Raised Scars in the Mouth: Causes and Concerns - Dentistry

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Raised scars in the mouth, particularly on the left side as you described, can be concerning and may arise from various causes. These scars, also known as hypertrophic scars or keloids, can develop due to trauma, inflammation, or irritation in the oral cavity. It's important to understand the potential causes and implications of these raised scars, especially if they are occasionally painful or appear to be breaking the skin.

One common cause of raised scars in the mouth is previous trauma or injury. This could include accidental bites, dental procedures, or even chronic irritation from dental appliances or braces. When the oral mucosa is injured, the body responds by forming scar tissue as part of the healing process. In some individuals, this healing process can lead to the formation of raised scars, which may be more pronounced in areas that experience frequent movement or friction, such as the inside of the mouth.

Stress and lack of sleep can also contribute to oral health issues, including the exacerbation of existing conditions. Stress can lead to behaviors such as teeth grinding (bruxism) or clenching, which can irritate the oral tissues and potentially lead to the formation of raised scars or exacerbate existing ones. Additionally, stress can weaken the immune system, making it harder for the body to heal and potentially leading to inflammation in the oral cavity.

Another possibility is that the raised scar could be related to a condition known as oral lichen planus, which is an inflammatory condition that can cause white patches, lesions, and sometimes painful sores in the mouth. This condition is often triggered by stress, and while it is not directly caused by it, stress can certainly exacerbate the symptoms.

If the raised scar is painful or shows signs of breaking the skin, it is essential to consult with a healthcare professional, preferably an oral surgeon or a dermatologist specializing in oral conditions. They can perform a thorough examination and may recommend a biopsy if there is any concern about the nature of the scar. This is particularly important if the scar changes in appearance, becomes increasingly painful, or if you notice any other unusual symptoms.

In terms of management, if the raised scar is determined to be benign, treatment options may include topical therapies to reduce inflammation or pain, or in some cases, procedures to flatten the scar, such as corticosteroid injections or laser therapy. Maintaining good oral hygiene and managing stress through relaxation techniques or counseling can also be beneficial.

In conclusion, while raised scars in the mouth can be benign, they warrant attention, especially if they are painful or changing. Stress and sleep disturbances can play a role in oral health, and addressing these factors may help in managing symptoms. It is advisable to seek professional evaluation to determine the underlying cause and appropriate treatment options.