Oral Blisters: Causes and When to See a Dentist - Dentistry

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Small blisters in the posterior oral cavity?


Hello doctor, I have a small blister located about 2 cm behind the last molar on the right side of my mouth (in a position that stretches when I open my mouth).
There is only one blister, approximately 2 mm in size, and it is not very painful or itchy.
It tends to heal but occasionally recurs.
Should I see a doctor? Could this be related to my immune system? My location is similar to the one described in this article, but it is not about me: https://www.pttweb.cc/bbs/teeth_salon/M.1544198265.A.146

Zhuang, 20~29 year old female. Ask Date: 2021/05/18

Dr. Lin Jiayong reply Dentistry


Hello: It may not necessarily be an issue of immunity; it could also be caused by irritation from devices such as braces or dentures.
It is advisable to seek a medical examination.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/05/18

More Info


Oral blisters can be a common issue, and understanding their causes is essential for determining whether you need to see a dentist. Based on your description, it sounds like you have a small blister located near the last molar on the right side of your mouth. These blisters can vary in size and may not always be painful or itchy, which is consistent with your experience.

Possible Causes of Oral Blisters
1. Aphthous Stomatitis (Canker Sores): These are small, painful ulcers that can appear on the soft tissues of the mouth. They are usually round or oval with a white or yellow center and a red halo. While they can be painful, they often heal on their own within one to two weeks.

2. Herpes Simplex Virus (HSV): Oral herpes can cause blisters or sores in the mouth. These are typically painful and may be accompanied by other symptoms like fever or swollen lymph nodes. If the blister recurs frequently, it could be a sign of herpes simplex.

3. Irritation or Trauma: Sometimes, blisters can form due to irritation from dental appliances, rough edges of teeth, or accidental biting. If you have been experiencing any trauma to that area, it could explain the blister formation.

4. Allergic Reactions: Certain foods, medications, or dental products can cause allergic reactions that manifest as blisters in the mouth.

5. Immune System Issues: If you have a compromised immune system, you may be more susceptible to infections and blisters. Conditions like Behçet's disease or other autoimmune disorders can also lead to recurrent oral ulcers.


When to See a Dentist
Given that your blister is recurring but not causing significant pain or discomfort, it may not be urgent to see a dentist immediately. However, you should consider scheduling an appointment if:
- The blister persists for more than two weeks without improvement.

- You notice an increase in the frequency or severity of the blisters.

- The blister becomes painful, swollen, or shows signs of infection (such as pus or increased redness).

- You experience other symptoms, such as fever, difficulty swallowing, or swollen lymph nodes.


Management and Treatment
In the meantime, here are some self-care tips you can follow:
- Maintain Oral Hygiene: Continue to brush and floss regularly, but be gentle around the blistered area to avoid irritation.

- Avoid Irritating Foods: Spicy, acidic, or rough-textured foods can aggravate the blister. Stick to soft, bland foods until it heals.

- Topical Treatments: Over-the-counter topical anesthetics can help relieve discomfort. Products containing benzocaine or aloe vera may provide some relief.

- Stay Hydrated: Drink plenty of fluids to keep your mouth moist, which can help with healing.

- Monitor Your Immune Health: If you suspect that your immune system may be contributing to the issue, consider discussing this with your healthcare provider.

In conclusion, while your oral blister may not require immediate dental attention, it is essential to monitor its behavior and any accompanying symptoms. If you notice any changes or if the blister becomes bothersome, don't hesitate to consult a dentist for a thorough evaluation and appropriate treatment. Your oral health is crucial, and addressing any concerns early can prevent more significant issues down the line.

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