White Tissue Around Wisdom Teeth: Causes and Concerns - Dentistry

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White mucosa near the wisdom tooth?


Hello doctor, I recently noticed that the tissue around my lower left horizontal wisdom tooth is white.
It feels smooth to the touch and is not painful.
I'm not sure if this is due to the wisdom tooth erupting and causing pressure, or if it's from the occlusal marks of the upper left wisdom tooth.
I'm worried that it might be fibrotic.
Does the presence of any white tissue in the mouth always indicate fibrosis?

Li Zi, 20~29 year old female. Ask Date: 2020/03/14

Dr. Zeng Guanghui reply Dentistry


Hello, Li: The white lesions in the oral cavity may be leukoplakia, ulcers, or mucosal fibrosis.
It is recommended to consult a dentist for an examination.
Dr.
Tseng Guang-Hui, Nantou Hospital.

Reply Date: 2020/03/14

More Info


The presence of white tissue around your wisdom teeth can be concerning, but it is important to understand that not all white areas in the mouth indicate a serious condition. The white tissue you are observing could be due to several factors, including irritation, inflammation, or even a benign condition.
One common cause of white tissue around wisdom teeth is the development of a condition known as leukoplakia, which is characterized by white patches on the mucous membranes of the mouth. These patches can arise from chronic irritation, such as from the pressure of a partially erupted wisdom tooth or from friction caused by neighboring teeth. In many cases, leukoplakia is benign, but it can sometimes indicate a more serious condition, so it is essential to have it evaluated by a dental professional.

Another possibility is that the white tissue is a result of keratinization, which is a natural process where the epithelial cells in the oral mucosa become thicker and more keratinized due to irritation. This can occur around wisdom teeth that are erupting or impacted, as the surrounding tissue may react to the pressure and inflammation. If the tissue is not rough and does not cause pain, it may simply be a response to the mechanical irritation rather than a sign of fibrosis or a serious condition.

In some cases, the white tissue could also be related to a condition known as oral thrush, which is a fungal infection caused by an overgrowth of Candida yeast. This condition typically presents as creamy white lesions that can be wiped away, often accompanied by soreness or discomfort. If you notice any additional symptoms such as pain, difficulty swallowing, or a persistent sore throat, it would be wise to consult a healthcare provider for further evaluation.

It is important to note that not all white areas in the mouth are indicative of fibrosis. Fibrosis refers to the thickening and scarring of connective tissue, which can occur due to chronic inflammation or injury. While some white patches may be associated with fibrotic changes, many are simply benign and related to irritation or inflammation.

Given your situation, it is advisable to schedule an appointment with a dentist or oral surgeon. They can perform a thorough examination, possibly including imaging studies, to determine the exact cause of the white tissue and recommend appropriate treatment if necessary. Early intervention can help prevent potential complications and provide peace of mind.

In summary, while the presence of white tissue around your wisdom teeth can be concerning, it is not always indicative of a serious condition. Factors such as irritation, inflammation, or benign conditions like leukoplakia or keratinization may be at play. It is essential to seek professional evaluation to determine the underlying cause and receive appropriate care. Remember, maintaining good oral hygiene and regular dental check-ups are crucial for preventing and addressing oral health issues.

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