White Spots on Gums

White Spots on Gums: Causes, Pictures, and Treatments

Dr. Sangeetha Varadharajan

Dr. Sangeetha Varadharajan

B.D.S Dental Professional

May 20,2025

Key Facts

  • White spots on gums can appear as dots, streaks, or patches and may be painless or cause irritation.
  • Common causes include canker sores, oral thrush, leukoplakia, lichen planus, and gingivitis.
  • Leukoplakia affects about 1–3% of people globally and may become cancerous if untreated.
  • Oral thrush is more likely in people with diabetes, dentures, or weakened immunity.
  • Home remedies like saltwater rinse, hydrogen peroxide rinse, aloe vera, and clove oil can help relieve mild symptoms.
  • Good oral hygiene and avoiding triggers like tobacco and alcohol can prevent white patches.
  • Seek dental advice if the white spot lasts more than 2 weeks, is painful, bleeds, or gets larger.
  • Healthy gums are typically pink, firm, and fit snugly around the teeth—not white, swollen, or streaked.

White spots on your gums can be alarming, but not all cases are serious. These spots can appear as tiny dots, patches, or streaks. Some may be painless, while others cause irritation or discomfort while eating or brushing. In this blog, we’ll help you understand what causes them, how to tell if they’re a sign of something serious, and what you can do about them, at home or with your dentist’s help.

What Are White Spots on Gums?

White spots are areas where the colour of your gum tissue has changed. They might appear due to infection, irritation, or a buildup of dead cells. In many cases, they’re temporary and not dangerous. However, some white spots could signal a more serious condition, like leukoplakia or a fungal infection.

Leukoplakia affects about 1 in 100 people and is more common in tobacco users.

Why Are My Gums White?

You might wonder, “Why are my gums white?” This could happen due to:

  • Dead or dying gum tissue (necrosis)
  • Fungal infections like oral thrush
  • Irritation from braces, dentures, or tobacco
  • Immune response to infection
  • Lack of proper oral hygiene

White patches could mean that the gums are inflamed or have lost their proper blood supply. In some cases, it could be due to an underlying condition like leukoplakia.

Leukoplakia affects 1–3% of people worldwide and shows up as thick white patches, often caused by chronic irritation (e.g., tobacco or alcohol use).

Common Causes of White Gums Around Teeth

1. Canker Sores

Small, round ulcers with white centers. They often appear after stress or a minor injury in the mouth and can be painful.

2. Oral Thrush

A yeast infection caused by the Candida fungus. It looks like creamy white patches and can spread to the gums, tongue, or cheeks.

3. Leukoplakia

Thick white patches that can’t be scraped off. Often caused by tobacco, alcohol, or dental appliances rubbing on the gums. In rare cases, it may turn into oral cancer.

4. Lichen Planus

An autoimmune condition where the immune system attacks the cells inside the mouth. This causes a lace-like pattern of white patches.

5. Gingivitis

Early gum disease from plaque buildup. Gums may turn pale, swollen, or bleed easily.

Pictures of White Gums vs Healthy Gums

Knowing what normal gums look like can help you spot problems early. Healthy gums are:

  • Light to medium pink
  • Firm and snug around the teeth
  • Not swollen or patchy

White gums, on the other hand, may look:

  • Pale, especially around the teeth
  • Spotted or streaky
  • Puffy or shrinking
  • Covered with a white film

Comparing pictures of healthy gums vs white gums can guide you in deciding whether to wait, treat at home, or visit a dentist.

Home Remedies for White Spots on Gums

If your white spot on gums is caused by minor irritation, canker sores, or mild inflammation, several gentle remedies can help soothe and heal the area. These methods are easy to try at home and may reduce discomfort while promoting recovery:

1. Saltwater Rinse

A natural disinfectant, saltwater helps reduce swelling and bacteria.

  • How to use: Mix ½ teaspoon of salt in a cup of warm water. Rinse your mouth for 30 seconds, 2–3 times a day.
  • Why it helps: It keeps the gums clean and speeds up healing.

2. Hydrogen Peroxide Rinse (3%)

Hydrogen peroxide has antibacterial properties and promotes tissue healing.

  • How to use: Mix equal parts of 3% hydrogen peroxide and water. Swish gently for 30 seconds, then spit it out. Do not swallow.
  • Caution: Use only once daily and avoid overuse to prevent irritation.

3. Aloe Vera Gel

Aloe vera is well-known for its soothing and anti-inflammatory effects.

  • How to use: Apply pure aloe vera gel directly to the white spot using a clean finger or cotton swab.
  • Why it helps: It calms irritated gums and supports healing of minor wounds or ulcers.

4. Clove Oil

Clove oil is a traditional remedy for dental pain with natural antibacterial effects.

  • How to use: Soak a cotton swab in clove oil and dab it gently on the affected area. Use once or twice a day.
  • Benefit: It helps reduce gum pain and fight oral bacteria.

5. Maintain Good Oral Hygiene

Consistent care prevents worsening and promotes faster healing.

  • What to do:
    • Use a soft-bristled toothbrush.
    • Brush gently twice a day.
    • Rinse after meals.
    • Floss carefully without injuring the gums.

6. Avoid Triggers

Certain habits and foods can make the condition worse.

  • Avoid:
    • Smoking or chewing tobacco
    • Alcoholic mouthwashes
    • Spicy or acidic foods
  • Why: These irritants delay healing and can increase inflammation.

Medical Treatments for White Gums

If white patches don’t go away within 10–14 days, it’s best to seek professional care. Treatment depends on the cause:

  • Antifungal medication – For oral thrush
  • Antibiotics – If caused by a bacterial infection
  • Steroid gels or rinses – For autoimmune conditions like lichen planus
  • Biopsy or laser removal – For persistent leukoplakia

Regular dental checkups can help spot and treat these issues early.

When to See a Dentist

Call your dentist if:

  • The spot is painful or bleeds
  • It lasts more than two weeks
  • It gets bigger over time
  • You have risk factors like smoking, diabetes, or a weakened immune system

Persistent white patches that don’t heal could be early signs of oral cancer, so they should never be ignored.

Conclusion

Seeing white spots on gums may be nothing serious, or a sign that something deeper is going on. Many causes are treatable with simple home care, but it’s important to watch for signs that need professional help.

  • Keep your mouth clean
  • Avoid irritants like tobacco
  • Don’t ignore spots that don’t heal

Frequently Asked Questions

They can be. Infections like thrush or viral ulcers often appear as white patches.

Not always. But patches that don’t heal in 2 weeks should be checked for leukoplakia, a possible pre-cancerous condition.

Yes, if caused by irritation, injury, or minor ulcers. But if they don’t fade, see a dentist.

Healthy gums are usually light or coral pink, not white or red.

This may be due to localized irritation, a canker sore, or poor cleaning near that tooth.

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