Brown Gums in Young Children: Causes and Treatment Options - Pediatrics

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The gums of the toddler have turned slightly brown?


Hello Doctor: My son is almost 5 years old and does not have a habit of eating snacks or drinking beverages.
Today, while brushing his teeth, I noticed that his upper front teeth' gums have turned a bit brown.
What could be the cause of this? How should it be treated? My son’s appetite and activity levels have been normal recently, and he hasn’t mentioned any discomfort in his gums during regular brushing.
Thank you.

Li, 30~39 year old female. Ask Date: 2020/11/27

Dr. Xiao Kaiwen reply Pediatrics


It is difficult to assess the situation without seeing it firsthand; however, for children's dental and gum issues, it is advisable to consult a pediatric dentist who specializes in this area.

Reply Date: 2020/11/27

More Info


Brown gums in young children can be concerning for parents, and it's important to understand the potential causes and treatment options available. In your case, since your son is almost 5 years old and has no habits of consuming snacks or sugary drinks, the discoloration of his gums could be attributed to several factors.

One common cause of brown discoloration in the gums is the accumulation of plaque or tartar, which can lead to gingivitis, an inflammation of the gums. Even in children who do not consume sugary foods, plaque can build up if oral hygiene practices are not thorough. It's essential to ensure that your son is brushing his teeth properly, ideally twice a day, and that he is using fluoride toothpaste. Additionally, flossing should be introduced as soon as two teeth touch to help prevent plaque buildup between the teeth.

Another possible cause could be the presence of certain medications or supplements. Some medications, particularly those containing iron or certain antibiotics, can lead to staining of the gums. If your son is taking any medications, it would be wise to consult with your pediatrician or dentist to determine if they could be contributing to the discoloration.

In some cases, brown gums can be a sign of a more serious condition, such as a systemic disease or a vitamin deficiency. For instance, a deficiency in vitamin C (scurvy) can lead to gum problems, although this is rare in children who have a balanced diet. If your son is otherwise healthy, active, and has a normal appetite, this is less likely to be the cause, but it is still worth considering.

To address the issue, the first step is to schedule a dental check-up. A dentist can perform a thorough examination of your son's gums and teeth, assess his oral hygiene practices, and provide professional cleaning if necessary. They can also offer guidance on proper brushing techniques and recommend any additional treatments if needed.

In terms of treatment options, if the discoloration is due to plaque buildup, a professional cleaning by a dentist will typically resolve the issue. If the discoloration is due to medication or another underlying condition, the dentist may refer you to a pediatrician or specialist for further evaluation and management.

In the meantime, encourage your son to maintain good oral hygiene practices. Make brushing a fun activity by using a toothbrush with his favorite character or a flavored toothpaste he enjoys. Supervise his brushing to ensure he is doing it effectively, and consider using a mouthwash designed for children to help reduce plaque buildup.

In conclusion, while brown gums in young children can be concerning, they are often manageable with proper dental care and hygiene practices. Regular dental visits are crucial for early detection and treatment of any potential issues. If you notice any changes in your son's overall health or if the discoloration persists, do not hesitate to seek medical advice.

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