Gritty Sensation in the Mouth: Is It Normal? - Dentistry

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The subsequent issue is that the mouth feels gritty when licked?


Hello, thank you for your previous response, doctor.
I would like to ask again, if there is no family history of oral cancer, and I have a slightly gritty feeling when I lick it, but the mucosal color is quite similar to the surrounding area and it hasn't changed for a long time, could this be considered normal? Is it common for the oral cavity to exhibit such phenomena?

Xiao Xiao de Wenti, 20~29 year old female. Ask Date: 2021/10/18

Dr. Lin Jiayong reply Dentistry


Hello: If you are currently experiencing a rattling sensation, it is advisable to consult a dentist or an otolaryngologist for a thorough examination to determine the issue.
Waiting until the sensation subsides before seeking medical attention may make it difficult to diagnose the problem.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/18

More Info


The gritty sensation you are experiencing in your mouth, particularly on the right side of your oral mucosa, can indeed be a source of concern for many individuals. However, based on your description, it seems that there are several factors to consider before jumping to conclusions about its significance.

First and foremost, it is important to note that variations in the texture of the oral mucosa can occur for a variety of reasons. The oral cavity is a dynamic environment, influenced by factors such as hydration, diet, oral hygiene, and even the presence of certain medical conditions. The sensation of grittiness or roughness could be attributed to several benign causes, including:
1. Dehydration: If you have been experiencing dry mouth (xerostomia), this can lead to a rough texture on the oral mucosa. Dehydration can result from various factors, including insufficient fluid intake, certain medications, or underlying health conditions.

2. Oral Hygiene: Inadequate oral hygiene can lead to the accumulation of plaque or food particles, which may create a gritty sensation. Regular brushing and flossing are essential to maintain oral health and prevent such sensations.

3. Allergic Reactions: Sometimes, the use of new dental products, such as toothpaste or mouthwash, can trigger localized allergic reactions, leading to changes in the texture of the mucosa.

4. Fungal Infections: Conditions like oral thrush, caused by an overgrowth of Candida yeast, can also lead to changes in the texture of the oral mucosa. This is typically accompanied by other symptoms, such as white patches or discomfort.

5. Mucosal Changes: The oral mucosa can undergo natural changes due to age, hormonal fluctuations, or other physiological factors. These changes may not necessarily indicate a pathological condition.

Given that you have no family history of oral cancer and that the color of the mucosa appears normal without any significant changes, it is likely that this gritty sensation is benign. However, it is essential to monitor the situation. If the sensation persists, worsens, or is accompanied by other symptoms such as pain, swelling, or changes in color, it would be prudent to seek an evaluation from a healthcare professional, preferably an ear, nose, and throat (ENT) specialist or a dentist.

In terms of oral health, maintaining good hydration, practicing proper oral hygiene, and being mindful of any new products you introduce into your routine can help alleviate the gritty sensation. If you suspect that the sensation may be related to an allergic reaction or a fungal infection, consulting with a healthcare provider for appropriate diagnosis and treatment would be advisable.

In conclusion, while the gritty sensation you are experiencing may not be a cause for alarm, it is always best to err on the side of caution. Regular check-ups with your dentist or healthcare provider can help ensure that any changes in your oral health are monitored and addressed promptly. If you have any further concerns or if the sensation persists, do not hesitate to seek professional advice. Your oral health is an integral part of your overall well-being, and staying informed is key to maintaining it.

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