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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Black Spot On Gum Above Front Tooth?

I have a small pin-head size light black spot that just showed up on my gum just above my front tooth. I don't have any amalgam fillings in my mouth. I do have a lot of melanoma in my family but not myself. I don't recall hurting myself at all there. I am concerned about melanoma. What do you think?
Wed, 27 Aug 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query, I have gone through your query.
The black spot over the gum could be a normal physiological pigmentation or a nevi or a melanotic macule or melanoma. Just based on the your descriptio, it is difficult to come to a diagnosis, so consult a oral physician and get it examined and diagnosed.
I hope my answer will help you, take care.
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Dentist Dr. Lizabeth Sloane's  Response
Hello,
Trauma is a likely cause for a bruise n this location. Sometimes a toothbrush or hard food can damage tissue. An amalgam tattoo or the start of a fistula from an abscess could appear as a dark spot as well .
Changes in size, texture and developing pain in the area are of greater concern. Monitor the area. Avoid all irritants. Consider visiting your dentist or oral surgeon for an exam of this area. Your dentist will advise if you should proceed with a biopsy to determine the pathology and confirm a diagnosis. Unusual pigmentation can indicate a tissue change. Your risk factors, medical and dental history should be considered when deciding urgency. Please make sure that you are up to date on routine dental exams and be sure to provide your dentist with all details concerning this area.
Thank you for your inquiry.
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What Causes Black Spot On Gum Above Front Tooth?

Thanks for your query, I have gone through your query. The black spot over the gum could be a normal physiological pigmentation or a nevi or a melanotic macule or melanoma. Just based on the your descriptio, it is difficult to come to a diagnosis, so consult a oral physician and get it examined and diagnosed. I hope my answer will help you, take care.