What could gum paleness with pain after bruising of teeth indicate?
Patient: My 5 year old hit and bruised all of her front teeth top and bottom about 4 months ago.  Just recently, she will cry when I help her brush because the gum at the base of her two bottom teeth "hurt really bad".  I noticed right at the base of the teeth the gum is white and squishy, only on these teeth.  The tissue almost looks dead.  What could this be? Doctor: Thanks for using Health Care Magic.Read your query.You have not mentioned in your query , whether she had undergone any treatment after the hit.Was any of her teeth treated?The symptoms described suggests an abscess formed and when pressure is applied in that area is causing pain.I would advice you to visit her pedodontist and get a radiograph done to see the position of the teeth and also the abscess .Also the underlying permanent teeth position is to be evaluated for planning the treatment as soon her permanent teeth will be erupting .For the pain you can give paracetamol as and when required and if required antibiotics after consulting the dentist.Hope this was useful,Thanks and regards.