Post-Teeth Cleaning Gum Issues: What Those White Spots Mean - Dentistry

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Gum issues after teeth cleaning?


Hello, doctor.
A few days ago, I had my teeth cleaned, and after the swelling of my gums subsided, I noticed several very small white spots on my gums.
They are not painful or itchy, but when I touch them with my tongue, they feel rough.
Could this be due to an injury during the teeth cleaning process?

Yu, 20~29 year old female. Ask Date: 2020/03/24

Dr. Lin Jiayong reply Dentistry


Hello: It is common to experience mild discomfort in the gums after a dental cleaning due to the removal of subgingival calculus.
It is advisable to monitor the situation.
Thank you!

Reply Date: 2020/03/24

More Info


After a dental cleaning, it's not uncommon for patients to notice changes in their gums, including the appearance of small white spots. These spots can be concerning, especially if they are accompanied by roughness or texture changes in the gum tissue. However, it’s important to understand what these white spots might indicate and how to address them.

Firstly, the small white spots you are observing could be related to a few different factors. One possibility is that they are remnants of plaque or tartar that were not completely removed during the cleaning process. Dental cleanings are designed to remove plaque and tartar buildup, but sometimes, especially in areas that are difficult to reach, some residue may remain. This can appear as white spots on the gums or teeth.

Another possibility is that these white spots are related to the healing process of your gums. After a dental cleaning, especially if it involved scaling and root planing, your gums may experience some irritation or minor trauma. This can lead to the formation of small white spots, which are often a sign of healing tissue. The roughness you feel when you touch these spots with your tongue could be due to the natural healing process, where the gum tissue is regenerating and may temporarily appear uneven or textured.

In some cases, these white spots could also be indicative of oral conditions such as leukoplakia, which is characterized by white patches in the mouth that can be caused by irritation, smoking, or other factors. However, leukoplakia is typically associated with more persistent lesions that do not resolve on their own and may require further evaluation by a dental professional.

If the spots are not painful or itchy and you are not experiencing any other symptoms such as swelling, bleeding, or persistent discomfort, it is likely that they are a benign result of the cleaning process or a normal part of gum healing. However, it is always best to err on the side of caution. If you have concerns about the appearance of your gums, or if the spots do not resolve within a week or two, it would be advisable to schedule a follow-up appointment with your dentist. They can provide a thorough examination and determine if any further treatment is necessary.

In the meantime, maintaining good oral hygiene is crucial. Continue to brush your teeth at least twice a day with a soft-bristled toothbrush and use dental floss daily to keep the areas between your teeth clean. If you are using mouthwash, opt for an alcohol-free variety to avoid further irritation to your gums. Additionally, be gentle when brushing around the areas where you notice the white spots, as aggressive brushing can exacerbate any irritation.

In summary, while the small white spots on your gums after a dental cleaning can be concerning, they are often a normal part of the healing process or remnants of plaque. Keeping an eye on them and maintaining good oral hygiene will help ensure that your gums heal properly. If you have any doubts or if the situation changes, do not hesitate to reach out to your dental care provider for guidance.

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