Oral mucosa
For more than six months, I have had a persistent urge to suck and swallow saliva.
On both sides of my mouth, at the occlusal area, there is a line that appears to have repeated bite marks.
It is not painful, but there is a feeling of swelling.
Miss Huang, 40~49 year old female. Ask Date: 2020/02/23
Dr. Zheng Jueyi reply Otolaryngology
Hello: It is normal to have a line at the occlusal surface.
If there are no obvious ulcers or pain, you can observe it for now and make sure to drink plenty of water.
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: 2020/02/23
More Info
It sounds like you are experiencing a complex set of symptoms related to your oral health, particularly involving the oral mucosa and possibly the temporomandibular joint (TMJ). The persistent chewing and swelling sensations you describe, along with the biting marks on the sides of your mouth, can be indicative of several underlying issues.
Firstly, the sensation of needing to suck or swallow frequently, combined with the feeling of swelling, could be related to a few factors. One possibility is that you may be experiencing a form of oral mucosal irritation or inflammation. This can occur due to various reasons, including chronic irritation from teeth grinding (bruxism), which is common in individuals who experience stress or anxiety. Bruxism can lead to muscle fatigue and discomfort in the jaw, which might explain the swelling and the need to chew or suck.
Additionally, the biting marks you observe could be a result of your teeth misaligning or an improper bite, which can cause the soft tissues of the cheeks to be pinched or compressed. This is often seen in individuals with malocclusion, where the upper and lower teeth do not fit together properly. If your teeth are not aligned correctly, it can lead to excessive pressure on certain areas of the oral mucosa, causing irritation and the sensation of swelling.
Another potential cause of your symptoms could be related to salivary gland function. If you are experiencing dry mouth (xerostomia), which can be exacerbated by stress, medications, or certain health conditions, this can lead to discomfort and a feeling of swelling in the oral cavity. Saliva plays a crucial role in maintaining oral health, and a lack of it can lead to irritation of the mucosa and an increased risk of dental issues.
Given that your symptoms have persisted for over six months, it is essential to seek a comprehensive evaluation from a dental professional who specializes in oral medicine or a TMJ specialist. They can perform a thorough examination, including assessing your bite, checking for signs of bruxism, and evaluating the health of your oral mucosa. Diagnostic imaging, such as X-rays or a CT scan, may also be necessary to assess the alignment of your teeth and the condition of your jaw joints.
In the meantime, there are a few strategies you can consider to alleviate your symptoms. Practicing stress management techniques, such as mindfulness or relaxation exercises, may help reduce bruxism and associated discomfort. Additionally, using a mouthguard at night can protect your teeth and reduce the strain on your jaw muscles.
If you suspect that your symptoms may be related to an underlying medical condition, such as an autoimmune disorder or a salivary gland issue, it may be beneficial to consult with a healthcare provider who can evaluate your overall health and recommend appropriate tests.
In summary, your symptoms of persistent chewing, swelling, and biting marks on the oral mucosa warrant a thorough evaluation by a dental professional. Identifying the underlying cause is crucial for effective treatment and relief from your discomfort. Remember, maintaining good oral hygiene and addressing any stressors in your life can also contribute to improving your oral health.
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