Oral Sores: Causes, Concerns, and When to Seek Help - Dentistry

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Hello Doctor, I have recurrent blisters on both sides of my mouth near the throat area.
They usually burst within a day or I accidentally break them.
They are not painful or itchy; I can only feel their presence when my tongue touches them.
I used to have a betel nut chewing habit for about two years.
I wonder if this is related to the betel nut.
Additionally, there is a white fibrous area at one corner of my mouth (which is also not painful or itchy).
I have quit chewing betel nut for over a year now.
Should I go to the hospital for treatment, or is it okay to leave it as is? I have done a self-examination and found no lumps or pain.
Thank you, Doctor, for taking the time to respond.

Kunrao de ren, 20~29 year old female. Ask Date: 2021/06/15

Dr. Zeng Guanghui reply Dentistry


Long-term betel nut consumption may lead to oral mucosal fibrosis, resulting in a loss of elasticity or increased fragility of the oral mucosa, making it susceptible to frictional damage.
If blisters repeatedly form and rupture, it could also be indicative of an autoimmune issue causing recurrent inflammation of the oral mucosa.
It is advisable to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/06/15

More Info


Understanding oral sores and their underlying causes is crucial for maintaining oral health. Oral sores, such as canker sores or vesicles, can arise from various factors, including trauma, infections, irritants, and underlying health conditions. In your case, the recurrent water blisters near the back of your throat, which break easily and are not painful or itchy, could be indicative of several potential issues.

One possibility is that these sores are aphthous ulcers, which are common and can be triggered by stress, certain foods, or even hormonal changes. However, given your history of betel nut chewing, it's essential to consider that this habit can lead to various oral health issues, including mucosal changes and potentially precancerous lesions. Betel nut is known to cause irritation and changes in the oral mucosa, which could explain the white fibrous area you mentioned at the corner of your mouth.

The fact that you have stopped chewing betel nut for over a year is a positive step towards improving your oral health. However, the presence of white fibrous tissue, even if asymptomatic, warrants further investigation. While it may not be causing you discomfort now, changes in the oral mucosa can sometimes precede more serious conditions, including oral cancer. Therefore, it is advisable to consult with a healthcare professional, preferably an oral surgeon or a dentist specializing in oral pathology, for a thorough examination.

During your visit, the dentist may perform a visual examination and may recommend a biopsy of the white fibrous area to rule out any serious conditions. This is particularly important if the lesion persists or changes in appearance. Additionally, they may inquire about your overall health, dietary habits, and any other symptoms you may be experiencing, as these factors can contribute to oral health issues.

In terms of self-care, maintaining good oral hygiene is essential. This includes brushing your teeth at least twice a day, flossing daily, and using an antibacterial mouthwash to help reduce the risk of infection. Avoiding irritants, such as spicy or acidic foods, can also help minimize discomfort and prevent further irritation of the oral mucosa.

If you notice any changes in the size, color, or texture of the sores or if new symptoms arise, such as pain, swelling, or difficulty swallowing, it is crucial to seek medical attention promptly. Early intervention can significantly improve outcomes and help address any underlying issues before they escalate.

In summary, while your current symptoms may not seem severe, the history of betel nut use and the presence of white fibrous tissue in your mouth suggest that a professional evaluation is warranted. Regular dental check-ups and being proactive about any changes in your oral health can help ensure that any potential issues are addressed early on.

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