White plaque on the gums - causes, symptoms, complications, treatment

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.

Why does light plaque form on the gums and what does it mean?

Ideally, the gums should have a uniform pinkish color. If suspicious white spots appear on the oral mucosa, you should be wary - most often they indicate the presence of some pathological processes in the body. The reason for the formation of white plaque on the gums may be a low level of hygiene or, for example, a whitening procedure. However, a similar symptom can also be provoked by a serious illness - leukoplakia, abscess, oncology. Read further in this article about possible causes of the problem and ways to solve it.

Average cost of treatment in Moscow

Light plaque on the gums is not a reason to panic

Plaque on the oral mucosa is a breeding ground for pathogenic bacteria. In the absence of any pathological processes in the body, such a symptom may indicate insufficient hygiene. Usually natural plaque can be detected in the morning after waking up, in which case it can be easily removed with a regular toothbrush and paste. Its presence on the tongue and gums is a completely natural and normal phenomenon, which provides a certain degree of protection of the oral cavity from pathogenic microflora. However, if a person does not systematically brush his teeth and take care of his oral cavity, the plaque on the teeth near the gums will very soon begin to harden and eventually turn into tartar, which can only be removed in the dentist’s office.

White plaque on the gums, why does it occur?

Another question is if you can’t remove the film yourself. In such cases, it usually has a dense consistency and can appear either in the form of a continuous covering or in the form of plaques. This symptom indicates the presence of any pathological processes in the oral cavity or in the body, so in this case you should definitely consult a doctor. It will be possible to cope with the problem only after making an accurate diagnosis, and any attempts to eliminate plaque on your own will not lead to the desired results, if they do not aggravate the situation at all.

Measures to help get rid of symptoms in different situations

Dynamic observation, careful care and diet correction

If white plaque appears on the gums, this does not mean that you need to immediately begin treating it. First you need to find out the reason why the symptom appeared. If it is on the surface, for example, insufficient hygiene, eating hot food and minor tissue burns, recent teeth whitening and treatment, then you need to look at the circumstances. Normally, just observation and the following actions are enough:

• treatment of the oral cavity with antiseptic solutions and herbal decoctions,
• careful daily hygiene,
• transition to a gentle diet with a predominance of soft and temperature-neutral food,
• giving up bad habits so as not to further irritate or injure tissues,
• If alarming symptoms intensify, severe pain, pus, or malaise appear, you should definitely consult a doctor.

Prosthetics and orthodontics

If the mucous membrane is injured by poorly fitting crowns and dentures, there are decayed teeth in the mouth, or an incorrect bite, you need to make an appointment with a dentist. It is important to eliminate the traumatic factor, because its constant exposure can easily provoke the same stomatitis, gingivitis, periodontitis, leukoplakia and oncology, one of the signs of which can be whitened oral tissues.

Dental treatment

If white plaque on the gums is caused by periodontitis, abscess, alveolitis and other dental diseases, then it is useless to find out what to rinse your mouth with to cure it. Antiseptics and decoctions of pharmaceutical herbs are used only in addition to the main treatment carried out by the doctor. If necessary, the specialist opens and cleans the root canals, fills and refills the teeth, removes and drains abscesses, and applies therapeutic bandages.

Gum treatment

Periodontal disease will require a long course of treatment and a whole range of measures: professional hygiene, curettage of gums, splinting of loose teeth, injections of vitamins and drugs with an effect stimulating the growth of own cells, plasma lifting, laser therapy. In advanced stages, it may be necessary to remove diseased teeth to completely get rid of the infection. Next, a thorough sanitation of the holes is carried out, one-stage implantation is immediately possible, as well as removable prosthetics.

Laser gum treatment surgery

5. Taking antihistamines and replacing dentures

If it's an allergic reaction, then you need to understand what caused it. Sometimes it is enough to simply exclude the allergen and take antihistamines for several days for any symptoms to go away. In case of allergies to prosthetic materials and galvanic syndrome, there can be only one way out - replacing the structures with those consisting of materials biocompatible with the body (ceramics, zirconium dioxide, ceramic composite).

6. Antibacterial and antifungal therapy

If you suspect stomatitis, it is better to immediately consult a dentist, who, depending on the type of pathology, may prescribe anti-inflammatory, antibacterial and antifungal agents.

What other symptoms may appear?

If the issue is not a low level of oral hygiene, and plaque cannot be removed on your own, we are talking about a specific pathological condition. In this case, patients often experience associated symptoms. Among the most common signs of the problem are bad breath, itching, swelling and redness of soft tissues, the appearance of small ulcers and other growths on the gums. To prescribe the necessary treatment, the doctor first needs to examine the patient’s oral cavity, take into account accompanying complaints, and, if necessary, take tests and scrapings.

Only tests can determine the true cause of the problem.

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.

Common causes of white plaque on the gums

So, why does light plaque appear on the teeth, near the gums and in other areas of the oral mucosa and what does this mean? As noted above, the most common cause of the problem is insufficient care. Among other common provoking factors, experts highlight the appearance of tumors on the gums, the consequences of dental procedures and exacerbation of diseases. Let's look at all these reasons in more detail.

Factors leading to symptoms in adults

Light plaque on the mucous membrane in adults is a fairly common occurrence after professional whitening. Also, a thin film on the gum can form after rinsing the mouth with an antiseptic. This is a temporary phenomenon that disappears on its own within a few days. Also, a similar problem can arise due to a lack of certain minerals and vitamins in the body after tooth extraction. In the latter case, the symptom in question becomes a complication that occurs due to infection of the wound. In such a situation, the gum tissue also swells, is covered with a light film, and the person suffers from severe pain.

So, the most common pathological conditions leading to the formation of whitish plaque on the gums are listed below:

• stomatitis: in addition to plaque on the mucous membrane, inflamed areas with ulcers and erosions appear,

  
  The photo shows candidiasis in the mouth

• leukoplakia: soft tissues thicken, and white plaques appear on the mucous membrane itself, which gradually harden1,
• candidiasis (thrush): plaque is characterized by a cheesy consistency, is easily removed, but without treatment it soon forms again,
• Oncology of the gums: in this case, a hard plaque is formed, which most often appears in the form of numerous nodules.

“When I saw a thick coating on the child’s gums, I was also very scared. If it doesn't come off after rinsing, don't try to remove it with a brush or your finger. We immediately went to the children's dentist, and the doctor immediately determined that we had stomatitis. We were prescribed rinses with antiseptics, and in just a week everything went away. The main thing here is to immediately run to the doctor, and it’s better not to do anything on your own.”

Nadezhda P.R., Krasnoyarsk, from correspondence on the woman.ru forum

White spots on the mucous membrane can also indicate the presence of a cyst - penetrating into the canals, the infection leads to the accumulation of purulent masses at the apex of the tooth. The gum area turns white, and the person experiences acute pain when the sore spot is mechanically irritated. Wen and fistulas also often lead to the formation of plaque.

For what reasons can it appear in a child’s mouth?

The occurrence of a similar problem in children, including infants, usually indicates the development of candidiasis (thrush). The pathology is provoked by a fungus of the Candida species, which, against the background of a weakened immune system or other provoking factor, quickly spreads in the oral cavity. In this case, the child does not experience serious discomfort or pain, but the disease necessarily requires medical intervention.

Stomatitis is common in infants

Among other common causes of plaque in a child’s mouth, experts identify the following conditions:

• measles - white spots with a reddish edge,
• teething - the appearance of a light area on the gum,
• stomatitis – the main cause of the problem is most often insufficient oral hygiene or an incorrectly selected diet. A similar pathology is diagnosed in children, adolescents and adults.

It is also worth noting that a white film on the inner surfaces of the oral cavity may appear due to a lack of calcium and vitamins in the body. In any case, before starting symptomatic treatment, it is necessary to determine the source of the problem.

Types of stomatitis

In modern periodontology, several types of stomatitis are distinguished:

1. Aphthous stomatitis. It may be accompanied by the appearance of single ulcers or multiple rashes. At the initial stage, these ulcers have a pinkish tint with pronounced red edges, but after an exacerbation, yellowish aphthae form with general swelling of the oral mucosa. Aphthous stomatitis occurs with high fever, enlarged lymph nodes, sharp pain and burning sensation while eating. There is also a chronic form that can occur in a person with a weakened immune system. In this case, this disease can manifest itself from period to period.
2. Ulcerative stomatitis. It is an inflammatory disease characterized by focal destruction of the mucous membrane.
3. Catarrhal - caused by poor oral hygiene, insufficient hydration of the oral cavity, the introduction of bacteria and fungi of the genus Candida. In the latter case, the disease is called candidal or fungal stomatitis, popularly known as thrush. The immediate cause of inflammation is the activity of fungi and their penetration into the mucous membrane. Candida is normally always present on the body and mucous membranes in small quantities. The disease appears when their active reproduction begins. Candidiasis is a contagious disease. It can be infected by contact, by using the same utensils and hygiene products. A characteristic manifestation of the disease is a cheesy white coating. It appears in different areas of the mucosa in the form of spots of different sizes. Associated symptoms are dryness, burning, itching. The latent period of the disease can last up to 20 days. With proper treatment, the disease resolves without complications.
4. Traumatic. Injuries that cause stomatitis can be mechanical, chemical or physical and may be acute or long-term, such as improperly manufactured or installed dentures. The sharp edges of the prosthesis can irritate the mucous membranes and tongue. This provokes the appearance of stomatitis.
5. Vesicular. This is one of the types of contagious stomatitis. It is caused by an RNA virus of the genus Vesiculorus of the Rhabdoviridae family. Patients should use separate hygiene products and utensils so as not to infect their household.
6. Enteroviral vesicular stomatitis is caused by enteroviruses.
7. Herpetic or cold sore. The disease lasts 8 days, is accompanied by weakness, drowsiness, a sharp increase in body temperature, and possible inflammation of the lymph nodes. In addition, with this type of stomatitis, gingivitis occurs and the saliva becomes viscous. The mucous membranes of the oral cavity become covered with a rash consisting of blisters that burst after three days. Accompanied by gingivitis, viscous saliva.
8. Allergic. Autoimmune reactions and allergies can manifest themselves in the oral cavity. The frequency of this disease is increasing, which is associated with the emergence of new allergens and environmental deterioration. The drugs and materials used in dentistry also play a role—some people may also be allergic to them. The symptoms of allergic stomatitis in general do not differ from the manifestations of other types of inflammation of the oral cavity. Swelling, redness, pain, and the formation of various elements of a rash are observed. Ulcers and erosions may also appear. Allergic stomatitis can develop against the background of autoimmune disorders. At the same time, many variants of mucosal lesions are associated with them, when it is not possible to establish connections with other possible causes.

In addition, stomatitis can take acute and chronic forms, depending on the characteristics of its course:

• acute stomatitis is accompanied by a significant deterioration of the condition,
• Chronic is a disease that occurs periodically.

How is treatment carried out?

Treatment should begin with oral hygiene, and only after cleaning proceed to the main therapeutic measures. The choice of a specific treatment scenario directly depends on what specific problem the doctor will have to deal with. Obviously, if the cause of plaque is poor hygiene or teeth whitening, to get rid of the film on the gums, it is enough to rinse your mouth thoroughly - with plain water or chamomile infusion.

Chamomile infusion is great for rinsing

To treat stomatitis, I usually prescribe antiseptics and anti-inflammatory drugs, however, even in this case, much will depend on the form of the disease. If the cause of all the troubles is a fistula, then it will have to be opened surgically and the cavity cleared of purulent exudate.

On a note! Fungal infections are treated with special antifungal drugs: Nystatin, Clotrimazole, Fluconazole. Also, for a while, the patient will have to give up salty, bitter and acidic foods.

It is extremely important to start treatment for leukoplakia on time, since this disease often becomes a harbinger of oncology. In order to eliminate white plaques, an integrated approach is used - therapy is aimed at eliminating provoking factors. As part of the treatment, vitamin complexes are prescribed, and the affected areas are removed using an electric knife, laser device or radio waves. It is worth noting that liquid nitrogen is not used here because it leaves behind deep scars.

How to distinguish stomatitis from other diseases

Since stomatitis can appear for a variety of reasons, and the forms of its manifestation can be very different, it is highly not recommended to self-medicate, since in this case you can only aggravate the course of the disease and cause the appearance of new symptoms. Due to such diversity, methods of treatment and prevention of this disease can also be very different.

Manifestations of stomatitis may be similar to a number of diseases, from each of which a doctor, when examining a patient, will definitely be able to distinguish this ailment:

• Sore throat or stomatitis: you can determine a sore throat, which may be similar to stomatitis, by damage not only to the mucous membranes of the mouth, but also to the pharynx. It is very painful for the patient to swallow.
• Herpes or stomatitis: In the case of herpes, the rashes first look like blisters and appear later.
• Cancer or stomatitis: the first disease is distinguished by the fact that ulcers appear, which grow together over time. As a result, one ulcer forms and begins to grow.
• Thrush or stomatitis: when examining the mouth, if there is a disease such as candidiasis, a yellow or white coating is detected, redness, the wounds are round in shape, and the ulcers are small.
• Syphilis or stomatitis: the first disease is distinguished by the nature of the ulcers. They appear in the form of eosis and do not hurt. Sometimes there is a depression in the center of the wound.

The doctor selects the treatment for stomatitis based on the cause of the disease, the complexity of its course, the form of manifestation, the individual characteristics of the body, and so on - in general, you will have to take into account a lot of things in order to choose the correct and most effective treatment. A specialist usually easily determines that it is stomatitis and not another disease.

What can be done for prevention

The key condition that will help avoid not only the appearance of white bacterial plaque, but also most oral diseases, is regular and proper hygiene. You should brush your teeth at least twice a day, and after meals you should rinse your mouth with plain water or a special pharmaceutical product - these are the basic principles of maintaining oral hygiene. It is also worth minimizing the risk of injury to teeth and soft tissues by external factors. To do this, try to avoid sudden temperature changes when eating. For normal functioning of the body as a whole, it is recommended to take multivitamin complexes from time to time.

Regular oral hygiene will help avoid problems

The appearance of a white film on the mucous membrane does not always indicate the presence of any problem in the body. Most often, this is just a consequence of insufficient oral hygiene. However, if after several attempts to rinse your mouth thoroughly the plaque still does not disappear, you should definitely consult a doctor.

1. Anisimova, I.V. Clinic, diagnosis and treatment of diseases of the mucous membrane of the mouth and lips, 2008.

Gum healing

After tooth extraction, you need to be prepared for the fact that pain and swelling may intensify on the second day after surgery. But already on the 3rd - 4th day after the operation, the discomfort will begin to decrease. By this time, the wound healing processes are more active, and by touching the tip of the tongue to the hole, you can feel that a compaction has formed.

During this period, the following are actively developing:

• bone formation in the area of ​​the removed tooth root;
• narrowing of the socket due to the “growth” of the gums;
• formation of the mucous membrane in the socket area.

Fibrinous plaque after tooth extraction persists for a week. It disappears on its own, without mechanical cleaning. Little by little, the mucous membrane begins to turn pink, gradually acquiring a healthy, natural color. Around the 10th day, wound healing is completed: healthy tissue is formed that covers the mouth of the hole. A small depression remains in the area of ​​the removed tooth. The formation of bone tissue at the site of tooth extraction takes much longer - up to 6 months. Changes will be visible on an x-ray.