Gum Growth: What to Do About a Red Bump on Gums - Dentistry

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A growth on the gums?


Hello Doctor, my mother has developed a raised, reddish lesion on her gums that is a deeper color than the surrounding gum tissue.
It has been present for about a year (she mentioned it appeared before last year's Lunar New Year).
Since it is not painful and hasn't seemed to grow, she hasn't thought much of it, but it hasn't disappeared either, so she is hesitant about seeing a doctor.
She is over 65 years old.
What could this issue be? I have read some articles and am concerned it might be a gum tumor.
If she needs to see a doctor, which specialty should she consult? Would a general dental clinic be sufficient? Thank you, Doctor.

jiaozi, 30~39 year old female. Ask Date: 2023/12/27

Dr. Lin Jiayong reply Dentistry


Hello: If you have a history of smoking or betel nut chewing, you can go to a medical institution's dental or otolaryngology department for a free oral cancer screening.
It is recommended to call ahead to avoid making a trip for nothing.
Additionally, if you already have a habit of getting dental cleanings every six months, you can consult your dentist to see if further testing is necessary.
Furthermore, there is now a fluoride application available every three months for seniors aged 65 and older, which you can also discuss during your visit with the dentist.

Reply Date: 2023/12/27

More Info


When it comes to a red bump on the gums, particularly one that has persisted for a year without pain or significant changes, there are several potential causes to consider. Given your mother's age and the characteristics of the bump, it is important to approach this situation with caution and seek professional advice.

One possibility is that the bump could be a benign growth, such as a fibroma or a pyogenic granuloma. Pyogenic granulomas are often red, raised, and can appear on the gums, especially in response to irritation or trauma. They are not cancerous and can sometimes resolve on their own, but they may also require removal if they become bothersome or do not go away.

Another potential cause could be a periodontal abscess, which is a localized infection that can occur in the gums. While these typically present with pain and swelling, it is not impossible for an abscess to be less symptomatic in some cases. However, given that the bump has been present for a year without pain, this is less likely.

It is also important to consider the possibility of more serious conditions, such as oral squamous cell carcinoma, especially in older adults. While this is less common, any persistent growth in the oral cavity that does not resolve should be evaluated by a healthcare professional to rule out malignancy.

In terms of next steps, it is advisable for your mother to see a dentist or an oral surgeon. A general dental practice should be able to assess the bump and determine whether further investigation is necessary. The dentist may perform a clinical examination and, if needed, take X-rays to evaluate the underlying bone and surrounding structures. If there is any suspicion of a more serious condition, they may refer her to an oral pathologist or an oral surgeon for a biopsy or further evaluation.

In summary, while the bump on your mother's gums may be benign, it is essential to have it evaluated by a dental professional to ensure proper diagnosis and management. Early detection and treatment of any oral lesions are crucial, especially in older adults, to prevent potential complications. Encourage your mother to schedule an appointment with her dentist as soon as possible for a thorough examination.

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