Oral Health Issues: From Dentures to Viral Infections - Otolaryngology

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Oral examination


Hello, Doctor.
Last week, I went to the dentist because my dentures were too loose and needed adjustment.
However, the dentist adjusted them too tightly, and I couldn't put them on.
The doctor helped me put them on several times and told me to remove them myself.
After trying three to four times, I finally managed to take them off and put them back on.
However, when I got home, they still felt tight, so I removed them while sleeping.
That night, my right salivary gland got blocked again, which had happened before.
I thought it would resolve on its own, and when I got up to urinate in the middle of the night, it had cleared up.
However, when I tried to put the denture back in, the tissue on the right side suddenly swelled up.
It felt strange since I had never experienced swelling in that area before, even when my salivary gland was blocked.
The swelling went down by morning, but when I used my tongue to feel both sides of the tissue, the swollen area felt different.
I looked in the mirror and noticed that the tissue looked like a scraped area on our skin, with a small patch of flesh color, which was different from the usual mouth sores.
I went to see an ENT specialist and showed the doctor.
He said it looked fine, but when I showed him the other side, he diagnosed it as a viral infection and prescribed antibiotics.
The scraped area has healed, but when I look in the mirror, the healed tissue is not the original pink mucosa; it looks more like skin that has healed with a faint scar.
Is this normal?

Wenwen, 30~39 year old female. Ask Date: 2016/05/19

Dr. Ji Zhaoyun reply Otolaryngology


Hello: After treatment, oral mucosal lesions typically heal within two weeks.
If the lesions persist beyond two weeks, or if you notice ulcers or white patches along with fibrosis, it is advisable to consult an otolaryngologist to evaluate whether a biopsy is necessary for safety.
Wishing you peace and good health.

Sincerely,
Dr.
Chi Chao-Yun,
Director of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/19

More Info


Hello! Thank you for your detailed question regarding oral health issues, particularly in relation to your experience with dentures and the subsequent oral symptoms you encountered. It sounds like you've been through quite a bit, and I appreciate your willingness to seek further understanding.

Firstly, it's important to recognize that oral health is a complex interplay of various factors, including mechanical issues (like dentures), infections, and the overall health of your oral tissues. When it comes to dentures, they can sometimes cause discomfort or complications if they do not fit properly. A poorly fitting denture can lead to irritation of the gums, which may result in inflammation or even ulceration of the soft tissues in your mouth. This could explain the swelling and discomfort you experienced after your dentist adjusted your dentures.

Regarding the blockage of your salivary gland, this can occur when saliva becomes thickened or when there is a blockage due to debris or other factors. Salivary gland blockages can lead to swelling and discomfort, and in some cases, they can become infected. The fact that you experienced swelling and then it subsided could indicate that there was a temporary blockage that resolved itself. However, if this occurs frequently, it may be worth discussing with your healthcare provider to ensure there are no underlying issues.

The "skin-like" appearance of the area where you had irritation or ulceration is not uncommon. When oral tissues heal, they may not return to their original color immediately. The healing process can result in a different coloration, which may appear lighter or more opaque than the surrounding tissue. This is typically normal, but if you notice any persistent changes, such as increased redness, pain, or any discharge, it would be advisable to follow up with your healthcare provider.

As for the diagnosis of a viral infection, this can occur in the oral cavity and may present with various symptoms, including swelling, pain, and ulceration. Common viral infections that affect the mouth include herpes simplex virus (which can cause cold sores) and other viral infections that can lead to oral lesions. The antibiotics prescribed by your doctor would be appropriate if there was a secondary bacterial infection due to the initial irritation or ulceration.

In terms of prevention and management, maintaining good oral hygiene is crucial. This includes regular brushing and flossing, as well as routine dental check-ups. If you have dentures, ensure they are cleaned properly and fit well to avoid irritation. If you experience recurrent issues with your salivary glands or oral lesions, consider discussing dietary changes or hydration strategies with your healthcare provider, as these can sometimes help alleviate symptoms.

Lastly, if you have concerns about the appearance of your oral tissues or if symptoms persist, do not hesitate to seek further evaluation from a dental or medical professional. They can provide a thorough examination and determine if any additional treatment is necessary.

In summary, while the changes you're observing may be part of the normal healing process, it's essential to monitor your symptoms and maintain open communication with your healthcare providers. They can offer the best guidance tailored to your specific situation. Wishing you a speedy recovery and better oral health!

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