Oral Fibrosis: What You Need to Know About Your Health

Oral fibromatosis

Hello, my father recently had a growth in his mouth that hasn't gone away for two weeks and isn't painful.
He went to see a doctor, who performed a biopsy.
When we went back to discuss the results, the doctor's response was unclear to me.
He said it wasn't too serious but noted the presence of pathological factors, specifically oral fibrosis (which is difficult for patients to understand whether it's good or bad).
The doctor's conclusion was to eat a lighter diet and return for a check-up in three months.
As his family, I am concerned for him, so I hope the doctor can provide me with accurate information.
Additionally, I will ask my father to get a check-up at a larger hospital.
Should I request the medical records from the first hospital to make it easier? Thank you.

Ani, 20~29 year old female. Ask Date: 2005/12/29

Dr. Zeng Guanghui reply Dentistry

If the biopsy reveals oral mucosal fibrosis, it is generally considered a warning sign.
This condition can occur due to prolonged mechanical or chemical irritation of the oral mucosa, such as long-term betel nut chewing, smoking, or sharp protrusions in the mouth like broken tooth edges.
These factors lead to the proliferation of fibroblasts in the oral mucosa, causing it to gradually lose its elasticity.
In severe cases of fibrosis, it can even result in difficulty opening the mouth.
Additionally, there are reports indicating that severe oral mucosal fibrosis may predispose individuals to malignant changes in the oral mucosa.
Therefore, it is recommended to undergo further follow-up treatment and regular check-ups.

Reply Date: 2005/12/29

More Info

Oral fibrosis, also known as oral submucous fibrosis, is a condition characterized by the progressive fibrosis (thickening and scarring) of the oral mucosa. This condition can lead to a range of symptoms, including difficulty in opening the mouth (trismus), pain, and a burning sensation in the mouth. It is often associated with the use of areca nut (betel quid), but can also occur due to other factors such as chronic irritation, nutritional deficiencies, or autoimmune diseases.

In your father's case, the doctor mentioned that there are "disease factors" present, which likely indicates that there are changes in the tissue that could be indicative of early stages of oral fibrosis. The fact that the lesion has not caused pain and has not changed significantly over two weeks is somewhat reassuring, but it is essential to monitor the situation closely. The recommendation to return for a follow-up in three months is a standard approach to ensure that any changes in the lesion can be assessed over time.

It's understandable to be concerned about your father's health, especially when it comes to potential precursors to more severe conditions, including oral cancer. Oral fibrosis can increase the risk of developing oral cancer, particularly if the condition is associated with other risk factors such as tobacco use or chronic irritation. Therefore, it is crucial to maintain regular follow-ups with healthcare providers and to seek further evaluation if any new symptoms arise.

Regarding your question about whether to bring your father's medical records to a larger hospital for further evaluation, it is generally a good idea. Having the initial medical records, including the biopsy results and any notes from the first doctor, can provide the new healthcare team with valuable context about your father's condition. This information can help them make more informed decisions regarding diagnosis and treatment.

In addition to following up with a specialist, it may be beneficial for your father to adopt a diet that is gentle on the oral mucosa. This includes avoiding spicy, acidic, or abrasive foods that could further irritate the oral tissues. Staying hydrated and maintaining good oral hygiene are also essential in managing oral health.

If your father experiences any changes in symptoms, such as increased pain, difficulty swallowing, or noticeable changes in the lesion, it is crucial to seek medical attention promptly. Early intervention can be key in managing conditions like oral fibrosis and preventing potential complications.

In summary, while the initial findings may not be alarming, it is essential to remain vigilant and proactive in managing your father's oral health. Regular check-ups, a careful diet, and good oral hygiene practices will be important in monitoring and potentially mitigating the risks associated with oral fibrosis.

Similar Q&A

Understanding Oral Cancer Symptoms: A Patient's Journey with Dentures

I have endured wearing ill-fitting dentures for two months, and I have not worn them for the past six months. During this time, I have experienced the following symptoms in the maxillary mucosa: the most severely pressured areas under the dentures are swollen, there are increasin...

Dr. Zeng Guanghui reply Dentistry
The above situation appears to be an inflammatory condition of the oral mucosa caused by a dysfunction of the body's immune system. It is recommended to consult with an oral surgeon or an oral pathologist at a major hospital for further diagnosis and treatment.

Understanding Gum Bleeding: Causes, Treatments, and Dental Care Tips

Bleeding gums during brushing or flossing, as well as bad breath, can be indicative of periodontal disease. Periodontal disease should be treated through a combination of professional dental cleanings, improved oral hygiene practices, and possibly antimicrobial treatments. It is ...

Dr. Zeng Guanghui reply Dentistry
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following advice: Bleeding gums during brushing or flossing can be a sign of gingivitis or periodontal disease, indicating that bacteria or infection in the oral cavity is causing infla...

Understanding Gum Disease: Symptoms, Treatments, and Finding the Right Dentist

Five years ago, one morning, while brushing my teeth, I bit down on something and discovered it was a piece of tartar that had fallen off. From that moment on, I started to regularly visit the dentist every six months. However, both dentists I saw noticed that my lower teeth had ...

Dr. Yang Zhiren reply Dentistry
Hello: Based on your description, your periodontal disease has likely progressed to a moderate stage. The signs of periodontal disease initially include bleeding and swollen gums when brushing, which can progress to more severe symptoms such as pus formation and even tooth mobili...

Overcoming Chronic Bad Breath: Seeking Help for a Long-Standing Issue

Hello Doctor: I am 25 years old this year, but I have been suffering from halitosis for nearly ten years. I have always been too embarrassed and lacked the courage to see a doctor. However, as I am about to graduate and enter the workforce, I feel compelled to seek help. I would ...

Dr. Ke Zhengchang reply Internal Medicine
There are many reasons for halitosis in young people, including poor oral hygiene, consumption of foods such as garlic and onions, and various diseases such as liver disease, gastritis, and kidney disease. Additionally, insufficient water intake and low saliva production can cont...