What is the line of white and black patches in gums?

Hi,

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Your chief complaint and attachment show pigmentation which can be due to various reasons (attachment removed to protect patient identity). Physiological due to the activity of hormones MSH (melanocyte-stimulating hormone) or taking any kind of drugs like Minocycline, mouthwashes or endocrine issues or poor oral hygiene like calculus or deficiency of iron or anemia or jaundice.

Your chief complaint is incomplete so it is difficult to arrive at a proper conclusion. If it is from birth, then no problem and if is a recent finding then you need to forward further history about drugs, diseases or any change in your health. Still, I suggest you go for a general oral examination and you may need scaling and root planing as well.

Hi,

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If you are using this Chlorhexidine mouthwash for more than three weeks, it can cause tooth and gingival discoloration. But do not worry it is temporary. To avoid side effects on gums, you try this mouthwash like this: Not to rinse more than 30 seconds. Avoid using it after 21 days. Use it only once or twice.

So, for vitamin D deficiency is concerned, it has the least effect on soft tissues but women are susceptible to vitamin D deficiency with iron due to various reasons like menstrual issues, pregnancy, hormones. Do not worry just discontinue mouthwash. You can still check your hemoglobin level.