Red Spots in the Mouth: B2 Deficiency or Oral Lesions? - Dentistry

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Hello! Thank you for your question regarding the red spots in your mouth, particularly at the junction of the inner cheek and lower lip. It's understandable to be concerned about any changes in your oral health, especially when they manifest as unusual spots or lesions.

Based on your description, the deep red spots measuring approximately 0.5 mm and numbering around 6 to 7 could potentially be attributed to several factors, including nutritional deficiencies, local irritation, or even benign oral lesions. One common deficiency that can lead to oral manifestations is vitamin B2 (riboflavin) deficiency. This vitamin plays a crucial role in maintaining healthy skin and mucous membranes, and its deficiency can lead to symptoms such as angular cheilitis (cracks at the corners of the mouth), glossitis (inflammation of the tongue), and cheilosis (cracking and scaling of the lips).
However, while a deficiency in vitamin B2 could explain some oral symptoms, it is essential to consider other possibilities as well. Oral lesions can arise from various causes, including:
1. Irritation or Trauma: If you've recently bitten your cheek or lip, or if you have a habit of grinding your teeth (bruxism), this could lead to localized irritation and the formation of red spots.

2. Infections: Viral infections, such as herpes simplex, can cause red spots or lesions in the mouth. These are often accompanied by other symptoms, such as pain, swelling, or fever.

3. Allergic Reactions: Certain foods, dental products, or medications can cause allergic reactions that manifest as red spots or lesions in the oral cavity.

4. Benign Oral Lesions: Conditions such as fibromas, mucocele, or even minor aphthous ulcers can present as red spots or bumps in the mouth. These lesions are generally harmless but may require monitoring or treatment if they persist.

5. Systemic Conditions: Certain systemic diseases, such as autoimmune disorders or blood disorders, can also lead to changes in the oral mucosa.

Given that you have noticed these spots and are concerned about their nature, it is advisable to consult with a healthcare professional, preferably a dentist or an oral specialist. They can perform a thorough examination and may recommend further tests, such as blood tests to check for nutritional deficiencies or other underlying conditions.

In the meantime, consider the following recommendations:
- Maintain Oral Hygiene: Ensure you are brushing and flossing regularly to prevent any potential infections or irritations.

- Monitor Your Diet: Incorporate foods rich in vitamin B2, such as dairy products, eggs, green leafy vegetables, nuts, and whole grains, to help address any potential deficiencies.

- Avoid Irritants: If you suspect that certain foods or dental products may be causing irritation, try to eliminate them from your diet temporarily to see if there is any improvement.

- Stay Hydrated: Drinking plenty of water can help maintain oral moisture and overall health.

If the spots persist for more than a couple of weeks, change in appearance, or if you experience any additional symptoms such as pain, swelling, or difficulty eating, it is crucial to seek professional evaluation promptly. Early diagnosis and intervention can help address any underlying issues effectively.
Take care, and I hope you find relief soon!