Black Gums and Spots on Gums: Reasons, Treatment, and More

Do People Have Black Gums

Gummy smiles are cute. But it’s not the same if you have dark purplish or black gums. The idea of great teeth set is about having pearly white teeth and coral pink gums. So it’s quite a concern if your gums turn dark. Of course, gums do turn dark if there’s an infection, but if you naturally have them then you need to understand the causes of black gums. Dark gums are not always a matter to worry. Here’s why.

Like we have skin color, gums can also vary in people. So here’s what you must know about the causes of black gums.

Dark gum pigmentation has a genetic component and is fairly common. Physiologic gingival pigmentation or racial gingival pigmentation is the term medically used to describe this genetic component, for people born with dark gums.

Pink Gums

We are all born with a certain skin tone, and the pigment responsible for us to have it is melanin. Just as skin color varies with the melanin levels in our body, so does the color of the gums. However, for some people, gums can have spotted darkness or might probably be dark purplish in color. This occurs due to the increase in melanin production in the body and is as normal as people having a dark skin tone. While gum pigmentation is a natural phenomenon, there are certain diseases which cause excess melanin pigmentation that is one of the causes of black gums.

These black gum diseases include: 

  • Von Recklinghausen’s disease
  • Peutz-jeghers syndrome
  • Addison’s disease
  • Acute necrotizing ulcerative gingivitis

Apart from natural pigmenting and the above-mentioned health conditions, there are a few other reasons that are causes of black gums or black gum diseases.

Smoking tobacco & medications

One of the causes of black gums is smoking cigarettes or consumption of certain medications such as minocycline, tricyclic antidepressants, and metal-based crown fillings.

The black gum disease

Acute necrotizing ulcerative gingivitis is one of the most common and widely known reasons for black gums. Popularly known as black gum disease, it is a result of dead gum tissue or necrosis. Other symptoms of black gum diseases include spontaneous bleeding, the rapid increase of pain, Bad Breath, and gum tissue that appears blunted between the teeth. Factors which contribute to gum diseases include:

  • Stress
  • Poor nutrition,
  • Smoking
  • Viral infections

Black Gum Disease

If you notice any such symptoms, it’s best to report to your dental expert immediately. If you leave it untreated, the disease can spread further to the cartilage and the bones surrounding the teeth.

A brief solution to causes of black gums (if caused due to infections)

If your gums are dark naturally, you’ll probably have to keep them that way. It’s not something you need to worry about. But if you’ve got dark gums due to an infection treat, it. Fortunately, you’ve got easy solutions. Antibiotics and surgically removing the damaged tissue can be chosen depending on the problem you have. Oxygen therapy is one of the safest procedures used in conjunction with systemic antibiotics to reduce the damage to gum tissue which is caused by harmful bacteria.

About Dr. Gowtham Kattamuri

Dr. Gowtham has done his BDS from Rajiv Gandhi University of Health Sciences in 2006 and  MDS – Conservative Dentistry & Endodontics from Dr. MGR Medical University in 2010. He is a skilled Endodontist with an experience of over 10 years. Dr. Gowtham is specialized in replacement of teeth, Dental Implants, prosthetics for maxillofacial defects such as artificial eye, ear, nose, and orbital defects, Smile Makeovers with laminates, Zirconia, veneers metal free ceramics. He also performs general dental procedures such as restorations and extractions. He also is trained as an International Patient Coordinator.


GA Dental Clinics is a standout amongst all the famous dental hospitals in Hyderabad, owing to the world-class infrastructure it has, and the utility of leading-edge technology at the clinic. Besides its unique infrastructure and highly qualified specialists, GA Dental believes in delivering services at par with global standards.

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