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Many things can cause these symptoms, which can make it difficult to diagnose. Possible causes include sinus problems, toothache, arthritis, injury, teeth grinding, gingivitis or problems with your jaw like TMJ. Your dentist will conduct a thorough exam, which may include X-rays, to determine the source of the pain.

Bleeding or sore gums can be a sign of gingivitis, an early and reversible stage of gum disease, or simply the result of brushing too hard or starting a new flossing routine. If your gums bleed regularly, or enough to worry you, make an appointment with your dentist or physician, it could be a sign that something else is wrong.