White Bumps in the Mouth: Causes and Treatments - Dentistry

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White protrusion


I have developed white protrusions on the inside of my right cheek and the back of my gums, measuring less than a millimeter.
Eating causes a stinging sensation.
I used tweezers to remove the white protrusions, and the stinging sensation went away the next day, but a few days later, another protrusion appeared.
I removed it again.
What could these protrusions possibly be? I appreciate your professional insight.

Chen Liansong, 20~29 year old female. Ask Date: 2018/09/24

Dr. Zeng Guanghui reply Dentistry


A white growth has appeared on the gums of the upper right cheek in the mouth.
Although it was removed, it has reappeared, which may indicate an infection in the gums or a lesion at the root apex.
It is advisable to consult a dentist for an X-ray examination for a detailed assessment.

Reply Date: 2018/09/24

More Info


Understanding white bumps in the mouth can be quite concerning, especially when they cause discomfort or pain. Based on the symptoms you've described, there are several potential causes for these white bumps, and it's important to understand both the underlying issues and the appropriate treatments.


Possible Causes of White Bumps in the Mouth
1. Oral Canker Sores (Aphthous Ulcers): These are small, painful ulcers that can appear on the inside of the cheeks, gums, or tongue. They often present as white or yellowish bumps with a red halo. Stress, hormonal changes, and certain food sensitivities can trigger these sores. They typically heal on their own within one to two weeks.

2. Oral Thrush (Candidiasis): This is a fungal infection caused by an overgrowth of Candida yeast in the mouth. It can appear as white patches or bumps that may be painful or cause a burning sensation. Oral thrush is more common in individuals with weakened immune systems, those taking antibiotics, or those with diabetes.

3. Leukoplakia: This condition involves the formation of white patches on the mucous membranes of the mouth. It can be caused by irritation from tobacco use, alcohol, or rough teeth. While leukoplakia itself is not cancerous, it can be a precursor to oral cancer, so it should be evaluated by a healthcare professional.

4. Fibromas or Mucocele: These are benign growths that can occur in the mouth due to irritation or trauma. They may appear as small, white bumps and can be removed if they cause discomfort.

5. Herpes Simplex Virus (HSV): Oral herpes can cause painful blisters or sores in the mouth, which may appear white. These are often recurrent and can be triggered by stress, illness, or sun exposure.


Treatment and Management
1. Avoid Irritation: Since you mentioned that you have been removing the bumps yourself, it's crucial to avoid further irritation. Picking at or removing these bumps can lead to infection or worsen the condition.

2. Maintain Oral Hygiene: Good oral hygiene can help prevent infections and promote healing. Brush your teeth gently and consider using a mild mouthwash to keep your mouth clean.

3. Topical Treatments: Over-the-counter topical treatments, such as benzocaine gels or corticosteroid ointments, can help relieve pain and inflammation associated with canker sores or other lesions.

4. Dietary Adjustments: If you suspect that certain foods are triggering your symptoms, try to avoid acidic or spicy foods that may irritate the bumps.

5. Consult a Healthcare Professional: Since the bumps have recurred, it is advisable to consult a dentist or an oral specialist. They can perform a thorough examination and may recommend a biopsy if there is concern about a more serious condition.

6. Address Underlying Conditions: If you have any underlying health issues, such as a weakened immune system or nutritional deficiencies, addressing these can help reduce the frequency of oral lesions.


Conclusion
In summary, while white bumps in the mouth can arise from various causes, proper diagnosis and treatment are essential for effective management. Avoid self-removal of these bumps, maintain good oral hygiene, and consult a healthcare professional for a comprehensive evaluation. Early intervention can help prevent complications and ensure that any serious conditions are addressed promptly. Remember, your oral health is an important aspect of your overall well-being, so do not hesitate to seek professional advice.

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