Oral Discomfort: Common Dental Concerns Explained - Dentistry

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Oral issues


Hello, Doctor.
Sometimes after brushing my teeth or using mouthwash, I notice a more pronounced sensation (though I think I've felt this for several years but never paid much attention to it until I started to feel it more when I press with my tongue).
I feel like there is something resembling a bone or a fold in the mucosa on the right side of my hard palate when I press with my tongue.
It seems like there is something similar on the left side, but it’s not as noticeable.
I would like to ask if there are any bones in that area? Is this a normal anatomical structure? It seems like the sensation is more pronounced on the right side.
Previously, I visited an ENT specialist who said there didn’t appear to be any issues with the mucosa, but mentioned that my throat was slightly inflamed.
Additionally, I would like to know why the mucosa near the inner side of my molars appears whiter; is that related to the underlying bone, or is it an indication of abnormal mucosa? Could it be due to lack of sleep causing gum inflammation? I hope you can provide your opinion on whether I should see a dentist for an examination.
Thank you, Doctor.
Image: https://ibb.co/fXchMNy

Lin, 20~29 year old female. Ask Date: 2023/11/12

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Lin: It is possible that there is bone proliferation on the inner side of the maxilla.
It is recommended to consult a dentist for further examination.
Director Tseng Guang-hui, Nantou Hospital Dental Department.

Reply Date: 2023/11/12

More Info


Understanding oral discomfort can be quite complex, especially when it involves various symptoms and sensations that may not have clear explanations. Based on your description, it seems you are experiencing several issues related to your oral health, particularly around the upper palate and the area near your molars.

Firstly, the sensation you describe on the right side of your upper palate, which feels like a bony structure or a fold, is likely a normal anatomical feature. The hard palate, which forms the roof of your mouth, has various ridges and folds that can sometimes feel more pronounced in certain individuals. This can be especially true if there is any inflammation or irritation in the surrounding tissues, which may make these structures feel more prominent. If you have been experiencing this sensation for several years without any significant changes, it is likely a benign anatomical variation.

However, the fact that you have noticed a difference between the left and right sides could indicate localized irritation or inflammation. This could be due to several factors, including dental issues, such as an improper bite or dental misalignment, which can lead to uneven pressure on the teeth and surrounding tissues. Additionally, if you have been experiencing any discomfort or pain in the area, it would be wise to consult a dentist for a thorough examination.

Regarding the white appearance of the mucosa near your molars, this could be due to several reasons. One possibility is the presence of keratosis, which is a thickening of the mucosal tissue that can occur due to chronic irritation, such as from teeth that are misaligned or from habits like cheek biting. Another possibility is the presence of oral thrush, a fungal infection that can cause white patches in the mouth. If the white areas are persistent and accompanied by discomfort, it is advisable to seek a dental evaluation.

You also mentioned concerns about gum inflammation and the possibility of not getting enough sleep. Sleep deprivation can indeed affect your overall health, including your oral health. Lack of sleep can lead to increased stress, which may exacerbate conditions like bruxism (teeth grinding), leading to further dental issues. Additionally, chronic inflammation of the gums, known as gingivitis, can be exacerbated by stress and poor sleep, leading to discomfort and potential gum recession if not addressed.

Given the complexity of your symptoms, it is highly recommended that you visit a dentist for a comprehensive oral examination. The dentist can assess your oral cavity for any signs of dental disease, misalignment, or other issues that may be contributing to your discomfort. They may also recommend imaging studies, such as X-rays, to get a better understanding of the underlying structures and any potential issues that may not be visible during a clinical examination.

In summary, while some of the sensations you are experiencing may be normal anatomical variations, others could indicate underlying dental issues that require attention. A thorough examination by a dental professional will provide clarity and help you develop an appropriate treatment plan to address your concerns and improve your oral health. Regular dental check-ups are essential for maintaining oral health and preventing potential complications in the future.

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