Oral Sores: When to See a Doctor for Relief

Mouth ulcer! It hasn't improved for several days?

Hello, doctor! I apologize for bothering you here.
My situation is that about last Wednesday (June 30), I experienced occipital neuralgia behind my ear and saw an ENT specialist, and I have since recovered.
However, I also noticed a skin lesion near the molars at the base of my tongue.
Initially, for the first two or three days, there was pain when eating (no bleeding), but after that (after applying an oral ointment), the pain completely subsided.
However, there is a white lesion with a depression of about "less than one centimeter" (no enlargement, no bleeding, no red or black spots).
As of now (July 9), it has not decreased in size, but I feel much better.
Do I need to see a doctor for this? Should I go to a hospital or a small clinic? I apologize, as there are too many people around me suggesting I see an ENT, or an oral medicine specialist, and some say a dentist, so I'm quite confused.

Xiao Kang, 20~29 year old female. Ask Date: 2021/07/09

Dr. Zeng Guanghui reply Dentistry

If there is a sore on the cheek next to the molars, it may be due to inflammation or infection of the soft tissue on the buccal side of the molars, or it could be a sign of gum recession.
It is advisable to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/07/09

More Info

It's understandable to feel confused and concerned about oral sores, especially when they cause discomfort or pain. Based on your description, it sounds like you may be dealing with an oral ulcer or sore that has developed near your molars. These types of sores can be caused by various factors, including trauma, irritation, infections, or even underlying health conditions.

Given that you experienced pain initially, which has since subsided, and that the sore has not shown signs of worsening (such as bleeding or spreading), it is a positive sign. However, the presence of a white, shallow ulcer that has not shrunk in size over the past week warrants further attention. Here are some considerations regarding when to seek medical advice and which type of healthcare provider to consult:
1. Duration and Symptoms: Oral ulcers that persist for more than two weeks without improvement should be evaluated by a healthcare professional. Since your sore has not shrunk in size and has been present for over a week, it would be prudent to seek medical advice.

2. Type of Provider: In your case, you have a few options:
- Dentist: A dentist is well-equipped to examine oral lesions and can provide treatment for issues related to the teeth and gums. They can also identify if the sore is related to dental issues, such as trauma from teeth or dental appliances.

- Oral Surgeon or Oral Medicine Specialist: If the sore is persistent and requires a more specialized evaluation, an oral surgeon or a specialist in oral medicine may be appropriate. They can perform biopsies if necessary to rule out more serious conditions.

- Ear, Nose, and Throat (ENT) Specialist: Since you mentioned having had occipital neuralgia and seeing an ENT, they can also evaluate oral and throat-related issues, especially if there are concerns about the connection between your symptoms.

3. Signs to Watch For: If you notice any of the following symptoms, you should seek medical attention promptly:
- Increased pain or discomfort
- Signs of infection (such as swelling, redness, or pus)
- Difficulty swallowing or eating
- Fever or systemic symptoms
4. Home Care: In the meantime, you can manage discomfort with some home remedies:
- Rinse your mouth with warm salt water to help soothe the area.

- Avoid spicy or acidic foods that may irritate the sore.

- Over-the-counter topical treatments can provide relief and promote healing.

5. Follow-Up: If you decide to see a dentist or an oral specialist, they may recommend follow-up appointments to monitor the sore's progress. If it does not improve or if new symptoms arise, further investigation may be necessary.

In conclusion, while your sore may not seem alarming at the moment, it is wise to consult a healthcare provider to ensure proper diagnosis and treatment. A dentist is likely your best first step, as they can assess the sore in the context of your overall oral health. If needed, they can refer you to a specialist for further evaluation. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help.

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