<s>[INST] Hello doctor, I am having pain below two of my front teeth in the gum area. I feel the pain even when I press my tongue in the back of the same teeth. The gum is also hurting bad. On the outside of my face, I can not touch over that spot as it is very painful. [/INST] Hello. Pain in gums indicate a site of infection or abscess. When did the pain start? Is it felt only on touching? Is it continuous or throbbing? Is there any swelling or redness in the area? Is it localized in one area or spread out? Is there pus or fluid felt on touching the area? To determine the exact cause, we need pictures and x-rays. Few of the causes could be: 1. A cavity that has extended deep into roots. 2. Periodontal problems due to chronic tartar deposits or may be associated with receding gums. 3. Combination of above. 4. Gum injury while brushing or with toothpick or fishbone, etc. IOPA of the area concerned and images of the area. To alleviate pain, apply anesthetic gel (Benzocaine) available over the counter for oral use. Do warm salt water rinse. </s>