Oral Burns: Causes, Symptoms, and Treatment Options

Oral burn?

In the past few days, I have developed a hole in my inner gum.
I'm not sure how it happened, but I remember that one day I drank hot soup, and after burning myself, a wound appeared.
I applied some oral ointment, but it seems like the hole has gotten a bit larger than before.
It's located on the inner gum of the molar in front of my wisdom tooth, where I have had a tooth extraction.
Is it possible that this area is more prone to injury or developing holes? Additionally, my sleep schedule is quite irregular, and I've heard from friends that staying up late and having a lot of heat in the body can also cause gum issues.
Is that true?

A Yue, 20~29 year old female. Ask Date: 2021/12/25

Dr. Zeng Guanghui reply Dentistry

It may be an oral mucosal burn, leading to mucosal damage and pain.
However, if there are irregular lifestyle habits or significant emotional stress, it can cause immune system dysregulation, resulting in oral mucosal ulcers.
Generally, after maintaining proper oral hygiene and a regular lifestyle, recovery will occur gradually.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/12/25

More Info

Oral burns, particularly those caused by hot foods or liquids, can lead to painful lesions in the mouth, including the gums. When you experience a burn from hot soup, the oral mucosa can become damaged, leading to symptoms such as pain, swelling, and the formation of ulcers or sores. In your case, the "hole" in your gum may be a result of this thermal injury.

Causes of Oral Burns
1. Thermal Injury: The most common cause of oral burns is consuming hot foods or beverages. The mucosal lining of the mouth is sensitive, and exposure to high temperatures can cause immediate damage.

2. Chemical Irritants: Certain foods, such as acidic or spicy items, can also irritate the oral mucosa, leading to discomfort or lesions.

3. Mechanical Trauma: If you have had dental work or if a tooth has been extracted, the surrounding tissues may be more susceptible to injury. The absence of a tooth can alter the anatomy of the mouth, making it easier for the gums to become injured.

4. Underlying Health Conditions: Conditions such as vitamin deficiencies, autoimmune diseases, or infections can also predispose individuals to oral lesions.

Symptoms
Symptoms of oral burns can vary but typically include:
- Pain or discomfort in the affected area
- Swelling or redness
- Formation of sores or ulcers
- Difficulty eating or drinking, especially with hot or spicy foods
In your case, since you mentioned that the sore feels larger after applying an oral ointment, it could indicate that the burn is not healing properly, or that the ointment is not effective for your specific injury.

Treatment Options
1. Oral Hygiene: Maintaining good oral hygiene is crucial. Rinse your mouth with a mild saltwater solution to help keep the area clean and promote healing.

2. Avoid Irritants: Stay away from hot, spicy, or acidic foods that could further irritate the burn. Stick to soft, bland foods until the area heals.

3. Topical Treatments: While you mentioned using an oral ointment, ensure that it is appropriate for burns. Products containing benzocaine or other topical anesthetics can help relieve pain.

4. Hydration: Staying hydrated is important for overall oral health and can help soothe the mucosa.

5. Consult a Dentist: If the sore does not improve within a week or two, or if it worsens, it is advisable to see a dentist. They can assess the injury and rule out any underlying issues, such as infections or other oral diseases.

Lifestyle Factors
You also mentioned irregular sleep patterns and stress, which can affect your immune system and overall oral health. Stress can lead to behaviors such as teeth grinding or clenching, which may exacerbate oral issues. Additionally, lack of sleep can impair healing processes in the body.

Conclusion
In summary, oral burns can lead to painful lesions in the mouth, and your symptoms suggest that you may be dealing with a thermal injury. Maintaining good oral hygiene, avoiding irritants, and possibly using topical treatments can help manage your symptoms. However, if the condition persists or worsens, seeking professional dental care is essential. Addressing lifestyle factors, such as improving sleep quality and managing stress, can also contribute positively to your oral health.

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