Bumps on Gums: Causes and Concerns for Dental Health - Dentistry

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There are some small粒粒 (granules) on the inner gums behind the molars?


I have some small, grainy things on the inner gum behind my right molar, measuring about 3-4 mm.
They don't hurt, and I don't really feel them when I chew.
I can't see them clearly when I shine a light on them; they seem a bit white or possibly transparent, and the surrounding gum is slightly red.
I'm not sure what these things are.
Could they be harmful to my health?
Additionally, on the left side of my mouth, there is a 0.4 cm black spot on the chewing surface.
It also doesn't hurt, but it feels a bit swollen when I touch it.
Could it be bruising from frequent biting or friction that caused it to turn black? How long will it take to heal?

Dora, 20~29 year old female. Ask Date: 2012/08/02

Dr. Zeng Guanghui reply Dentistry


Hello: There are 3 to 4 small lesions on the inner gingiva behind the right molar.
They are not painful, and there is not much sensation when biting down.
They appear somewhat white and translucent, with a slightly red surrounding area.
This could possibly be related to certain glands in the mucosa behind the molar.
It is advisable to consult a dentist for further examination.

On the left side of the oral cavity, there is a 0.4 cm black spot at the occlusal area.
It is not painful but feels slightly swollen.
This may be due to repeated biting and friction, causing minor rupture of the microvessels in the oral mucosa, resulting in a hematoma.
Generally, if it is not further irritated, it should resolve on its own within 1 to 2 weeks.
Wishing you peace and happiness.

Reply Date: 2012/08/02

More Info


Understanding bumps on the gums can be a source of concern for many individuals, especially when they are accompanied by changes in color or texture. Based on your description, it seems that you are experiencing two distinct issues: small bumps on the gums behind your right molar and a black spot on the left side of your mouth.

Possible Causes of Bumps on Gums
1. Bumps on Gums: The small, grainy bumps you are noticing could be several things:
- Fibromas: These are benign growths that can appear on the gums. They are usually painless and may have a smooth or slightly rough surface.

- Cysts: These can form in the gum tissue and may appear as small, fluid-filled sacs. They can be painless and may vary in size.

- Gingival Hyperplasia: This condition involves an overgrowth of gum tissue, often due to irritation or inflammation. It can appear as small bumps and may be associated with plaque buildup or hormonal changes.

- Abscess: Although you mentioned that the bumps are not painful, a dental abscess can sometimes present as a bump on the gums. However, abscesses are typically associated with pain and swelling.

2. Black Spot on Gums: The black spot you described could be:
- Bruising: If you frequently bite or irritate the area, it could lead to localized bruising, which may appear black or dark purple.

- Melanotic Macule: This is a benign dark spot that can occur on the gums and is usually harmless.

- Amalgam Tattoo: If you have had dental work done in the past, amalgam particles can sometimes become embedded in the gum tissue, resulting in a dark spot.


Concerns and Recommendations
- Pain and Symptoms: Since both the bumps and the black spot are not causing you pain, they may not be urgent concerns. However, any changes in your oral health should be monitored closely.

- Color and Texture Changes: The redness around the bumps could indicate inflammation, which may require attention. It’s essential to maintain good oral hygiene to prevent further irritation.

- Professional Evaluation: While it may be tempting to self-diagnose, it is crucial to consult a dental professional for an accurate diagnosis. A dentist can perform a thorough examination, possibly including X-rays, to determine the nature of these bumps and spots.

- Treatment Options: Depending on the diagnosis, treatment may vary. If the bumps are benign, they may not require any intervention. However, if there is an underlying issue such as infection or significant inflammation, your dentist may recommend treatments ranging from improved oral hygiene practices to surgical removal if necessary.


Conclusion
In summary, the bumps on your gums and the black spot could be benign conditions, but they warrant a professional evaluation to rule out any serious issues. Regular dental check-ups are essential for maintaining oral health and addressing any concerns promptly. If you notice any changes in size, color, or if pain develops, seek dental care as soon as possible. Remember, early intervention can prevent more significant issues down the line.

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