Bumps in the gums of a five-year-old child may be a normal condition of tooth replacement, but it may also be alveolar abscess and gingival fistula, the former has no effect on tooth replacement, but the latter two conditions may have some effect on tooth replacement. 1. Most of the bumps bulging at the gums of a five-year-old child are normal root development phenomena and do not belong to an abnormal situation. The bumps are sometimes obvious, sometimes not, and will usually disappear naturally after tooth replacement. If the lumps have obvious discomfort, you should seek medical attention as soon as possible. 2. Some children’s gum bumps are due to inflammation of the root of the tooth, and then the formation of alveolar abscess, you need to go to the stomatology department in time to check and with the root canal treatment of the teeth, to avoid repeated inflammation of the root of the tooth will affect the tooth germ. Fistula caused by caries in milk teeth or fistula caused by periapical gum disease may also occur, and untreated will also affect tooth replacement. Five-year-old children have bumps on the gums can be caused by a variety of reasons, it is recommended to take the child to the regular hospital in time to do dental examination, so as not to delay treatment.