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Have smooth white spots on cheeks near molars. Advised dental guards as its bruxism

I have white spots on both sides of my inner cheeks in the area where molars meet. These spots are about 3x3 mm in size. initially the left side spot had a small harder projection which has now subsided becoming smooth. These spot do not hurt. My dental surgeon says these are due to bruxism and have to wear dental guards.
Asked On : Tue, 9 Apr 2013
Answers:  4 Views:  102
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Dentist 's  Response
Hello and welcome to hcm,

The white spots arised from the chronic cheek biting habit due to malaligned teeth.
Improper occlusion of teeth results in grinding of teeth at night ie,bruxism habit.
Apply pain relieving anaesthetic gel on the affected site.
Orthodontic appliances can be used to align the teeth properly.
Night guards can prevent further grinding of teeth at night.
Also use soft-bristled toothbrush to clean your teeth.
Maintain good oral hygiene.
Take care.
Answered: Tue, 9 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Bruxism is the habit in which patient grind his teeth , specially in the night .

This habit harm his teeth like wear of teeth surfaces, muscle pain after waking up, tooth sensitivity.

In your case trauma due to cheek biting probably have resulted in accumulation of healing tissues and cells in the area resulting in formation of fibrosis. Visit to Dentist and get checkup done.

Bruxism is treated with the help of dental appliance known as night guards, this redistribute the dental forces, prevent tooth surface wear off, gradually helpful to stop the habit.

Follow the instructions given by the dentist properly.

Hope this helps out.

Answered: Tue, 9 Apr 2013
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Dentist Dr. Sonia Nayab's  Response
hi agkhalid
thanks for asking your query

bruxism is parafunctional habit of teeth grinding,usually while sleeping
during bruxism you may bite on your cheeks leading to formation of white spots
causes of bruxism are stress,abnormal bite or missing or crooked teeth.
teeth grinding is harmful in a way it may results in fracturing,loosening and loss of teeth.
along with teeth it may effect your jaw,Tmj and muscle fatique
treatment includes to wear nightguard,it prevents clenching of teeth during sleep
if stress/anxiety is the cause then take sedatives/antidepressant (after consulting physician)
train yourself not to grind/clench teeth during awake hours
hope this will help.
Answered: Tue, 9 Apr 2013
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Dentist Dr. Farah Hussain's  Response
hello there ,

Appearence of white lines or spots on the cheek mucosa is seen due to chronic cheek biting habit seen in bruxism , crowding of the teeth or improper occlusion .

It is caused due to trauma to the cheek mucosa ,that leads to painless white areas on the cheek .
i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.

Apply oral antiseptic ,analgesic ointments like dentogel or mucogel topically over the affected area.

Get the treatment done for bruxism approaching an orthodontist.

i hope this helps ,

take care.
Answered: Wed, 10 Apr 2013
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