Oral Scars from Braces: Are They Linked to Oral Cancer?

Q: Oral Scars from Braces: Are They Linked to Oral Cancer?

Hello： It is recommended to have a physician cut or bend the wire to adjust it, as repeatedly irritating the oral mucosa could lead to further damage.

Repeated irritation from braces has left deep scars and white patches in the oral cavity?

I have been wearing braces for about a month.
Initially, the wire at the back of my molars kept scraping my mouth, causing sores and bleeding.
However, after about 2 to 3 weeks, the wounds healed but left deep scars.
They are not painful, but the raised tissue has a slightly white appearance.
Is this consistent with leukoplakia associated with oral cancer?

Yi Yi, 20~29 year old female. Ask Date: 2021/06/23

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to have a physician cut or bend the wire to adjust it, as repeatedly irritating the oral mucosa could lead to further damage.

Reply Date: 2021/06/23

More Info

When it comes to oral health, particularly in the context of wearing braces, it's important to understand the nature of oral scars and their potential implications. The situation you described, where the wire from your braces caused cuts and subsequent scarring, is quite common among individuals undergoing orthodontic treatment. The initial irritation and injury to the oral mucosa can lead to healing processes that result in scar tissue formation.
The white, raised scar tissue you mentioned is likely a result of the healing process following the trauma inflicted by the braces. This type of scar tissue is typically benign and is not indicative of oral cancer. Oral cancer, particularly squamous cell carcinoma, often presents with different characteristics. Common signs of oral cancer include persistent sores that do not heal, lumps or thickening in the oral tissues, white or red patches (leukoplakia or erythroplakia), and changes in the texture of the oral mucosa.
In your case, the white area is likely a form of keratosis or hyperplasia, which is a common response to irritation. It is essential to differentiate between benign conditions and potential precursors to malignancy. The presence of a scar from braces does not inherently increase your risk for oral cancer. However, if you notice any changes in the appearance of the scar, such as increased size, color change, or if it becomes painful, it would be prudent to consult with a healthcare professional for further evaluation.

Moreover, oral submucous fibrosis (OSF) is a condition often associated with areca nut (betel nut) chewing, which leads to a specific type of fibrosis in the oral mucosa. This condition is distinct from the scarring you are experiencing and is not applicable in your case, especially since you mentioned no history of areca nut use.
It is also worth noting that while braces can cause temporary irritation and scarring, maintaining good oral hygiene is crucial during orthodontic treatment. Regular dental check-ups and cleanings can help manage any issues that arise and ensure that your oral health remains optimal.

In summary, the scarring you are experiencing from your braces is likely a benign result of the healing process following irritation. It is not associated with oral cancer. However, if you have any concerns or if the scar changes in any way, it is always best to seek advice from a dental professional who can provide a thorough examination and peace of mind. Regular monitoring of your oral health and being aware of any changes is key to early detection of any potential issues.

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