Oral Health Concerns After Dental Implants: What to Know - Dentistry

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There is a strange area on the inner side of the lips?


I have been feeling anxious since I got dental implants.
After the procedure, I started examining my mouth in the mirror and noticed some unusual areas, which led me to search online.
Unfortunately, most of the results were about oral cancer, and I became increasingly worried that I might have some oral cancer lesions.
I often consult my dentist or visit an ENT specialist, and even sought out ENT doctors with relevant expertise at nearby medical centers, all of whom have told me that my oral health is good.
However, the information I found online keeps lingering in my mind.
I work outdoors and frequently get mouth sores during the summer, but since getting the implants this year, I have become very sensitive and concerned about my oral health.
Recently, I discovered an ulcer on my lower lip, but when I look in the mirror, it doesn't seem like a typical ulcer and isn't particularly painful.
This area often gets bitten when I eat, and it appears as a short, horizontal line that isn't very thick.
The color is a light yellowish hue, but it doesn't hurt.
Surrounding it, there is some redness and red spots, but no pain or itching.
Previously, after healing from a sore in this area, it felt like the inner mucosa had contracted into a small, slightly depressed round spot with a bit of white.
Today, when my tongue touched it, it felt a bit strange.
I am worried that all the information I found online might indicate oral cancer changes.
I do smoke, and I consume alcohol but not betel nut.
I have attached a link to a photo for reference: https://imgus.cc/AmZ2r (no password needed, just click submit).
The red circle in the photo looks particularly bright red with red spots, and the light yellow area inside could be scar tissue.
I read that oral cancer lesions can be painless, which makes me even more concerned.
Should I consider getting a biopsy? Last month, an ENT doctor examined my mouth and said everything looked healthy, and at that time, the area didn't look like it does now; it was more like a healed point that was slightly depressed and not as red.
Although the dentist and the implant specialist have both reassured me that there are no issues, I still worry about developing a hypochondriacal mindset.
I would appreciate any guidance you can provide, as I have been feeling very anxious during this time!

Ray, 30~39 year old female. Ask Date: 2023/08/12

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Ray: It is recommended to consult an oral pathologist or an oral surgeon for further examination.
Dr.
Tseng Guang-Hui at Nantou Hospital's Dental Department.

Reply Date: 2023/08/12

More Info


It's understandable to feel anxious about your oral health, especially after undergoing dental implant surgery. The changes you observe in your mouth can be concerning, particularly when you start searching for information online, which can often lead to unnecessary worry. Let's break down your concerns and provide some clarity on what you might be experiencing.

Firstly, it's important to recognize that after dental implants, your mouth may undergo various changes as it heals. The presence of ulcers or sores, especially after trauma from biting your lip or cheek, is quite common. These can appear as small, shallow lesions that may have a whitish or yellowish appearance and can be surrounded by redness. The fact that you mention these sores are not particularly painful is a good sign, as painful lesions often indicate a more serious issue.

The area you described as having a "short line" and being slightly recessed could be a result of minor trauma from biting or irritation from food. This is not uncommon, especially if you are more conscious of your oral health and examining your mouth frequently. The healing process can sometimes leave behind areas that appear different from the surrounding tissue, such as slight discoloration or a change in texture.
Regarding your concerns about oral cancer, it's important to note that while certain symptoms can be indicative of more serious conditions, many oral lesions are benign and can be attributed to factors such as irritation, trauma, or even stress. The fact that multiple healthcare professionals, including ENT specialists and your implant dentist, have examined your mouth and found it healthy is reassuring. They are trained to recognize signs of oral cancer and other serious conditions, and their assessments should provide some comfort.

However, if you continue to experience changes in your oral mucosa or if the lesions do not heal or worsen, it would be prudent to follow up with your dentist or an oral surgeon. They may recommend a biopsy if there are any persistent lesions that do not respond to typical healing processes. This is a standard procedure that can provide peace of mind and rule out any serious conditions.

Additionally, maintaining good oral hygiene is crucial, especially after dental implants. Regular brushing and flossing, along with routine dental check-ups, will help keep your mouth healthy and can prevent complications. If you are experiencing any discomfort or if the lesions are bothersome, consider discussing this with your dentist, who may suggest topical treatments or other interventions to promote healing.

Lastly, your mental health is just as important as your physical health. If you find that your anxiety about your oral health is overwhelming, it might be beneficial to speak with a mental health professional. They can help you develop coping strategies to manage your worries and provide support as you navigate your health concerns.

In summary, while it's natural to be concerned about changes in your mouth, especially after dental procedures, the assessments from your healthcare providers indicate that your oral health is stable. Continue to monitor your symptoms, maintain good oral hygiene, and don't hesitate to seek further evaluation if needed. Your health and peace of mind are paramount, and addressing your concerns with professionals will help you feel more secure in your oral health journey.

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