There are white lines in the oral cavity!
Hello Dr.
Cheng, I previously asked some questions and went for an examination, but recently I've noticed some changes in my oral cavity.
I found a prominent white line on the inner mucosa of my left cheek, which feels slightly rough when I lick it, and there are many such lines! Could this be a type of oral precancerous lesion? It is not painful or itchy.
Should I see a doctor again?
Ai Shi San Dao Guang, 20~29 year old female. Ask Date: 2018/03/30
Dr. Zheng Jueyi reply Otolaryngology
Hello: If you are concerned or if your condition does not improve, it is advisable to seek medical examination for a definitive diagnosis.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2018/03/30
More Info
The presence of white lines in the oral cavity, particularly on the buccal mucosa (the inner lining of the cheeks), can be concerning for many individuals. However, it is essential to understand the potential causes and implications of these symptoms before jumping to conclusions about serious conditions like oral cancer.
Based on the information provided, the white lines you are observing could be indicative of a condition known as "linea alba." This is a benign, keratinized change that occurs due to chronic irritation or friction, often from habits such as cheek biting, grinding teeth, or even from dental appliances. The appearance of these lines is typically not associated with pain or discomfort, which aligns with your description of the symptoms being non-painful and non-itchy.
While the presence of white lines alone is usually not a sign of precancerous lesions or oral cancer, it is crucial to monitor any changes in your oral health. Oral cancer can present with various symptoms, including non-healing ulcers, lumps, or persistent changes in the oral mucosa. If the white lines are accompanied by other symptoms such as pain, swelling, or changes in texture, it would warrant further investigation.
In your case, since the white lines are not causing pain and you have already consulted with a healthcare professional, it may not be immediately necessary to seek further medical attention unless you notice additional changes or symptoms. However, if you have concerns or if the condition persists, it is always advisable to follow up with your dentist or an oral specialist. They can perform a thorough examination and, if necessary, conduct a biopsy to rule out any serious conditions.
In addition to monitoring the white lines, maintaining good oral hygiene is essential. This includes regular brushing and flossing, as well as routine dental check-ups. If the white lines are indeed due to friction or irritation, reducing the source of irritation—such as avoiding hard or sharp foods, and managing stress-related habits like teeth grinding—can help improve the condition.
If you notice any new symptoms, such as changes in the color or texture of the lines, or if they become painful, it would be prudent to seek medical advice promptly. Early detection and intervention are key in managing any potential oral health issues effectively.
In summary, while the white lines you are experiencing are likely benign and related to irritation, it is essential to remain vigilant about your oral health. Regular dental visits and good oral hygiene practices will help ensure that any changes are monitored and addressed appropriately. If you have ongoing concerns, do not hesitate to consult with a healthcare professional for peace of mind and proper evaluation.
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