There are yellowish-white small lesions on both sides of the oral cavity?
Dear Doctor,
I hope this message finds you well.
I apologize for the intrusion, but I have two small oral issues I would like to consult you about.
First, I have noticed hard lumps in my upper and lower gums.
They are not painful to the touch and feel very hard, almost like bone.
I have shown them to my dentist, who said that these are bone proliferations and are not a cause for concern.
Indeed, they are very hard, and pressing on them does not cause pain or discharge; it feels like pressing on bone.
However, what is peculiar is that these lumps mostly appear in the areas of my teeth that have undergone root canal treatment.
There are also some in areas without root canals, but they are not as prominent, appearing as small lumps.
Additionally, I recently became aware of small yellowish-white particles on both sides of my mouth, particularly near my molars and at the corners of my mouth.
They are very small and can only be seen with close inspection or by feeling them with my tongue.
I have attempted to scrape them off, but they seem to be embedded in the oral mucosa and cannot be removed.
Rubbing with salt or similar substances has no effect.
I initially thought it might be oral thrush, but oral thrush can be wiped away and leaves a blood trace, whereas these particles cannot be removed at all.
Could this be related to sebaceous issues in the oral cavity, or something else?
P.S.
I have also recently experienced some allergic reactions on my hands.
I wonder if this could be related to my oral symptoms.
Thank you very much for taking the time to clarify these issues for me.
I wish you good health and all the best.
Thank you again!
Albert, 20~29 year old female. Ask Date: 2008/07/24
Dr. Zeng Guanghui reply Dentistry
Hello, sir: Thank you for your inquiry.
I would like to respond to your questions and provide the following suggestions:
1.
Generally speaking, small hard lumps on the gums that are not painful and do not exude pus may be caused by bony growths, resulting in small pearl-like hard masses.
This could be due to necrosis of the dental pulp leading to erosion of the alveolar bone by the teeth.
After undergoing root canal treatment, there is a certain degree of healing ability in the tooth pain, and there may also be instances of bone growth around the tooth root.
2.
There are many small yellowish-white granules near the corners of the mouth on the oral mucosa, which should not be wiped away.
Typically, these may be sebaceous glands within the oral mucosa, but it is advisable to consult a dentist for further evaluation and treatment.
Lastly, I wish you a happy birthday!
Reply Date: 2008/07/24
More Info
Dear Patient,
Thank you for reaching out with your concerns regarding the yellow-white bumps in your mouth and the hard particles you have noticed in your gums. It's understandable to feel anxious about changes in your oral health, and I appreciate the opportunity to provide some clarity on these issues.
From your description, it seems you are experiencing two distinct phenomena: the hard particles in your gums and the yellow-white bumps in your oral cavity. Let's address each of these concerns separately.
Hard Particles in the Gums
The hard particles you mentioned, which your dentist identified as bone growths, are likely to be a benign condition known as exostosis. Exostosis refers to the formation of new bone on the surface of existing bone, often occurring in the jawbone. This condition is generally asymptomatic, meaning it does not cause pain or discomfort, and it is not uncommon, especially in individuals who have undergone dental procedures such as root canal therapy. The presence of these growths can sometimes be attributed to the body’s response to trauma or irritation, such as from dental work or chronic grinding of teeth (bruxism).
While exostosis is typically harmless, it is essential to monitor any changes in size or symptoms. If you notice any discomfort or if the growths change in appearance, it would be wise to revisit your dentist for further evaluation.
Yellow-White Bumps in the Mouth
Regarding the yellow-white bumps you have observed, these could be several things. One possibility is oral mucosal lesions, which can manifest as small, raised bumps. These lesions can be caused by various factors, including:
1. Oral Candidiasis: Although you mentioned that you thought it might be thrush, the fact that these bumps do not wipe away easily suggests they may not be fungal in nature. Oral thrush typically presents as white patches that can be scraped off, often leaving a red, inflamed surface underneath.
2. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous (oil) glands. They are common and harmless, often appearing on the inner lips and cheeks.
3. Mucous Retention Cysts: These can occur when a salivary gland becomes blocked, leading to the accumulation of mucus. They can appear as small, soft bumps in the mouth.
4. Oral Lichen Planus: This is a chronic inflammatory condition that can cause white patches or bumps in the mouth. It may be associated with stress or other underlying health conditions.
5. Allergic Reactions: Given that you mentioned experiencing allergic reactions on your hands, it is possible that these bumps could be related to an allergic response affecting your oral mucosa. Allergies can manifest in various ways, including oral lesions.
Recommendations
1. Consultation with a Specialist: Given the complexity of your symptoms, I recommend seeing an oral pathologist or an oral medicine specialist. They can perform a thorough examination and possibly a biopsy if necessary to determine the exact nature of the lesions.
2. Monitor Symptoms: Keep track of any changes in the size, color, or sensation of the bumps. If you experience pain, swelling, or any other concerning symptoms, seek medical attention promptly.
3. Maintain Oral Hygiene: Continue to practice good oral hygiene, including regular brushing and flossing, to minimize the risk of infections or irritations.
4. Address Allergies: If you suspect that your oral symptoms may be related to allergies, consider consulting an allergist for further evaluation and management.
In conclusion, while the hard particles in your gums are likely benign, the yellow-white bumps warrant further investigation to rule out any underlying conditions. Please do not hesitate to reach out to a healthcare professional for a comprehensive evaluation. Your health and peace of mind are paramount.
Wishing you good health and well-being.
Best regards.
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