Black Gums

Black Gums

Gum colour varies from person to person, in the case of black gums but gingivitis or any other gum colour change may be due to medical reasons, medications, cigarettes, or other factors.

Melanin is a dark pigment that is responsible for skin colour. There is also melanin in the gums. The colour of the gums may be more on one side, or it may be spotted. Gingivitis is normal due to an increase in melanin and does not require treatment.

If your gums are normally pink and now black due to various factors, pigmentation has occurred in your gums. In some cases, gingival pigmentation or gingival pigmentation is caused by the deposition of melanin in the gums. These black spots on the gums do not cause disease or complication, but they destroy the beauty of the gums. You can go to the dentist or visit our dental clinic website and the relevant specialist to fix it.

What Causes Black Gums

  1. Melanin
    Melanin is a substance that colours the skin, hair, and eyes. The body naturally produces melanin. The more melanin you have, the darker your hair, skin, or eyes. The dark brown or black colour of the gums can also be due to the high amount of melanin in the body. If a person’s gums have always been very dark, there is no reason to worry.
    But if the discoloration of the gums has occurred for a short time or if black spots have formed on the gums, it probably has nothing to do with melanin and indicates a problem that needs to be investigated.
  2. Cigarettes and tobacco
    Tobacco smoke changes the colour of the gums. There are specific cells in the body called melanocytes that produce melanin. The nicotine in tobacco causes melanocytes to produce more melanin than usual. This condition is called melanosis in smokers.
    In this case, the gums become brown or black. Discoloration due to melanosis may be spotty or cover the entire mouth. The inner surface of the cheeks or lower lip may also change colour.
    Research has linked smoking cessation to reduced gingival opacity. This indicates that dark spots on the gums caused by smoking may be reversible.
  3. Medicine
    Minocycline (minocycline) is a drug used to treat pimples and acne and other infections such as chlamydia. An uncommon side effect of this drug is discoloration, which sometimes occurs in the mouth.
  4. Amalgam tattoo
    An amalgam tattoo (a silver-filled tooth filling material) may appear around a filled tooth, although you may see it anywhere in the mouth. The amalgam effect or tattoo is seen as a black, blue, or gray spot inside the mouth.
    Amalgam is a compound of metals used to fill teeth. If the particles of this toothpaste are removed, they may appear under the skin of the gums. There is no need for treatment for this condition, and there is no health risk.
  5. Wound gingivitis acute necrosis
    Acute necrotic ulcer or molar gingivitis is a gum infection that causes fever, gum pain, and bad breath. Gingival infections can cause gingivitis because a layer of dead tissue accumulates in the gums.
    Tinnitus results from the rapid growth of bacteria in the mouth, which usually occurs due to a gum infection. Bacteria may accumulate in the mouth due to poor oral hygiene, stress, lack of sleep, or an unhealthy diet.
    Early signs of acute ulcerative gingivitis include bleeding gums, bad breath, excessive salivation, and discomfort. There may be sores around the gums around the teeth.
    The treatment of this infection is simple. The dentist scales and cleans the mouth and prescribes antibiotics.
  6. Addison’s disease
    Addison’s disease affects the adrenal glands, which are responsible for producing various hormones. This disorder prevents the function of these glands. Early signs of Addison’s disease include:
  • Fatigue
  • Feeling more thirsty than usual
  • Unwanted weight loss
  • Decreased appetite
  • Muscle weakness

As Addison’s disease progresses, a person may experience darkening of the gums and lips. The medical term for this complication is pigmentation or hyperpigmentation.

In addition to affecting the lips and gums, Addison’s disease can cause dark spots on the skin in other parts of the body. The most common areas of the knees are the palms of the hands, the knuckles, and scar tissue.

Problems with the immune system cause most cases of Addison’s disease. This causes the body to attack and damage the adrenal glands. Addison’s disease can have serious side effects if left untreated. If the amount of hormones in the body (which must be produced by the adrenal glands) drops too much, an adrenal crisis can occur. Symptoms of an adrenal crisis include severe dehydration, rapid, shallow breathing, drowsiness, and pale, cold skin. An adrenal crisis is an emergency.

  • Putz-Jaggers Syndrome
    Putz-Jagger syndrome is a genetic condition that increases the risk of polyps or cancer. One of the first symptoms is brown or dark blue spots. These spots may form on the mouth and skin of the fingers and toes. Pots-jaw spots usually appear in childhood and disappear with age. Another key symptom of this condition is bleeding or obstruction in the gastrointestinal tract, usually in childhood. Genetic testing shows whether you have Putz-Jagger syndrome.


Copperhills Family Dentistry specialists provide specialized dental services that help our patients cultivate healthy and happy smiles. We’re happy to provide compassionate care coupled with cutting-edge technology.

What are the treatment methods for black gums?

Treatment for gingivitis depends on what is causing it. Conditions such as infection or Addison’s disease should be treated with medication. In people whose gums are darkened by smoking, the colour of the gums may return to normal by quitting smoking. There are also cosmetic treatments (bleaching) to lighten the colour of the gums, which should be done only under the supervision of an experienced specialist. Otherwise, the gums will be damaged. Removing dark gum stains with a scalpel is an invasive method of gum treatment suitable for some people. Cryosurgery is another treatment. Research published in the International Journal of Health Sciences reports that the likelihood of recurrence of darkening after cryosurgery is low.
Free gingival transplantation may occur in some people. In this treatment, healthy pink tissue of the roof of the mouth is removed and transplanted to the dark gingival spot. In this method, the gingival opacity is hidden, not removed.

Black Gums


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