What can white bumps on the gums be a sign of? (photo)

Doctor's Answer

White spots on the gums can be due to various reasons. These can range from mild issues to more severe conditions.

You may need to check if they are:

  1. Asymptomatic (any pain associated?), feels hard like bone underneath - likely just tori/exostoses (bony growth of the jaw). In most cases a non-issue.
  2. Fluctuant (soft) and/or painful - can seek a consultation to determine what it is or its cause.

If soft and/or painful, it could be:

  • Canker sores: They develop on the soft tissues of the mouth and around the gums. Also known as mouth ulcers.
  • Leukoplakia: It is characterised by thick, white patches in the mouth that cannot be scraped off with a toothbrush.
  • Oral lichen planus: Refers to an autoimmune condition that involves inflammation of the mucous membranes in the mouth. It looks like white, lacy patches.
  • Oral thrush: It is an oral infection caused by an overgrowth of the Candida fungus. It presents as slightly raised sores that are creamy white in appearance. They often have the texture of cottage cheese.

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