<s>[INST] I am having SEVERE pain in my gums and jaw, it starts at the top of my mouth and it feels like pressure that runs all the way into my lower jaw. Occasionally I can feel something under my gums pop, which relieves the pain temporarily but then the pressure starts building again and I m in agony. I have many teeth that are broken and have consulted a dentist and am waiting for an appointment to have them pulled. The pain is also relieved by tipping my head upside down, I have no idea why, should I seek emergency care? [/INST] Hello and welcome, Your clinical symptoms suggest you may have severe periodontal infection. It is caused due to gingival inflammation and accumulation of granulation tissue deep in the gum pockets which leads to pain in the gums, pressure sensation in the jaws, redness and bleeding gums. I would suggest you to consult a dentist and get an OPG radiograph done which will show the picture of damaged tissues, amount of bone loss, level of alveolar bone and gums. Accordingly, treatment can be carried out, periodontal inflammation is treated by deep curettage or periodontal flap surgery if needed. Consult a periodontist and get the clinical examination done. I hope this helps, take care. </s>