Oral Health: What to Do About Gum Bumps - Internal Medicine

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Oral issues?


Hello Dr.
Hong, a few days ago after brushing my teeth, I noticed a small bump near the gum tissue above my leftmost tooth that feels somewhat like a bone.
I later checked the right side, which is in the same position, but I haven't had my wisdom tooth extracted there, so it's the second to last tooth.
When I visited an ENT specialist, he said there were no unusual lesions, and he only prescribed me medication for my allergies.
I would like to ask if there is normally a bump in that area of the gum tissue, as it feels a bit hard like a tooth, and both sides appear symmetrical.
I'm concerned that it might be something serious.
I hope you can help me with this.
Thank you!

Lemon, 20~29 year old female. Ask Date: 2021/03/06

Dr. Hong Yuanbin reply Internal Medicine


Hello, it is normal to have some small fleshy protrusions in your mouth.
However, you may want to have a dental examination to check if there are any impacted wisdom teeth.
As for the likelihood of cancer, it is low, so please do not worry.
Thank you for your question.

Reply Date: 2021/03/06

More Info


Hello! Thank you for reaching out with your concerns about your oral health. Based on your description, it sounds like you are experiencing some changes in your oral mucosa, specifically in the area near your molars. Let’s break down your situation and address your questions.

Firstly, it’s not uncommon for individuals to notice small bumps or protrusions in their oral cavity, especially around the gum line. These can be normal anatomical features, such as tori (bony growths), or they could be related to other conditions such as gum inflammation, cysts, or even benign tumors. The fact that you have symmetrical bumps on both sides could suggest that they are normal anatomical variations, but it’s always wise to have any new or unusual growths evaluated by a healthcare professional.

Given that you have already seen an ENT specialist who did not find any concerning abnormalities, it’s a positive sign. However, if the bumps are new, persistent, or accompanied by other symptoms such as pain, swelling, or changes in color, it would be prudent to follow up with a dental professional. Dentists are specifically trained to evaluate oral health issues, including gum conditions, and can provide a more thorough examination, possibly including imaging if necessary.

In terms of what you can do in the meantime, here are a few recommendations:
1. Maintain Good Oral Hygiene: Continue to brush your teeth at least twice a day and floss daily. This helps to prevent gum disease and keeps your mouth healthy. Use a soft-bristled toothbrush to avoid irritating your gums.

2. Monitor Changes: Keep an eye on the bumps. If they change in size, color, or if you develop any pain or discomfort, make sure to seek dental advice promptly.

3. Avoid Irritants: If you suspect that allergies or irritants may be contributing to your symptoms, try to avoid known allergens and irritants, such as certain foods, tobacco, or alcohol.

4. Stay Hydrated: Drink plenty of water to keep your mouth moist and help wash away food particles and bacteria.

5. Consider a Dental Visit: If the bumps persist or if you have any other concerns, consider scheduling an appointment with a dentist. They can perform a thorough examination and, if necessary, take a biopsy or perform other tests to rule out any serious conditions.

In conclusion, while it’s understandable to be concerned about changes in your oral health, the fact that you have already consulted a doctor is a good step. Continue to monitor your symptoms, maintain good oral hygiene, and don’t hesitate to seek further evaluation from a dental professional if needed. Your oral health is important, and addressing any concerns early can help prevent more serious issues down the line. Thank you for your question, and I hope this information helps you feel more at ease!

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