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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Black Patches On The Insides Of The Cheeks?

Hi Doctor..... I have black patches over the walls of cheeks inside mouth for nearly 1 year. I cannot eat any spicy or sweet stuff. I burns like hell. What is the reason. I tried so many medications and nothing worked. Due to this problem, my gums bleeds when I brush and mouth burns when there is paste in my mouth. Thereofre, I am unable to brush my mouth properly and I get bad odour.
Mon, 15 Sep 2014
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Dentist 's  Response
Hello,

Thanks for consulting HCM

Read your query as you have black patches on cheeks with burning sensation dont worry this patch can be due to lichen planus , lichenoid reaction for this I will suggest you to consult oral surgeon for examination of patches on buccal mucosa and oral prophylaxis for bad breath and bleeding gums .
Inmeantime you can do warm saline rinses , and take medicine Antioxidant like Lycopene , and vitamin A , you can apply ointment like Tess buccalmpaste or Heal plus on cheek for burning sensation.

Hope this will help you.
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Dentist, Oral and Maxillofacial Surgery Dr. Mahesh Kumar T S's  Response
Thanks for your query, I have gone through your query.
The black patches and burning sensation can be because of the erosive lichen planus or lichenoid reaction or ulcerative lichen planus. Consult a oral physician and get it evaluated. If i am your treating doctor, i would have suggested you to take topical anesthetic and analgesics like 2%lignocaine gel and choline salicylate(anabel gel). apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food for 7-10days.
If the lesion does not heal in 15 days, then you can get an incisional biopsy done to confirm the diagnosis. Avoid spicy food items.
I hope my answer will help you, take care.
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What Are The Black Patches On The Insides Of The Cheeks?

Hello, Thanks for consulting HCM Read your query as you have black patches on cheeks with burning sensation dont worry this patch can be due to lichen planus , lichenoid reaction for this I will suggest you to consult oral surgeon for examination of patches on buccal mucosa and oral prophylaxis for bad breath and bleeding gums . Inmeantime you can do warm saline rinses , and take medicine Antioxidant like Lycopene , and vitamin A , you can apply ointment like Tess buccalmpaste or Heal plus on cheek for burning sensation. Hope this will help you.