From this article you will learn:
- what do white spots on gums mean?
- why does a white coating appear on the mucous membrane,
- what to do if your gums turn white.
The article was written by a dentist with more than 19 years of experience.
A white spot on the gum is a symptom of diseases of the oral mucosa, which is most often characteristic of a disease such as leukoplakia. And this is not such a harmless disease (as it may seem at first glance), but it has its consequences and requires certain therapy. According to the International Classification of Diseases, leukoplakia is classified as a precancerous disease of the oral cavity, i.e. in some cases, mucosal lesions can become malignant.
But there is a similar variant of damage to the oral mucosa, in which a white coating may appear on the gums, tongue, mucous membrane of the cheeks and palate. In some cases it can be easily scraped off, but in later stages of the disease it is usually firmly attached to the mucosal surface. The appearance of such white plaque on the gums, tongue and other parts of the oral mucosa indicates the development of oral candidiasis.
Ball in mouth - what is it?
When the inflammation begins to gradually progress, a blister appears on the gum. The main reason for the formation of a lump is poor oral hygiene and prevention. But the ball can also form under the influence of other factors: inflammation occurring in the roots of the teeth, gums, mucous membranes, and periosteum.
The problem is that the disease can be diagnosed in the later stages, with the development of a purulent process. This happens because the patient does not visit the dentist. For patients who experience fear while in a chair, the doctor can give sedative anesthesia, in which the receptors are turned off and the patient falls into a shallow sleep.
Attention! It is better to diagnose the disease early in order to prevent more dangerous consequences, including blood infection and inflammation of the entire jaw.
Can stomatitis go away on its own?
Patients often delay visiting a doctor, hoping that stomatitis will go away on its own. Stomatitis in non-advanced forms can actually go away on its own within a week. But given the risk of complications and, as a rule, a fairly high degree of discomfort from which the patient suffers with this disease, it is much wiser to seek help from a doctor and receive competent medical care.
Correctly prescribed treatment, following the recommendations of the attending physician, will bring rapid relief and improved quality of life. In addition, this will speed up the process of curing stomatitis, avoid the unpleasant consequences of untimely treatment, and also, thanks to diagnostics, learn about the causes of stomatitis and, if necessary, take care of your health. It is difficult for a patient who does not have special knowledge to assess the severity of his disease and the causes that caused it, so seeking medical help is necessary.
Possible consequences and complications of stomatitis
Recurrent stomatitis can be cured quickly if you follow your doctor’s recommendations. But sometimes patients may experience some complications:
- lung diseases;
- damage to the entire mucosa;
- digestive problems;
- loss of some teeth.
Typically, such complications are the result of self-medication or lack of treatment, which is why you should consult a doctor in a timely manner.
Why does a lump appear on the gum?
The accumulation of conditionally pathogenic and pathogenic microflora due to improper oral care leads to inflammation of the mucous membrane. Other reasons why a ball appears on the gum include:
- chemical, thermal or mechanical trauma to the periodontium;
- carious formations and their complications: periodontitis, pulpitis;
- inflammation of the wisdom tooth;
- eruption of molars;
- jawbone overgrowth;
- weak immune system;
- infectious pathologies of the oral cavity: herpes, candidiasis, stomatitis.
A lump in the mouth also occurs under other conditions: epulis, exostosis, fibroma, focal fibromatosis, malignancy, cyst and flux. The main thing is to promptly establish the causes of the pathology and begin treatment.
General overview
Extraction of an element of the dentition is a process during which the gums receive extensive trauma. Tooth extraction leads to rupture of nerves and ligaments, as well as destruction of small blood vessels, resulting in local bleeding. This process is natural in nature and is a protective mechanism - the blood limits the possibility of pathogenic bacteria entering the socket that can cause infection. During the folding process, a reliable barrier is formed that protects the internal tissues until complete recovery. The formation of white plaque is a normal phenomenon, since it is not a purulent structure, but an element necessary for the regeneration of the jaw region.
When undergoing tooth extraction surgery, you should prepare in advance for possible consequences, the list of which includes:
- Moderate bleeding that persists for several hours;
- Formation of a dense blood clot over the socket;
- Unpleasant odor that occurs 10-12 hours after the procedure;
- Formation of a white coating on the surface of the blood clot;
- Painful manifestations in the area of intervention;
- Increased body temperature.
These symptoms are not pathological in nature and are a normal reaction of the body to radical intervention.
If the ball in your mouth does not cause discomfort
The color of the bubble will help the doctor make a diagnosis. A white lump on the gum indicates the presence of exostosis or purulent exudate. A red or bloody ball indicates the development of inflammation. If the growth matches the shade of the tissue, it is the initial stage of epulis, flux, or a malignant tumor. When the tumor does not hurt, this indicates the presence of one of the pathologies:
A fistula is a white ball on soft tissues that appears under or on a tooth. There is a hole on the surface for the release of pus. If, when pressed, suppuration flows out of the bladder, the patient does not feel pain. If the hole is closed with pus or bloody clots, the patient will experience discomfort with any impact.
A fistula is often formed due to advanced periodontitis, accompanied by periodontal hyperplasia. Overgrown tissue is good soil for the proliferation of microorganisms. In this case, the patient urgently needs treatment for periodontitis.
In the absence of therapy, the fistula enters a chronic stage, which can only be eliminated through surgical treatment. The progression of the disease must not be allowed, otherwise you may lose healthy molars.
Hematoma is a round lump on the inner surface of the cheek. Sometimes it occurs in the form of a dark bluish swelling on top of the gums. Blood accumulates in or around the root of the molar. The mucous membrane grows, the patient experiences discomfort and cannot completely close the jaw. The main reasons: consequences of filling or tooth extraction, gum damage, poor blood clotting.
Hematomas are generally not dangerous. Processes take place in the body through which soft tissues are cleared of bloody clots. After some time, the bubble disappears, but if the seal remains, you need to visit a dental clinic.
Exostosis is a hard blister that is an abnormality in which the bones protrude and protrude from the jaw. Gradually, the lump increases in volume, which causes discomfort and pain. Exostosis can be provoked by various reasons:
- jaw damage;
- heredity;
- congenital disorders;
- tissue diseases after molar removal.
An examination by a dentist or an x-ray will help detect the disease. The formation will need to be removed if the development of a malignant tumor is suspected.
Epulis is a pedunculated bubble in the form of a mushroom-shaped growth on the periodontium. The tumor may be the same color as the gums or red. The reasons causing the development of pathology include:
- improper filling of the molar or too large a filling;
- dental plaque, stone;
- jaw damage;
- malocclusion;
- hormonal imbalance;
- poor prosthetic material or incorrect prosthetics.
The symptoms of epulis resemble gingivitis; for diagnosis, the dentist prescribes radiography and histology to the patient. With their help, the degree of destruction of bone tissue at the site of the epulis lesion is determined. Mostly, pathology occurs in children during the growth of primary molars and in women.
Papilloma or fibroma is a bubble on the gum, sometimes a benign formation that does not pose a threat to the health or life of the patient. They are formed in people of different genders and ages. Predisposing factors to the appearance of a lump can be: damage to the mucosa, stress, systemic pathologies, heredity.
Papilloma is an enlargement of the papillary layer of skin. The bubble grows gradually, but with reduced immunity, systemic pathology, or stress, growth accelerates, but without turning into a malignant tumor. A papilloma neoplasm looks like a smooth, soft lump on the mucous membrane of a white or pink shade on a thin stalk.
Papilloma often does not create any discomfort. But after some time it may increase in size. You should consult a dentist and get tested.
Diagnosis of stomatitis
Only a doctor can make a diagnosis. Typically, the doctor reviews the medical record and then examines the patient's mouth. Today, no special medical diagnostic methods, such as laboratory culture analysis or biopsy, are used to detect stomatitis, since they do not exist for this disease. In diagnosis, the doctor is guided by the main and main signs of stomatitis:
- This is the appearance of the ulcers and their location
- The condition of the oral tissues around the ulcers - with stomatitis they look normal and healthy
- The fact of recurrence of episodes of the disease
- The patient has no deterioration in general health, high temperature and other significant general symptoms. This symptom does not apply to advanced forms of stomatitis, mainly in children, when there are a large number of ulcers and just a high temperature and poor health. The diagnosis of stomatitis can only be made by a doctor.
If the formation on the gum causes discomfort
If a bubble near a molar causes pain, this indicates an infectious inflammatory process. Discomfort is also typical with gum injuries and hematomas. Painful formations can be caused by a cyst, cancer, fibroma, periostitis, periodontitis.
Gingivitis - the disease affects only one gum, and the periodontium near the molar remains uninjured. The main symptoms of the pathology are swelling, bleeding, and peeling of the epithelium. Gingivitis often occurs against the background of halitosis. Sometimes pathology develops as a result of endocrine and metabolic disorders.
When treating, it is necessary to eliminate the cause of gingivitis. Professional oral hygiene, diagnosis and treatment of metabolic disorders are performed. To eliminate inflammation and prevent further spread of bacteria, antibiotic therapy is administered. For pain and severe discomfort, analgesics are prescribed.
Periodontitis - purulent bumps on the gums appear as a result of degeneration of the alveolar process, through which the tooth root is held in the alveolus. Tissues can be destroyed due to poor oral hygiene and internal pathologies.
In the initial stages, periodontitis is treated by teeth cleaning at the dental clinic and further proper care. An advanced form of the disease, in which the teeth become loose, pus accumulates, requires surgical intervention - restoration of the alveolar processes or removal of molars.
Periostitis or flux is a dense formation near a problematic molar with carious lesions. Patients complain of pain radiating to the temple, chest, neck, ear. The condition gradually worsens and the temperature can rise to 38 degrees. In the oral cavity, lesions due to periostitis are hyperemic. A purulent fistula forms. When the discharge is removed, the discomfort decreases.
Causes of periostitis: trauma, periodontitis, osteomyelitis, weak immune system, infectious pathologies occurring in the body and vitamin deficiency.
Homeopathic treatment for white spots on gums
Today, many patients with various pathologies, including diseases of the oral cavity, turn to homeopathy. This is explained by the fact that homeopathic medicines give stable results and practically do not cause side effects or addiction.
As a rule, improvement occurs within seven days. If the positive effect does not appear, you should try another remedy. The drug should be stopped as soon as improvement appears. It is necessary to repeat therapy only if symptoms recur.
Drugs
- Calcarea fluorica - prescribed for solid tumors of periodontal tissue;
- Mezereum – for minor inflammatory processes accompanied by pain;
- Pulsatilla – helps against formations accompanied by accumulation of mucus and putrefactive odor from the mouth;
- Calcarea carbonica and Silicea - medications are prescribed in the presence of a fistula;
- Kali chloricum, Mercurius corrosivus, Hepar sulfur , Acidum sulfuricum – help against thrush (curdled spots on the gums and oral mucosa);
- Mercurius solubilis - prescribed for ulcerative formations on the gums;
- Apis , Histamine, Arnica, Symphitum, Phytolacca (topically) – prescribed for white spots and other formations on the gums caused by an allergic reaction;
- Cinchona (China), Calendula (Calendula) - prescribed if the gums are bleeding;
- Graphites , Petroleum – excellent against the Herpes virus;
- Acidum nitricum and Borax - prescribed for periodontitis.
Treatment of neoplasms in the oral cavity
A lump under the jaw or on the gum can be detected upon examination. For an accurate diagnosis, a biopsy or x-ray is prescribed. Treatment is selected taking into account the cause of the formation of a bubble in the oral cavity. It will be necessary to stop the further spread of infection and eliminate discomfort.
The doctor will determine how to remove the lump after a complete diagnosis, but the main measures include:
- fistula - pus is removed by rinsing with a disinfectant solution;
- epulis - surgical intervention (removal using diathermocoagulation, cryodestruction or a scalpel);
- periodontitis - removing fillings, cleaning canals, removing pus, rinsing with herbal decoctions and soda solution;
- periostitis - placement of special drugs under a temporary filling (if there is no result, the tooth will have to be removed);
- gingivitis - cleaning of periodontal tubules, antiseptic and antibacterial therapy, removal of lumps.
When a formation appears on the gum, you can rinse your mouth with vodka, diluted alcohol or juice from fresh Kalanchoe leaves.
Timely diagnosis allows you to prevent further spread of infection and save teeth. Only an experienced dentist will help you get rid of a lump in your mouth, minimizing the risk of developing serious complications. At the first signs of pathology, you should immediately consult a doctor.