White lesions in the oral cavity and cheek pain?
This week, I have been feeling a dull, aching sensation on the inner wall of my right cheek, which makes me want to keep my mouth open.
One day, when I opened my mouth and shone a light, I noticed a white area (see the image linked).
Upon touching it, I can feel a distinct lump.
I usually have a misaligned bite, and when I focus on tasks, I tend to suck on the inner wall of my cheek and chew with my wisdom teeth repeatedly.
I'm wondering if this behavior could have caused the issue in that area.
What kind of treatment should I pursue moving forward? Thank you for your attention!
Mr. Lin, 20~29 year old female. Ask Date: 2021/05/30
Dr. Lin Jiayong reply Dentistry
Hello: Your photo appears to contain adult content, so it cannot be opened online.
If you are concerned about oral cancer, it is recommended that you go to a hospital for a biopsy.
Other conservative treatment options for oral leukoplakia or lesions include observation or topical medications, while more aggressive options include laser treatment or surgical excision.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/05/30
More Info
The presence of white bumps in the mouth, particularly on the inner cheek, can be concerning and may indicate various underlying conditions. Based on your description of discomfort in the right inner cheek and the discovery of a white area that feels like a distinct bump, there are several potential causes to consider.
One common cause of white bumps in the mouth is the formation of oral mucosal lesions, which can arise from irritation, trauma, or infection. Given your mention of biting the inside of your cheek and the habit of sucking on your cheek, it is plausible that these actions have led to localized irritation or injury, resulting in the formation of a fibroma or a similar benign growth. These lesions can appear as white or pale bumps and may be tender to the touch.
Another possibility is the development of oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition often presents as white patches or bumps in the mouth, which can be painful and may not easily scrape off. However, oral thrush is more common in individuals with weakened immune systems, those taking certain medications (like antibiotics or corticosteroids), or those with underlying health conditions such as diabetes.
Additionally, you may be experiencing a condition known as leukoplakia, which is characterized by white patches on the mucous membranes of the mouth. This condition can be caused by chronic irritation, such as from tobacco use, alcohol consumption, or friction from dental appliances. While leukoplakia itself is not cancerous, it can sometimes be a precursor to oral cancer, so it is essential to have it evaluated by a healthcare professional.
Given your history of dental issues, including malocclusion and the habit of chewing on your wisdom teeth, it is also possible that the white bump is related to a dental abscess or a cyst. These conditions can occur when bacteria infect the tissues surrounding a tooth, leading to localized swelling and pain.
To address your concerns and determine the exact nature of the white bump, it is crucial to seek an evaluation from a healthcare provider, preferably an ear, nose, and throat (ENT) specialist or a dentist. They can perform a thorough examination, possibly including imaging studies or a biopsy if necessary, to diagnose the condition accurately.
In the meantime, here are some general recommendations to manage discomfort and promote healing:
1. Avoid Irritation: Try to avoid further irritation to the affected area by refraining from biting your cheeks or using your wisdom teeth excessively.
2. Maintain Oral Hygiene: Keep your mouth clean by brushing your teeth gently and using an antiseptic mouthwash to reduce the risk of infection.
3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort.
4. Dietary Adjustments: Avoid spicy, acidic, or abrasive foods that may exacerbate the pain or irritation.
5. Stay Hydrated: Drink plenty of water to keep your mouth moist and support overall oral health.
6. Monitor Symptoms: Keep an eye on the bump and any changes in size, color, or associated symptoms. If it persists or worsens, seek medical attention promptly.
In conclusion, while the presence of white bumps in the mouth can stem from various causes, understanding the underlying issue is essential for effective treatment. Consulting with a healthcare professional will provide clarity and ensure appropriate management of your symptoms.
Similar Q&A
Understanding White Bumps in the Mouth: Causes and Treatments
Hello, doctor. Recently, I accidentally discovered some white, raised spots on the inside of my cheeks near the corners of my mouth. They are not painful or itchy, and I can feel them as small bumps when I lick them with my tongue. It seems like they've been there for a long...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the most common cause is a viral infection, while a minority may be early oral lesions. It is recommended to consult an otolaryngologist for a specialized examination.[Read More] Understanding White Bumps in the Mouth: Causes and Treatments
Understanding Gum Pain and White Bumps: Possible Causes and Relief
Hello, doctor! About two weeks ago, I started experiencing pain in my gums and mouth when brushing my teeth and eating hot foods. For the past three days, not only has this condition persisted, but I have also developed some small white bumps, about the size of granulated sugar, ...
Dr. Zheng Jueyi reply Otolaryngology
Hello: Commonly associated with gum infections, if the pain persists, you may first take anti-inflammatory pain relievers and rinse your mouth with plenty of water. If there is no improvement or if you experience a fever, or if symptoms continue to worsen, you should seek medical...[Read More] Understanding Gum Pain and White Bumps: Possible Causes and Relief
Understanding White Bumps in the Mouth: Causes and Treatments
I have developed white protrusions on the inside of my right cheek and the back of my gums, measuring less than a millimeter. Eating causes a stinging sensation. I used tweezers to remove the white protrusions, and the stinging sensation went away the next day, but a few days lat...
Dr. Zeng Guanghui reply Dentistry
A white growth has appeared on the gums of the upper right cheek in the mouth. Although it was removed, it has reappeared, which may indicate an infection in the gums or a lesion at the root apex. It is advisable to consult a dentist for an X-ray examination for a detailed assess...[Read More] Understanding White Bumps in the Mouth: Causes and Treatments
Understanding Oral Health: What to Do About Painful White Bumps
Hello doctor, today I noticed sudden pain in my cheek and found some granular white spots on the inner side of my left cheek (near the upper teeth). They feel rough to the touch, and my muscles are slightly painful. At the same time, the muscles in my jaw are also painful. Am I s...
Dr. Xu Zhenglong reply Dentistry
Hello, Xiao Hong: Regarding the issue you raised, may I ask if you have a habit of chewing betel nut? If not, the risk of developing oral cancer is somewhat lower. You may be experiencing: 1. An infection caused by friction between your teeth and cheek, such as cellulitis. 2. Par...[Read More] Understanding Oral Health: What to Do About Painful White Bumps
Related FAQ
(Dentistry)
Facial Swelling(Dentistry)
Tongue Pain(Dentistry)
Gingivitis(Dentistry)
Toothache(Dentistry)
Bruxism(Dentistry)
Halitosis(Dentistry)
Mouth Corner(Dermatology)
Salivary Gland Cyst(Dentistry)
Lip Mucosa(Dentistry)