Oral mucosal issues: The wisdom teeth on both sides are horizontally impacted, and there are white spots on the gum tissue covering the wisdom teeth on the left and right sides?
The white spots you see below the tissue are wisdom teeth (unfortunately, both are growing horizontally).
The white spots are symmetrically aligned.
I am very concerned that this might be leukoplakia or oral cancer, etc.
Thank you, doctor.
QQ, 20~29 year old female. Ask Date: 2019/05/31
Dr. Lin Jiayong reply Dentistry
Hello: The white area in the photo is likely a common canker sore; however, if there is an impacted tooth underneath, it is advisable to undergo further examination or even consider extracting the wisdom tooth.
Thank you!
Reply Date: 2019/05/31
More Info
Concerns about oral health, particularly regarding impacted wisdom teeth and their potential effects on the oral mucosa, are quite common. The presence of white spots or lesions in the mouth can be alarming, and it is understandable to worry about conditions such as leukoplakia or even oral cancer. However, it is essential to approach this issue with a clear understanding of the possible causes and implications.
Impacted wisdom teeth, especially those that are horizontally positioned, can lead to various complications. These teeth may not fully erupt into the mouth, which can create pockets where food particles and bacteria can accumulate. This situation can lead to inflammation of the surrounding gum tissue, known as pericoronitis, which may present as swelling, pain, and sometimes the formation of pus. The white spots you are observing could be a result of this inflammation or infection, rather than an indication of a more serious condition like oral cancer.
Leukoplakia, characterized by white patches on the mucous membranes of the mouth, can occur due to various factors, including irritation from dental issues, tobacco use, or chronic friction from teeth. While leukoplakia can sometimes be a precursor to cancer, most cases are benign, especially when associated with irritants like impacted teeth. However, any persistent lesions or changes in the oral mucosa should be evaluated by a dental professional to rule out malignancy.
It is crucial to monitor the symptoms you are experiencing. If the white spots are accompanied by pain, difficulty in swallowing, or any other concerning symptoms, it is advisable to seek dental care promptly. A dentist can perform a thorough examination, possibly including imaging studies, to assess the position of your wisdom teeth and the condition of your oral mucosa. They may also recommend a biopsy of any suspicious lesions to ensure an accurate diagnosis.
In terms of treatment, if your wisdom teeth are indeed impacted and causing problems, extraction may be necessary. This procedure can alleviate the pressure on surrounding teeth and tissues, potentially resolving the inflammation and any associated symptoms. Post-extraction, maintaining good oral hygiene is vital to prevent further complications and promote healing.
In summary, while impacted wisdom teeth can lead to oral mucosal changes and discomfort, the presence of white spots does not automatically indicate a severe condition like oral cancer. It is essential to consult a dentist for an accurate diagnosis and appropriate management. Regular dental check-ups and prompt attention to any changes in your oral health can significantly contribute to maintaining overall well-being.
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