White Spots on Gums: Causes and Solutions - Dentistry

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Regarding white spots?


In the past two or three days, I have developed a small white spot on the gums at the bottom of my teeth, near the tongue.
It hurts when I touch it with my tongue.
What could this be?

Allen, 20~29 year old female. Ask Date: 2019/05/16

Dr. Lin Jiayong reply Dentistry


Hello: If there is unexplained and persistent swelling, indentation, discoloration, or even painful ulceration in the soft tissues of the oral cavity, it is advisable to seek further evaluation at a hospital.
Thank you!

Reply Date: 2019/05/16

More Info


White spots on the gums can be concerning, especially when they are accompanied by pain or discomfort. Based on your description, it sounds like you may be experiencing a common oral condition. Here are some potential causes and solutions for the white spots on your gums.


Possible Causes
1. Oral Thrush (Candidiasis): This is a fungal infection caused by an overgrowth of Candida yeast. It often presents as white patches in the mouth, including on the gums, tongue, and inner cheeks. It can be painful and may bleed when scraped.

2. Leukoplakia: This condition is characterized by white patches on the mucous membranes of the mouth. It can be caused by irritation, such as from tobacco use or rough teeth, and while it is often benign, it can sometimes indicate precancerous changes.

3. Aphthous Ulcers (Canker Sores): These are small, painful sores that can appear on the gums and other areas of the mouth. They are usually white or yellow with a red halo and can be triggered by stress, certain foods, or hormonal changes.

4. Gingivitis or Periodontitis: Inflammation of the gums can lead to the formation of white spots or patches. This is often due to plaque buildup and can be accompanied by redness, swelling, and bleeding.

5. Allergic Reactions: Sometimes, an allergic reaction to certain foods, medications, or dental products can cause white spots or patches in the mouth.


Recommended Solutions
1. Maintain Oral Hygiene: Ensure that you are brushing your teeth at least twice a day and flossing daily. This helps to remove plaque and prevent gum disease.

2. Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse several times a day.

3. Avoid Irritants: If you suspect that certain foods or habits (like smoking or chewing tobacco) are causing irritation, try to avoid them. Spicy or acidic foods can exacerbate pain and discomfort.

4. Over-the-Counter Treatments: For pain relief, consider using topical anesthetics or oral gels that can numb the area. Antifungal medications may be necessary if oral thrush is diagnosed.

5. Consult a Healthcare Professional: If the white spots persist for more than a week, worsen, or are accompanied by other symptoms (such as fever, difficulty swallowing, or significant pain), it is essential to see a dentist or an oral specialist. They can provide a proper diagnosis and treatment plan, which may include prescription medications or further tests.

6. Stay Hydrated: Drink plenty of water to keep your mouth moist and help wash away irritants.


Conclusion
While white spots on the gums can be alarming, many causes are treatable and not serious. It’s crucial to monitor your symptoms and seek professional advice if they persist or worsen. Maintaining good oral hygiene and being aware of any changes in your mouth can help prevent further issues. Remember, early intervention is key to effective treatment and recovery.

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