White Gum Growth: When to See a Dentist - Dentistry

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White granulation tissue on the gums?


A few weeks ago, I noticed a small white growth on the gum of my lower left incisor.
It is painless and doesn't cause any discomfort, but it has been persistent.
What could this be? Should I see a dentist or go to a hospital?

Xuan Xuan, 30~39 year old female. Ask Date: 2020/04/15

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to visit a larger hospital to seek a biopsy examination from an oral surgeon or an otolaryngologist.
Thank you!

Reply Date: 2020/04/15

More Info


When it comes to oral health, any unusual growth or change in the gums should be taken seriously, even if it is not causing pain or discomfort. In your case, the white growth on your gum near the lower left incisor could be a variety of things, ranging from benign to more concerning conditions.
One possibility is that it could be a fibroma, which is a benign growth of connective tissue that can occur in the mouth. These growths are typically painless and can appear white or flesh-colored. Another possibility is a mucocele, which is a fluid-filled cyst that can develop when a salivary gland duct is blocked. Mucoceles often appear as small, painless bumps and can be translucent or white in color.

However, it is also important to consider other conditions such as leukoplakia, which presents as white patches in the mouth and can sometimes be a precursor to more serious conditions. Additionally, if there is a history of trauma or irritation in the area, the growth could be a result of that, such as a reaction to a dental appliance or a chronic irritation from a rough edge of a tooth.

Given that this growth has persisted for several weeks without change, it is advisable to consult a dentist. While it may not seem urgent, a dental professional can provide a thorough examination and determine the nature of the growth. They may perform a biopsy if necessary to rule out any serious conditions.
In terms of whether to see a general dentist or go to a larger hospital, it typically depends on the resources available in your area. A general dentist should be able to evaluate the growth and provide appropriate treatment or referrals if needed. If the dentist suspects a more complex issue that requires specialized care, they can refer you to an oral surgeon or a specialist in oral pathology.

In the meantime, it is important to maintain good oral hygiene. Continue brushing and flossing regularly, and avoid irritating the area further. If you notice any changes in the growth, such as increased size, pain, or bleeding, seek dental care sooner rather than later.

In summary, while the white growth on your gum may not be causing discomfort, it is essential to have it evaluated by a dental professional. Early diagnosis and treatment can prevent potential complications and ensure your oral health remains in good standing. Remember, your oral health is an integral part of your overall well-being, and addressing concerns promptly is always the best course of action.

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