Cheek Lesions: What to Do About Your Oral Concerns

There is a line on the inside of the cheek?

I would like to ask the doctor about something I noticed recently.
There is a line on the inside of my cheek (only on one side) and a circular mark that looks like a bite mark.
I don't feel anything unless I touch it, and it doesn't hurt when I do.
Could it be something similar to a white line? Also, if I leave it alone, will it heal on its own?

Xiao Yi, 10~19 year old female. Ask Date: 2019/12/31

Dr. Zeng Guanghui reply Dentistry

It appears to be oral mucosal inflammation caused by an immune system disorder.
Generally, there is not much discomfort, but some may experience a burning or stinging sensation in the buccal mucosa.
During this period, it is advisable to avoid irritating foods and maintain a regular lifestyle, which will gradually lead to improvement.

Reply Date: 2019/12/31

More Info

When it comes to oral health, particularly concerning lesions or abnormalities in the mouth, it is essential to approach the situation with caution and awareness. Based on your description of a lesion on the inner side of your cheek that resembles a bite mark and appears as a white line, there are several potential explanations and recommendations to consider.

Firstly, the appearance of a white line or a circular lesion in the mouth can be indicative of various conditions. One common cause is a traumatic ulcer, which can occur from accidentally biting the inside of your cheek or from irritation due to dental appliances or rough edges of teeth. These types of lesions typically heal on their own within a week or two, especially if the source of irritation is removed. If the lesion is indeed a result of trauma, it is likely that avoiding further irritation will allow it to heal naturally.

Another possibility is that the lesion could be a manifestation of a condition known as leukoplakia, which presents as white patches in the mouth. While leukoplakia can be benign, it can also be associated with more serious conditions, including precancerous changes. Therefore, it is crucial to monitor the lesion for any changes in size, color, or texture. If it persists for more than two weeks or if you notice any additional symptoms, such as pain, difficulty swallowing, or changes in taste, it is advisable to seek a professional evaluation.

Additionally, oral lichen planus is another condition that can present with white lines or patches in the mouth. This is an inflammatory condition that can cause discomfort and may require treatment if it becomes symptomatic. If you suspect that your lesion may be related to this condition, consulting with a healthcare professional is essential.

In terms of management, if the lesion is asymptomatic and not causing any discomfort, it may be reasonable to observe it for a short period. However, if you notice any changes or if it begins to cause pain or discomfort, it is crucial to consult with a dentist or an oral surgeon. They can perform a thorough examination, possibly including a biopsy if necessary, to determine the exact nature of the lesion.

In summary, while it is possible that the lesion you are experiencing may resolve on its own, it is essential to remain vigilant. Keep an eye on any changes, and do not hesitate to seek professional advice if you have concerns. Oral health is a vital aspect of overall well-being, and addressing any abnormalities promptly can help prevent potential complications. Regular dental check-ups are also crucial for maintaining oral health and catching any issues early on.

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