Oral mucosal burns that do not heal for an extended period?
Hello, Dr.
Lin.
Three weeks ago, I burned the roof of my mouth while eating hot food, and I felt that the mucosa had been damaged at that moment.
I thought it would heal after a while, but now three weeks have passed, and the mucosa still shows no signs of healing.
There is no pain, but I feel slight discomfort when I eat and it rubs against the area.
I usually eat a lot of fruits and vegetables, and I have been taking vitamin C daily for the past week, so it shouldn't be due to a vitamin deficiency.
I have heard that if an ulcer does not heal after two weeks, it could be a sign of oral cancer.
Does this refer to spontaneous oral ulcers? I am currently abroad, and it is inconvenient to seek medical attention; I will return to Taiwan in about a month.
I would like to know if it is necessary to see a dentist abroad for a diagnosis immediately, or if I can wait until I return to Taiwan to have a dental check-up.
Thank you!
Xiao Er, 30~39 year old female. Ask Date: 2016/10/21
Dr. Lin Jiayong reply Dentistry
Hello: If you have a habit of smoking, drinking alcohol, or chewing betel nut, or if you have a family history of cancer, please seek medical attention as soon as possible.
If a wound has not healed for more than one week, this is not a normal phenomenon.
Wishing you peace and health.
Reply Date: 2016/10/21
More Info
Hello! It sounds like you are dealing with a concerning situation regarding the persistent oral mucosa burn you experienced three weeks ago. It's understandable to be worried, especially with the information you've heard about oral ulcers potentially being a sign of more serious conditions like oral cancer.
First and foremost, it’s important to recognize that while many oral mucosal injuries can heal on their own, a burn or ulcer that persists for more than two weeks warrants further evaluation. The fact that you are not experiencing significant pain is a positive sign, but discomfort when eating indicates that the area is still sensitive and may not be healing properly.
In general, oral ulcers can arise from various causes, including trauma (like burns), infections, systemic diseases, or even nutritional deficiencies. However, when an ulcer does not heal within two weeks, it raises the concern for other underlying issues, including the possibility of malignancy. This is particularly true if there are any changes in the appearance of the ulcer, such as an increase in size, changes in color, or if it becomes painful.
Given your situation, here are some considerations:
1. Seek Dental Care: If you have access to dental care while abroad, it would be wise to consult a dentist sooner rather than later. They can perform an examination and may recommend diagnostic tests, such as a biopsy, if they find any suspicious lesions. Early detection is key in managing any potential issues effectively.
2. Monitor Symptoms: Keep an eye on the ulcer. If you notice any changes, such as increased pain, swelling, or if the ulcer begins to bleed, seek medical attention immediately, regardless of your location.
3. Avoid Irritants: While waiting to see a dentist, try to avoid foods that may irritate the area, such as spicy or acidic foods. Maintaining good oral hygiene is also crucial to prevent any secondary infections.
4. Consider Timing: If you are unable to see a dentist while abroad and the ulcer remains unchanged, it may be acceptable to wait until you return to Taiwan. However, if you experience any worsening symptoms, do not hesitate to seek immediate care.
5. Nutritional Support: Continue to maintain a balanced diet rich in vitamins and minerals, as this can support healing. Vitamin C is particularly beneficial for tissue repair, but ensure you are also getting adequate amounts of other nutrients.
In summary, while it may be tempting to wait until you return home to seek dental care, it is advisable to consult a dental professional sooner if possible, especially since the ulcer has persisted for three weeks. Early evaluation can help rule out any serious conditions and provide peace of mind. Remember, your health is paramount, and addressing concerns promptly is always the best course of action.
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