The condition after the healing of oral ulcers?
Hello, Doctor! About a week ago, I had a small ulcer on the inner mucosa of my right cheek.
The white area of the ulcer was about the size of a sesame seed, surrounded by redness, and I felt a stinging pain when eating and speaking.
I applied an oral ointment, and after about three to four days, it started to heal.
It is now completely pain-free, but I noticed that the area, although healed and less noticeable, still does not match the color of the surrounding tissue 100%.
The edges of the sesame-sized ulcer are slightly visible, but the center has healed, and there is a slight redness around it (much less than when it was painful).
Is this a normal situation after the healing of an ulcer? Will it eventually return to 100% without any trace? Thank you, Doctor!
Jack, 30~39 year old female. Ask Date: 2023/07/04
Dr. Lin Jiayong reply Dentistry
Hello: The guidelines for oral mucosa examination state that a wound that has not healed after two months is considered abnormal.
If you continue to observe for two months and still have concerns, it is recommended to consult an oral surgeon to see if a biopsy is necessary.
Reply Date: 2023/07/04
More Info
The healing process of oral ulcers, such as the one you described, can vary significantly from person to person, but there are some general patterns and expectations that can help you understand what you might experience.
Firstly, it is important to recognize that oral ulcers, often referred to as canker sores or aphthous ulcers, are common and usually heal on their own within one to two weeks. The initial symptoms you experienced, including pain and discomfort while eating or speaking, are typical. The white area you observed is often a sign of tissue necrosis or ulceration, while the surrounding redness indicates inflammation.
As you mentioned, after applying an oral ointment, you noticed improvement within three to four days, which is a positive sign. The fact that the pain has subsided and the ulcer appears to be healing is encouraging. The healing process typically involves several stages:
1. Inflammation: This is the initial response to injury, where the area becomes red, swollen, and painful. This phase can last for a few days.
2. Granulation Tissue Formation: As the ulcer begins to heal, new tissue starts to form. This tissue is often pink or red and may appear slightly raised.
3. Epithelialization: The final phase involves the regeneration of the epithelial layer over the ulcer. This can take a week or more, depending on the size and depth of the ulcer.
Regarding your specific situation, it is normal for the healed area to appear slightly different from the surrounding tissue. The color may not match perfectly for some time, as the new tissue may take longer to regain its normal pigmentation. The slight redness you observe is likely residual inflammation, which should gradually resolve.
In most cases, the area will continue to improve and may eventually return to a color that closely resembles the surrounding mucosa. However, complete normalization can take weeks to months, depending on factors such as the individual's healing capacity, the size of the ulcer, and any underlying health conditions.
If the area remains discolored or if you notice any new symptoms, such as increased pain, swelling, or the development of new ulcers, it would be wise to consult a healthcare professional. Persistent changes in the oral mucosa can sometimes indicate other underlying conditions that may require further evaluation.
In summary, what you are experiencing is a normal part of the healing process for oral ulcers. The area may take some time to return to its original appearance, but with proper care and monitoring, you should expect continued improvement. If you have any concerns about the healing process or if symptoms persist, do not hesitate to seek medical advice.
Similar Q&A
Understanding Oral Ulcer Healing Time: What to Expect and When to Worry
Hello, Doctor! Description of my condition: About 7 days ago, I started to have an ulcer on the inner side of my lower lip (I can't recall the exact date, but I remember it started small and then grew larger). Currently, it is almost painless (for three days in between, I ...
Dr. Lin Jiayong reply Dentistry
Hello: If you have already been examined by two physicians who both indicated that there are no issues, it is advisable to simply observe for now. Wound healing takes time and is related to individual circumstances (such as systemic diseases, nutrition, immunity, lifestyle, etc.)...[Read More] Understanding Oral Ulcer Healing Time: What to Expect and When to Worry
Understanding Oral Ulcers: Healing and the Impact of Scarring
I have slightly protruding front teeth, and the location of my oral ulcer was right where my incisors press against the area behind my lips when my mouth is closed. The oral ulcer healed after two weeks following a doctor's visit, but it has left a noticeable indentation. Th...
Dr. Li Jiaxuan reply Otolaryngology
Remember to be careful not to bite it again; it should grow back thicker in a while. Wishing you safety.[Read More] Understanding Oral Ulcers: Healing and the Impact of Scarring
Understanding Oral Ulcers: When to Seek Dental Care for Healing Issues
Two weeks ago, I had a sore inside my mouth that has healed, but the scar is uneven, not painful, and slightly swollen. Is this normal? Do I need to see a doctor?
Dr. Zeng Guanghui reply Dentistry
Hello, Anonymous: After the healing of the mouth ulcer, the wound appears uneven and slightly swollen, but it is not painful. It is recommended to consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Oral Ulcers: When to Seek Dental Care for Healing Issues
Understanding Gum Ulcers: Causes, Concerns, and Treatment Options
Hello doctor, I have asked questions before. (I have quit smoking, do not chew betel nut, and do not drink alcohol.) I had a tooth extraction two weeks ago, specifically the second molar on the upper left side. A day or two after the extraction, I developed an ulcer in the gum ar...
Dr. Zeng Guanghui reply Dentistry
You can visit a major hospital to consult with an oral surgeon for further diagnosis and treatment, and discuss the possibility of a biopsy with the physician.[Read More] Understanding Gum Ulcers: Causes, Concerns, and Treatment Options
Related FAQ
(Dentistry)
Gum Ulcer(Dentistry)
Oral Ulcer(Otolaryngology)
Gingivitis(Dentistry)
Oral Blister(Dentistry)
Tongue(Dentistry)
Lip Mucosa(Dentistry)
Tooth Trauma(Dentistry)
Oral Cavity(Internal Medicine)
Post-Wisdom Tooth Surgery(Dentistry)