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How Gum Boils Are Diagnosed A dentist can diagnose a gum boil through a combination of, Visual examination of the mouth and gums X-rays to check for underlying bone loss or tooth infection Pulp vitality tests to assess the health of the tooth Probing the gum pockets to identify infection or drainage These diagnostic steps help pinpoint the source of the abscess and guide the appropriate treatment

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Instead, however, its possible (and IMO very likely) that vaping is causing those gains, by substituting for cigarettes in people who would have otherwise smoked