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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For White Patch In My Tongue

hi I am Deepak. 29 yrs old with no alcohol, no tobocco, no cigarette. there is a white patch on my tongue from past 2 months. I have consulted 2 dentist and they said that it is Leichan Planus. and there is no need for biopsy. what is your suggestions?

Tue, 1 Jul 2014
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Dentist,  's  Response
Hello,
You can consult an oral surgeon for another opinion. I usually refer my patients to an oral surgeon for a second opinion when there are soft tissue areas of concern. A more detailed description of the area may allow me to offer more suggestions, but a clinical evaluation is very benefical and important here. Are you having any difficulties with your tongue function or is this an aesthetic concern? You should closely monitor the condition. You do not seem satisfied with your current opinions. I suggest you do continue to inquire. A biopsy is wise if there is any concern about the quality of the tissue and to confirm a noncancerous diagnosis.
Thank you for your inquiry. I hope you find my advice helpful.
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Dentist, Oral and Maxillofacial Surgery,  Dr. Mahesh Kumar T S's  Response
Thanks for your query, I have through your query. the white patch could be because of lichen planus or frictional keratosis or candidiasis. consult a oral physician to rule out the above said conditions. if it is lichen planus and if it is asymptomatic no treatment or no biopsy is needed. keep an eye on the lesion, if any red areas appears on the tongue then consult the oral physician to get a biopsy done. when it becomes symptomatic you can take topical steroids like triamcinolone acetonide. if it is candidiasis then use topical antifungal like candid mouh paint. if it is frictional keratosis the remove the cause by rounding off the sharp teeth. i hope my answer will help you, take care.
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Suggest Treatment For White Patch In My Tongue

Hello, You can consult an oral surgeon for another opinion. I usually refer my patients to an oral surgeon for a second opinion when there are soft tissue areas of concern. A more detailed description of the area may allow me to offer more suggestions, but a clinical evaluation is very benefical and important here. Are you having any difficulties with your tongue function or is this an aesthetic concern? You should closely monitor the condition. You do not seem satisfied with your current opinions. I suggest you do continue to inquire. A biopsy is wise if there is any concern about the quality of the tissue and to confirm a noncancerous diagnosis. Thank you for your inquiry. I hope you find my advice helpful.