Red Spots on Roof of Mouth: Possible Causes and Treatments

Red Spots on Roof Of the mouth | Red Dots On The palate
Dr. Hussain Alsaleh

Dr. Hussain Alsaleh

Specialist Prosthodontist and Oral Implantologist

February 05,2025

Some people may have noticed red spots or dots on the roof of the mouth that may be quite painful, while some may not feel any discomfort. Some people may not even notice the red spots or dots on the palate. Various causes among them can cause red spots on the roof of the m. Among some m, this may not be a concern, but so, but I may indicate some serious health issues. So, consulting a dentist to know the cause of the red spot on the palate is recommended. 

This blog post explains the causes of red spots on the roof of the mouth, home remedies, and when to consult a dentist.

Common Causes of Red Spots on the Roof of the Mouth

Strep Throat Infection

A tiny red spot with a lighter centre can be a sign of strep throat. It is a bacterial infection caused by Group A Streptococcus (GAS), which resides in the throat and skin and can lead to strep throat.

Strep throat is highly contagious and spreads quickly from person to person. It causes symptoms such as:

  • Sore throat
  • Fever
  • Pain during swallowing
  • Tiny red spots on the roof of the mouth with a lighter centre

Strep throat is more common in children between the ages of 5 and 15. Because strep throat spreads easily, it is recommended that children consult a healthcare provider for prescribed antibiotics. 

Hand, Foot, and Mouth Disease

Hand, foot, and mouth disease is a viral infection that causes red, spotty rashes on the roof of the mouth, hands, and feet. This condition primarily affects young children but can also occur in adults.

If you are affected by hand, foot, and mouth disease, red spots appear on the tongue and roof of the mouth. These spots later develop into mouth ulcers with red edges. These red spots could cause some discomfort but usually disappear within a week.

Mouth Ulcers

Mouth ulcers, or stomatitis, refer to sores or inflammation in the mouth. These ulcers can manifest as red, painful spots on the roof of the mouth, making eating and drinking difficult.

The most common cause is accidental inner cheek biting, but other causes include:

  • Injury or trauma (e.g., hot food burns, aggressive brushing)
  • Infections (e.g., hand, foot, and mouth disease, autoimmune diseases, viral infections)

These red spots typically heal on their own, but if they persist beyond two weeks, a consultation with a dentist is advised.

Erythroplakia

Erythroplakia is a precancerous condition characterized by red, velvety patches on the roof of the mouth, tongue, and throat. It primarily affects individuals over 40 and those who smoke, drink alcohol or use tobacco products.

Since erythroplakia is considered a precancerous condition, a healthcare provider should evaluate it to distinguish between cancerous and non-cancerous lesions.

Symptoms include:

  • Bright red spots on the roof of the mouth
  • Velvety-looking tissues
  • Easy bleeding when scraped

Oral Thrush

Oral thrush is a fungal infection caused by an overgrowth of Candida, leading to red, painful spots on the roof of the mouth. It is more common in individuals with weakened immune systems, older adults (over 60), and toddlers.

Symptoms include:

  • red dots or spots on the throat, roof of the mouth, or tongue
  • Difficulty swallowing
  • Loss of taste
  • Fever

For those with weakened immune systems, oral thrush can spread to the heart, lungs, and skin. Seeking medical attention is necessary to prevent complications.

Physical Injury

Injuries such as biting the roof of the mouth or burns from hot food and beverages can lead to red spots. Other causes of physical injuries include:

  • Allergic reactions to toothpaste or mouthwash
  • Hard brushing
  • Ill-fitting dentures
  • Sharp edges of broken teeth

These spots usually heal without treatment within a few days.

Canker Sores

Canker sores, also known as aphthous ulcers, are small, painful sores that develop on the roof of the mouth, back of the tongue, and other areas of the oral cavity. They appear as white or yellow spots with red borders.

Canker sores are not contagious and are often triggered by:

  • Stress
  • Hormonal changes
  • Minor mouth injuries
  • Acidic foods
  • Poorly fitting dentures

Most canker sores resolve within a week, but if they persist or grow larger than usual, a healthcare provider should be consulted.

Cold Sores

Cold sores, also known as fever blisters, are caused by the herpes simplex virus (HSV-1 and HSV-2). These fluid-filled blisters can appear on the roof of the mouth and are often accompanied by fever and flu-like symptoms.

Cold sores are highly contagious and can spread through close contact, such as sharing utensils, kissing, or touching the affected area.

Home Remedies for Red Spots on the Roof of the Mouth

  • Saltwater Rinse – Reduces inflammation and prevents infection.
  • Honey and Turmeric Paste – Has antibacterial and anti-inflammatory properties that soothe the affected area.
  • Cold Compress or Ice Chips – Helps reduce pain and swelling.
  • Aloe Vera Gel – Promotes healing and provides soothing relief.
  • Avoid Irritants – Prevents worsening of the condition by avoiding spicy, hot, and acidic foods.
  • Maintain Good Oral Hygiene – Keeps the mouth clean and prevents infections.

When to See a Dentist?

Consult a dentist if you are experiencing the following symptoms,

  • Persistent red spots lasting more than two weeks.
  • Painful sores or ulcers that do not heal.
  • Bleeding or swelling in the mouth.
  • Fever, sore throat, or difficulty swallowing.
  • Unexplained weight loss or lumps in the mouth.
  • White patches or persistent rough areas along with red spots.

Early diagnosis can help rule out serious conditions like oral cancer and ensure proper treatment.

Takeaway

Red spots or dots on the roof of the mouth can be a sign of serious health issues like oral cancer or strep throat infection. So, if you notice any spots or dots that are causing discomfort, then consulting with a dentist can help you identify the signs and causes so that you can get tailored treatment solutions. Most of the time, you may not notice any red spots or dots as they may disappear without causing any discomfort. Consult with dentists at Oris Dental Center to get rid of red spots on the roof of the mouth.

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