the entrance at Gate 1, so call or message us on WhatsApp to book an appointment and use the map for directions. More about the clinic: dentist in Greater Kailash.
11 Travelling patients
If your gums swell while you are visiting Delhi, call us and tell us how long it has lasted and whether there is pain, a fever or facial swelling. A dental abscess needs urgent treatment,2 so do not wait until you fly home. We can examine you, take X-rays and give you written advice and your images to take home.
You can read about how dental tourism in Delhi works.
Swelling with pain or fever should be seen within days, not weeks.
12 Questions
When it comes with trouble breathing, speaking or swallowing, a swollen or painful eye, changes in eyesight, or significant swelling of the face, neck or mouth.2
A build-up of pus caused by infection, which needs urgent dental treatment and will not clear up on its own.2
Yes. A review found that phenytoin, calcium-channel blockers and cyclosporine A were associated with gum enlargement, particularly with poor oral hygiene. Do not stop a medicine without talking to your doctor.4
Fixed orthodontic treatment was associated with gum enlargement in the review, especially with poor oral hygiene, and cleaning advice and plaque removal were advised.4
Yes. An infection can start around a wisdom tooth that has broken the skin but lacks room to come through.5
In the review, oral hygiene instructions and professional plaque removal appeared effective for gum enlargement.4
Orion Dental Clinic is a dentist for swollen gums in Greater Kailash 1 (GK 1), in the basement of E 75, Greater Kailash Enclave 1, opposite Anubhav Play School, with the entrance at Gate 1. Patients come for swollen gums in Greater Kailash from Kailash Colony, CR Park, Nehru Place, Lajpat Nagar, Defence Colony and South Extension. Call or message us on WhatsApp to book an appointment.
13 Second opinion
Tell us how long it has lasted and whether you take any regular medicines. If the swelling is spreading across your face or neck, or you cannot swallow or breathe easily, go to a hospital emergency department now. Otherwise call us or message us on WhatsApp, and a dentist will look for the cause and explain the treatment.
14 Related
Read this for the stepwise plan if it is gum disease.
Read this for cleaning below the gum.
Read this if a wisdom tooth is the cause.
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Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, on . Dr Anupam Sinha is also a doctor at Orion Dental Clinic. Next review April 2027.
General information for patients, first published on , from the sources listed below. NHS statements describe UK patient information, and the NHS emergency numbers are left out because they do not apply in India. Updated at least every six months and not advice for any one person. Orion Dental Clinic provides this treatment, so read the risks as well as the benefits. To report an error, contact us.
This page is general information, not a diagnosis or a substitute for an examination, and results vary between patients.