Oral ulceration
Two weeks ago, I had a sore inside my mouth that has healed, but the scar is uneven, not painful, and slightly swollen.
Is this normal? Do I need to see a doctor?
Niming, 20~29 year old female. Ask Date: 2020/08/28
Dr. Zeng Guanghui reply Dentistry
Hello, Anonymous: After the healing of the mouth ulcer, the wound appears uneven and slightly swollen, but it is not painful.
It is recommended to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2020/08/28
More Info
When it comes to oral ulcers and healing issues, it's essential to understand the nature of the symptoms you're experiencing. Oral ulcers, also known as canker sores, can be quite common and often heal on their own within a week or two. However, if you notice that the healing process is not progressing as expected, or if you have concerns about the appearance or symptoms of the ulcer, it may be time to seek dental care.
Based on your description, you mentioned that the ulcer on the inside of your mouth has healed but is now presenting with an uneven surface, slight swelling, and no pain. While some irregularity in the healing tissue can be normal, especially if the ulcer was deep or large, there are several factors to consider:
1. Duration of Symptoms: If the ulcer has been present for more than two weeks without improvement, it is advisable to consult a dentist or oral health professional. Persistent ulcers can sometimes indicate underlying health issues, including infections or autoimmune conditions.
2. Appearance of the Healing Tissue: The fact that the healing area is uneven and slightly swollen can be a normal part of the healing process, especially if the ulcer was significant. However, if you notice any unusual colors (like white or yellow patches), or if the area becomes increasingly painful, this could be a sign of infection or other complications.
3. Associated Symptoms: If you experience additional symptoms such as fever, difficulty swallowing, or swollen lymph nodes, these could indicate a more serious condition that requires immediate medical attention.
4. Underlying Health Conditions: If you have a history of autoimmune diseases, nutritional deficiencies (like vitamin B12, folate, or iron), or other systemic health issues, these could contribute to the development of oral ulcers and affect healing. In such cases, a healthcare provider might recommend blood tests or further evaluations.
5. Treatment Options: If you decide to seek dental care, the dentist may perform a thorough examination of your mouth, possibly including imaging or biopsies if there are concerns about the nature of the ulcer. Treatment options could include topical medications to reduce inflammation, pain relief, or addressing any underlying conditions that may be contributing to the ulcer formation.
In summary, while some irregularities in healing can be normal, it is crucial to monitor the situation closely. If the ulcer does not improve, or if you have any concerns about the appearance or associated symptoms, it is wise to consult a dental professional. They can provide a comprehensive evaluation and recommend appropriate treatment to ensure proper healing and address any underlying issues. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help if you're unsure.
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