Hello, Dr. Lin. I would like to ask you about oral health issues?
Hello Dr.
Lin, I recently noticed a rough sensation on the upper left side of my mouth when I touch it with my tongue, and it appears to have some small white spots.
A few days ago, I had a small blood blister at the bite area between my upper and lower teeth, but it has already burst and disappeared.
Additionally, I have been undergoing root canal treatment, which lasts about 40 minutes per session.
After the treatment, I feel soreness when I press on the tissue behind the last tooth on the left side of my cheek (the right side is normal, with no soreness).
Is this normal? Dr.
Lin, could you please explain what might be causing the rough sensation in my cheek? I have been smoking for about two years and am gradually trying to quit.
Thank you for your response, Dr.
Lin.
yu, 20~29 year old female. Ask Date: 2018/12/16
Dr. Lin Jiayong reply Dentistry
Hello: 1.
The rough area on the upper left side of the oral cavity should be checked by the dentist during root canal treatment to confirm if there are any abnormalities in the mucosa.
If concerned, it is advisable to go to a larger hospital for a biopsy.
2.
The rupture and disappearance of the blister is likely a simple oral ulcer with a hematoma; observation is recommended.
3.
Pain upon pressing the upper back teeth may indicate gingival inflammation.
It is advisable to enhance oral hygiene to alleviate the symptoms of redness, swelling, and bleeding.
If there are any abscesses or purulence, prompt examination and treatment are recommended.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2018/12/16
More Info
Dear Patient,
Thank you for reaching out with your concerns regarding the roughness and pain in your oral cavity following dental treatment. It’s important to address these symptoms as they can significantly impact your oral health and overall well-being.
From your description, it sounds like you are experiencing a few different issues. The roughness you feel on the left side of your mouth, along with the small white spots and the previous blood blister, could be indicative of several conditions. One possibility is that you may be experiencing irritation or inflammation in the mucosal lining of your mouth, which can occur after dental procedures, especially if there has been any trauma or if the area is healing from treatment. The presence of roughness could also suggest the formation of a fibrous tissue or even a minor infection, particularly if you have a history of smoking, which can complicate healing and increase the risk of oral lesions.
The pain you feel when pressing on the area near your last molar could be related to several factors. After root canal treatment, it is common to experience some discomfort or sensitivity in the treated area as the tissues heal. This discomfort can sometimes radiate to adjacent areas, including the cheeks and jaw muscles. If the pain persists or worsens, it may indicate that there is additional inflammation or even an issue with the root canal treatment itself, such as an incomplete cleaning or sealing of the canal.
Regarding your smoking history, it is commendable that you are working towards quitting. Smoking can have detrimental effects on oral health, including delayed healing, increased risk of infections, and the development of oral lesions. As you continue to reduce your smoking, you may notice improvements in your oral health over time.
Here are some recommendations for managing your current symptoms:
1. Oral Hygiene: Maintain a rigorous oral hygiene routine. Brush your teeth gently with a soft-bristled toothbrush and use a fluoride toothpaste. Rinse with an alcohol-free mouthwash to help reduce irritation.
2. Diet: Avoid spicy, acidic, or hard foods that may exacerbate discomfort. Soft foods can be easier to manage while you are healing.
3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult your dentist before taking any medication, especially if you have other health conditions or are taking other medications.
4. Follow-Up: It is crucial to keep your follow-up appointments with your dentist. They can assess the healing process and determine if any further treatment is necessary. If the roughness or pain persists, they may recommend additional diagnostic tools, such as X-rays, to evaluate the underlying structures.
5. Smoking Cessation Support: If you are struggling with quitting smoking, consider seeking support through cessation programs or counseling. This can significantly benefit your oral and overall health.
In summary, while some discomfort and roughness can be normal after dental procedures, persistent symptoms warrant further evaluation. Your dentist will be able to provide the best guidance based on a thorough examination. Please do not hesitate to reach out to them with any ongoing concerns.
Wishing you a smooth recovery and improved oral health.
Best regards,
Doctor Q&A Teams
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