Gum issue

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needhelpwithteeth
Posts: 1
Joined: Fri Feb 09, 2018 1:12 pm

Gum issue

Post by needhelpwithteeth » Fri Feb 09, 2018 1:25 pm

Hello Dr.Bornfeld,
About 4 months ago I noticed there spots above my two upper incisors while flossing.
IMG_20180209_114434.jpg
IMG_20180209_114434.jpg (399.37 KiB) Viewed 84 times
It's very subtle and only noticeable under a camera flash and hasn't change to date so I'm actually not sure if it's been there longer. I get a cleaning every six months and my last one was three months ago. At my last cleaning I forgot to bring this up and my dentist didn't say anything. Is this normal gun tissue?
Another photo:
The attachment IMG_20180209_114434.jpg is no longer available

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mbornfeld
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Posts: 1426
Joined: Sun Jun 15, 2008 9:52 am
Location: Brooklyn, NY
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Re: Gum issue

Post by mbornfeld » Tue Feb 13, 2018 1:51 pm

I will assume for the purpose of my answer that you're referring to the small whitish nodules as indicated by the white arrows here:
gingiva.jpg
gingiva.jpg (46.9 KiB) Viewed 27 times
To tell you the truth, I don't know what to make of them, except that I have occasionally seen bumps similar to these, and they seem to remain stable and unchanged over time. They do not visually resemble HPV-related papillomas, fibromatous enlargements, or normal structures typically found elsewhere, such as Fordyce granules. I am inclined to interpret these bumps as a normal anatomic variant, if for no other reason than they do not display any of the behavior one might associate with a disease state, such as enlargement, ulceration, or conspicuous subjective symptoms. No doubt, your dentist ignored them for similar reasons.

Hope this helps...
Mark Bornfeld DDS
Brooklyn, NY

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