White Spot on Gums Above Front Tooth: Causes and Solutions

Q: White Spot on Gums Above Front Tooth: Causes and Solutions

Hello： It is recommended to visit a larger medical facility to have a biopsy performed to remove the white spots on the gums and send the tissue for examination to check for oral cancer or other infections/lesions. <br>Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung H

White spots appearing on the gums above the front teeth?

In January, I visited the dentist to have a resin filling for the gap in my front tooth.
The dentist may have done a very tight job, as I felt a sense of tension in my tooth after the procedure, which I thought was just a matter of getting used to it.
About a month later, I noticed a small white spot emerging on the gum above my front tooth.
It doesn't hurt or cause discomfort, but I find it unsightly.
Others wouldn't notice it unless they looked closely, but it bothers me a lot.
I returned to the dentist, who said that the gum tissue around my front tooth might have been stimulated and grown a small bump.
He mentioned that it wouldn't have any significant impact and that I could ignore it.
However, he also suggested that if I was very concerned, I could consult another clinic to see if laser treatment could remove it, as they couldn't handle it at his office.
I'm quite troubled by this; it's been almost a year, and the white spot is still there.
Should I seek a dental clinic that offers laser treatment to address this, or are there other options available? Is it possible that it might disappear on its own over time?

Luo Xia, 30~39 year old female. Ask Date: 2021/09/26

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to visit a larger medical facility to have a biopsy performed to remove the white spots on the gums and send the tissue for examination to check for oral cancer or other infections/lesions.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/26

More Info

The presence of a white spot on the gums above your front tooth can be concerning, especially if it has persisted for nearly a year. Based on your description, it seems that the white spot may be a result of gum tissue irritation or hyperplasia, which can occur after dental procedures, such as the resin filling you received. This condition is often benign and may not cause any pain or discomfort, but it can be aesthetically displeasing, leading to your concern.

Possible Causes of the White Spot
1. Gingival Hyperplasia: This is a condition where the gum tissue grows excessively, often in response to irritation or inflammation. It can occur after dental work, particularly if the gums were traumatized during the procedure or if there is ongoing irritation from the dental restoration.

2. Irritation from Dental Materials: Sometimes, the materials used in dental procedures can irritate the surrounding gum tissue, leading to localized swelling or the formation of a white spot.

3. Oral Hygiene Issues: If plaque or tartar accumulates around the area of the filling, it can lead to gum irritation and the formation of a white spot.

4. Mucosal Lesions: Other possibilities include benign mucosal lesions, such as fibromas or other growths that can appear as white spots on the gums.

Treatment Options
1. Observation: If the white spot is not causing any discomfort and your dentist has assured you that it is benign, you may choose to monitor it. Many cases of gum hyperplasia can resolve on their own, especially if the source of irritation is removed.

2. Improved Oral Hygiene: Maintaining excellent oral hygiene can help reduce irritation. Ensure that you are brushing and flossing effectively, particularly around the area of the filling. Consider using an antibacterial mouthwash to help keep the area clean.

3. Consultation with a Specialist: If the appearance of the white spot continues to bother you, seeking a second opinion from a dentist who specializes in periodontal care or oral surgery may be beneficial. They can assess the lesion more thoroughly and discuss potential treatment options, including laser therapy.

4. Laser Treatment: If you decide to pursue removal of the white spot, laser treatment is a minimally invasive option that can effectively remove excess gum tissue without significant discomfort or recovery time. This option is often preferred for cosmetic reasons.

5. Surgical Removal: In some cases, if the white spot is determined to be a fibroma or another type of lesion, surgical excision may be necessary. This would typically be performed under local anesthesia.

Conclusion
While the white spot on your gums may not pose a significant health risk, it is understandable that its presence can be bothersome. If you are considering treatment, consulting with a dental professional who has experience with laser procedures could provide you with the best options tailored to your situation. Additionally, maintaining good oral hygiene and monitoring the spot for any changes is advisable. If you notice any new symptoms, such as pain or bleeding, it is essential to seek prompt dental evaluation.

Similar Q&A

White Granules on Gums: Should You See a Dentist?

Hello, I would like to ask about a white bump that has developed on the gum above my upper front tooth (the area above the denture). There is a white line spreading around it, but it is not painful. Should I see a doctor? I don't want to waste medical resources. Thank you.

Dr. Zeng Guanghui reply Dentistry
A white bump has appeared on the upper gum near the front teeth, with a surrounding white line spreading outwards. This may be due to immune system interference leading to gingival mucosal inflammation. If it does not resolve on its own within a week, it is advisable to consult a...

What Causes White Bumps on Gums and How to Treat Them?

The presence of numerous white spots or lesions on the gums that appear to be spreading and causing gum tissue loss could indicate a condition such as oral thrush (candidiasis), a bacterial infection, or possibly a form of periodontal disease. These white spots may be a result of...

Dr. Huang Tingfang reply Dentistry
Dear Ms. Lan, Hello! The most severe oral condition is oral cancer. However, the risk is significantly higher among those who consume betel nut, smoke, and drink alcohol. I recommend that you visit a medical center for evaluation. Take care and best wishes for your health! Sinc...

Understanding White Spots on Gums: Causes and Concerns

Hello Doctor: Recently, I noticed two white round spots, approximately 2-3 mm in diameter, on the outer gum of my upper left canine. They are not painful when pressed, and there are no other discomforting symptoms. Could you please advise what might be causing this issue? Thank y...

Dr. Lin Jiayong reply Dentistry
Hello: There are several causes for white lesions on the gums, including infections, trauma, and physical or chemical irritations. It is recommended that you seek a diagnosis at a medical facility as soon as possible. Wishing you safety and good health.

White Spots on Gums After Braces: Causes and Solutions

I recently got braces about a month ago, and I've noticed that a few of my teeth have developed white spots near the upper part of the gums. They hurt when touched. Is this due to the braces? Is this a normal occurrence? Thank you.

Dr. Huang Zhicheng reply Dentistry
Hello, based on the situation described, it is not possible to confirm whether the white spots on the gums are related to the braces without a visual examination. However, if there is pain, it may be due to a gum injury. Please return to your original clinic for the dentist to ch...