Dealing with Gum Bone Spurs: Which Dental Specialist to See? - Dentistry

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Osteophyte on the inner side of the upper right gum?


Doctor, I live near Chang Gung Memorial Hospital in Kaohsiung.
Should I go to the oral surgery department or the periodontology department for treatment? I have this sharp, hard protrusion on my gums that feels like a small bone spur, and it’s quite bothersome because my tongue keeps touching it.
Five years ago, when I visited the periodontology department at Chang Gung, they mentioned they could address it, but I never went back.
This bone spur has been bothering me for a while.
How should I handle it? Should I see the oral surgery department or the periodontology department?

Mr. Yang, 50~59 year old female. Ask Date: 2024/07/13

Dr. Qiu Qiongyao reply Dentistry


Hello: Both departments are available.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2024/07/13

More Info


When dealing with gum bone spurs, it's essential to understand the nature of the issue and the appropriate dental specialist to consult. In your case, since you are experiencing discomfort from a bony protrusion in your gums, you have a couple of options for treatment.

Firstly, it's important to clarify what gum bone spurs are. These spurs, also known as exostoses, are bony growths that can occur on the jawbone or the gums. They can be caused by various factors, including genetics, chronic irritation, or even previous dental procedures. While they are often benign and may not require treatment, they can sometimes cause discomfort, especially if they are sharp or protruding enough to irritate the surrounding soft tissues, such as your tongue.

Given your situation, you have two primary dental specialties to consider: Periodontics and Oral Surgery.

1. Periodontics: This specialty focuses on the health of the gums and the supporting structures of the teeth. A periodontist would be well-equipped to evaluate the gum bone spur and determine if it is causing any periodontal issues. They can also provide treatment options, which may include smoothing the spur or addressing any underlying gum disease that may be contributing to the discomfort.

2. Oral Surgery: An oral surgeon specializes in surgical procedures involving the mouth, jaw, and face. If the gum bone spur is significant or causing considerable discomfort, an oral surgeon may be the best choice. They can perform surgical removal of the spur if necessary, ensuring that the procedure is done safely and effectively.

In your case, since you have previously seen a periodontist at Chang Gung Memorial Hospital, it might be beneficial to return to that office. They can assess the spur and determine whether it requires surgical intervention or if it can be managed conservatively. If they feel that surgical removal is warranted, they can refer you to an oral surgeon.

Before making an appointment, consider the following steps:
- Document Your Symptoms: Keep a record of any discomfort, how long you've had the spur, and any other symptoms you may be experiencing. This information will be helpful for the dental professional you consult.


- Ask About Treatment Options: Inquire about the potential treatments available, including the risks and benefits of each option. Understanding what to expect can help alleviate any anxiety you may have about the procedure.

- Follow-Up Care: After treatment, ensure you understand the follow-up care required to promote healing and prevent recurrence.

In summary, both periodontists and oral surgeons can address gum bone spurs, but the best choice depends on the severity of your symptoms and the specific characteristics of the spur. If it is causing significant discomfort, seeking an evaluation from either specialist is advisable. They will provide a thorough examination and recommend the most appropriate treatment plan tailored to your needs.

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