Peeling Skin Inside Mouth: Causes and Dental Concerns Explained - Dentistry

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In the oral cavity, there is a layer of skin peeling on the right buccal mucosa?


Dear Dr.
Tseng,
I would like to ask about an issue I'm experiencing.
The right side of my oral cavity is shedding a layer of skin, almost as if it's peeling away, revealing a surface that is between pink and red.
Could this be an infection, especially since I am currently undergoing treatment for my left lower molar? Or could it be related to my lack of sleep? I have experienced this before, but this time the area affected seems larger.
I would greatly appreciate your response.
Thank you.

kiki, 20~29 year old female. Ask Date: 2004/09/05

Dr. Zeng Guanghui reply Dentistry


The mucosa on the right side of the oral cavity may shed a layer, exposing the underlying red tissue.
This could be due to a viral infection or an attack on the oral mucosa by an autoimmune disease.
In the case of the former, the oral mucosa typically develops vesicles, which, when ruptured, reveal an ulcerated surface.
If the latter is the cause, it indicates that the autoimmune system is being disrupted, leading to the body's antibodies attacking the oral mucosal cells, resulting in the aforementioned symptoms.
Factors that may trigger this disruption in the autoimmune system include physical and emotional stress, work-related pressure, or a deficiency in B vitamins.
It is advisable to seek a thorough examination by a physician to determine the underlying cause and provide appropriate treatment.

Reply Date: 2004/09/05

More Info


Peeling skin inside the mouth can be concerning and may arise from various causes, including infections, irritations, or systemic conditions. Based on your description, it seems you are experiencing a peeling or sloughing of the mucosal tissue on the right side of your mouth, revealing a pink to red area underneath. This could be linked to several factors, including dental treatments, underlying health issues, or even lifestyle factors such as sleep deprivation.

1. Infection: Since you mentioned that you are undergoing treatment for your left posterior molar, it is possible that the irritation or trauma from dental work could lead to localized inflammation or infection. Dental procedures can sometimes cause temporary changes in the oral mucosa, leading to peeling or ulceration. If there is an infection, it may present with additional symptoms such as pain, swelling, or discharge. It is essential to monitor for these signs and consult your dentist or an oral health specialist if they occur.

2. Irritation: The oral mucosa can be sensitive to various irritants, including certain foods, dental appliances, or even the mechanical action of brushing. If you have recently changed your oral hygiene products, such as toothpaste or mouthwash, these could also be contributing factors. Additionally, if you are grinding your teeth at night (bruxism), this can lead to irritation and peeling of the mucosal lining.

3. Systemic Conditions: Conditions such as autoimmune disorders, vitamin deficiencies (particularly Vitamin B12, folate, or Vitamin C), or even allergic reactions can manifest as changes in the oral mucosa. If you have a history of allergies or other systemic health issues, it may be worth discussing these with your healthcare provider.

4. Sleep Deprivation: While lack of sleep can affect your overall health and immune function, it is less likely to be the direct cause of localized peeling in the mouth. However, chronic sleep deprivation can lead to increased stress and potentially exacerbate underlying conditions that might contribute to oral health issues.

5. Oral Hygiene: Maintaining good oral hygiene is crucial. If you notice white patches or residue after brushing, it could indicate plaque buildup or oral thrush, which may require treatment. Regular dental check-ups are essential to ensure that any issues are caught early.

Given that your symptoms have changed and the area affected is larger than before, it is advisable to seek a professional evaluation. A dentist or an oral surgeon can provide a thorough examination, possibly including diagnostic tests if necessary, to determine the exact cause of the peeling skin and recommend appropriate treatment. If the peeling persists for more than two weeks or is accompanied by other concerning symptoms, further investigation may be warranted to rule out more serious conditions.

In summary, while there are several potential causes for the peeling skin in your mouth, it is essential to consult with a dental professional who can assess your specific situation and provide tailored advice. Early intervention can help prevent complications and ensure your oral health is maintained.

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