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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes White Patch Inside Cheek And Sores Around Tongue?

on the inside of my cheek i have to round white patches which is making me so uncomfortable during meal times and while brushing my mouth. it's been there for over a week now. there is also one red sore on the left edge of my tongue opposite to the white patches . I thought it would heal by itself but it doesn't seem. what can I do about it. ( I'm 28 and a man.) Thank you.
Tue, 15 Jul 2014
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
The white patch could be because of the chronic irritation by the teeth to the cheek(frictional keratosis or irritational fibroma). or it can be lichen planus or leukoplakia or candidiasis. The soreness over the tongue could be a traumatic ulcer or it can be aphthous ulcer.
consult a good oral physician to rule out these two conditions.
If it is candidiasis then you have to take topical antifungal like candid mouth paint.
If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene.
if it is lichen planus then you have to take topical steroids like triamcinolone acetonide (0.1%) 4-5times daily for 1 week.
You can also take topical anesthetic and analgesics like anabel gel for the pain.
If it is frictional keratosis or traumatic ulcer you have to treat the cause by reducing the sharp cuspal edges of the teeth which are causing trauma.
I hope my answer will help you, take care.
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What Causes White Patch Inside Cheek And Sores Around Tongue?

Thanks for your query, I have gone through your query. The white patch could be because of the chronic irritation by the teeth to the cheek(frictional keratosis or irritational fibroma). or it can be lichen planus or leukoplakia or candidiasis. The soreness over the tongue could be a traumatic ulcer or it can be aphthous ulcer. consult a good oral physician to rule out these two conditions. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene. if it is lichen planus then you have to take topical steroids like triamcinolone acetonide (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like anabel gel for the pain. If it is frictional keratosis or traumatic ulcer you have to treat the cause by reducing the sharp cuspal edges of the teeth which are causing trauma. I hope my answer will help you, take care.