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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes White Patches Inside The Mouth?

I have developed a white patches in my mouth for few days , image attached herewith, is it just a fungal infection or something else & what medicine shall I try. Though it has no pain, no bleeding now. Not increasing though, slightly decreased since its occurred. It is also not scrapable. Shall I be worried. Is it oral cancer or something like that. I am a non smoker, non-drinker & never chewed tobacco.

1.Exactly for how long this lesion is there?
For 30 Days

2. If this kind of lesion is present in any other site inside mouth?
Available both side gum near wisdom teeth.

3. Is there any history of tooth brush trauma?
No but there may be a chance of teeth biting at same position.


Current medications:

Multivitamin, kenocort gel

Whether it has any malignancy in appearance as it is there since 30 days though size of same not increased PREVIOUS & PRESENT IMAGE ATTACHED. Shall I be worried or any immediate medical intervention required?? How much time it will take to heal??
Wed, 7 Feb 2018
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Dentist 's  Response
Hi.

Thanks for the query.

White patches inside mouth near wisdom tooth area that are not scrapable and is probably due to biting of the area can be due to Frictional Keratosis that is a harmless overproduction of keratin layer over the mucosa as a protective phenomena to prevent damage to mucosa with the friction and chemicals.
Other cause can be leukoplakia, that is also over production of Keratin but there is also disturbance in cells known as cell dysplasia.
I would suggest you to consult an Oral Physician and get evaluated and a clinical evaluation and investigations like Biopsy can be done for diagnosis.
In case if it is due to Frictional Keratosis it will get resolved on its own once the tobacco intake is stopped.
In case of leukoplakia you can be advised Multivitamins and anti oxidants like Lycopene for atleast 2 to 3 months.
It also gets resolved if the causative factor that is the biting is resolved
It can be done by extraction of wisdom teeth.

Hope this helps.

Regards,
Dr. Honey Arora, Dentist
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What Causes White Patches Inside The Mouth?

Hi. Thanks for the query. White patches inside mouth near wisdom tooth area that are not scrapable and is probably due to biting of the area can be due to Frictional Keratosis that is a harmless overproduction of keratin layer over the mucosa as a protective phenomena to prevent damage to mucosa with the friction and chemicals. Other cause can be leukoplakia, that is also over production of Keratin but there is also disturbance in cells known as cell dysplasia. I would suggest you to consult an Oral Physician and get evaluated and a clinical evaluation and investigations like Biopsy can be done for diagnosis. In case if it is due to Frictional Keratosis it will get resolved on its own once the tobacco intake is stopped. In case of leukoplakia you can be advised Multivitamins and anti oxidants like Lycopene for atleast 2 to 3 months. It also gets resolved if the causative factor that is the biting is resolved It can be done by extraction of wisdom teeth. Hope this helps. Regards, Dr. Honey Arora, Dentist