White Gums: Causes and Concerns in Dental Health - Dentistry

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Gingival whitening?


Doctor, I just noticed that my gums have turned white, and when I touched the white area with a toothpick, a large piece came off.
Now there's a significant gap in my gums.
Is this normal? (The white part that came off was very hard.) Thank you.

Mr. Zheng, 30~39 year old female. Ask Date: 2016/06/15

Dr. Huang Zhicheng reply Dentistry


Hello, the white tissue on your gums that often appears due to food friction is keratinized and will resolve on its own; it will grow back.
If you are concerned, please consult a dentist for a biopsy.
Wishing you peace and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/15

More Info


When you notice that your gums have turned white and a hard piece has come off when you touched it, it can be concerning. This condition may indicate several underlying issues that require attention.
Firstly, the whitening of the gums could be due to a variety of factors, including irritation, infection, or even a condition known as leukoplakia. Leukoplakia is characterized by white patches in the mouth that can be caused by chronic irritation, such as from tobacco use, ill-fitting dentures, or even biting the inside of your cheeks. While leukoplakia itself is not cancerous, it can sometimes be a precursor to oral cancer, so it is essential to have it evaluated by a dental professional.

Another possibility is that the white area you observed is related to a condition called gingivitis, which is inflammation of the gums often caused by plaque buildup. In some cases, the gums can become necrotic (tissue death) due to severe inflammation or infection, leading to the detachment of gum tissue. If the white part that fell off was hard, it could have been necrotic tissue or even a calculus (tartar) buildup that was irritating the gums.

The fact that a significant piece of your gum has come off is not typical and should not be ignored. It is crucial to seek dental care as soon as possible. A dentist will be able to assess the area, possibly perform a biopsy if necessary, and determine the appropriate treatment. Treatment may include professional cleaning, medication for any infection, or other interventions depending on the diagnosis.

In the meantime, here are some general recommendations to help maintain your oral health:
1. Maintain Good Oral Hygiene: Brush your teeth at least twice a day with fluoride toothpaste and floss daily. This helps to remove plaque and prevent gum disease.

2. Avoid Irritants: If you smoke or use tobacco products, consider quitting, as these can exacerbate gum issues. Also, avoid very hot, spicy, or acidic foods that may irritate your gums further.

3. Stay Hydrated: Drink plenty of water to help keep your mouth moist and wash away food particles and bacteria.

4. Dietary Considerations: Ensure you are getting enough vitamins, particularly Vitamin C and B vitamins, which are essential for gum health. A deficiency in these vitamins can lead to gum problems.

5. Regular Dental Visits: Schedule regular check-ups with your dentist. Professional cleanings and examinations can help catch issues early before they become more serious.

6. Monitor Symptoms: Keep an eye on any changes in your oral health, including pain, bleeding, or changes in the appearance of your gums. If symptoms persist or worsen, seek dental care promptly.

In conclusion, while some gum issues can be minor and resolve with good oral hygiene, the symptoms you describe warrant a professional evaluation. Early intervention can prevent more serious complications and ensure that your oral health is maintained.

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