White spots on the gums?
I recently got braces about a month ago, and I've noticed that a few of my teeth have developed white spots near the upper part of the gums.
They hurt when touched.
Is this due to the braces? Is this a normal occurrence? Thank you.
sophie, 20~29 year old female. Ask Date: 2016/04/13
Dr. Huang Zhicheng reply Dentistry
Hello, based on the situation described, it is not possible to confirm whether the white spots on the gums are related to the braces without a visual examination.
However, if there is pain, it may be due to a gum injury.
Please return to your original clinic for the dentist to check if the braces are causing any irritation.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/04/13
More Info
White spots on the gums after getting braces can be concerning, especially when they are accompanied by pain and sensitivity. It's important to understand the potential causes and solutions for this issue.
Firstly, the appearance of white spots on the gums can be attributed to several factors, particularly after the placement of braces. One common cause is irritation from the braces themselves. The brackets and wires can create friction against the gums, leading to localized inflammation and the formation of white lesions. This is often exacerbated by difficulty in maintaining proper oral hygiene, as braces can trap food particles and plaque, making it harder to clean the teeth and gums effectively.
Another potential cause of white spots on the gums is a condition known as oral lichen planus, which is an inflammatory condition that can affect the mucous membranes in the mouth. This condition can manifest as white patches or spots and may be painful. However, this is less common and typically requires a diagnosis from a healthcare professional.
Additionally, the presence of white spots could indicate the early stages of gingivitis, which is inflammation of the gums due to plaque buildup. If left untreated, gingivitis can progress to more severe periodontal disease. The pain you are experiencing when brushing or when the area is touched could be a sign of inflammation or infection.
To address these issues, here are some recommended steps:
1. Maintain Good Oral Hygiene: It is crucial to brush your teeth at least twice a day and floss daily, especially with braces. Consider using an interdental brush or a water flosser to help clean around the brackets and wires effectively.
2. Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush can help minimize irritation to the gums while still effectively cleaning your teeth.
3. Rinse with Salt Water: A warm saltwater rinse can help soothe irritated gums and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse your mouth several times a day.
4. Avoid Irritating Foods: Try to avoid spicy, acidic, or hard foods that may further irritate your gums.
5. Consult Your Orthodontist: Since you have recently started orthodontic treatment, it is essential to communicate with your orthodontist about the white spots and any pain you are experiencing. They can assess whether the braces are causing the issue and may recommend adjustments or additional treatments.
6. Monitor for Changes: Keep an eye on the white spots. If they persist, change in appearance, or if you experience increased pain, it is important to seek further evaluation from a dentist or an oral health specialist.
In conclusion, while the appearance of white spots on the gums after getting braces can be a common occurrence due to irritation and difficulty in maintaining oral hygiene, it is essential to take proactive steps to manage the situation. By maintaining good oral hygiene, consulting with your orthodontist, and monitoring your symptoms, you can help ensure that your gums heal properly and that your orthodontic treatment proceeds smoothly. If the symptoms persist or worsen, do not hesitate to seek professional dental advice.
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