Oral Ulcers: Healing Time and What to Expect - Dentistry

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Oral ulcer


Recently, I had a large ulcer in my mouth that has felt like it's healed for almost a month now (because it no longer hurts), but the area where the wound was still appears white and has a small indentation.
This condition has persisted for over a week.
Will this indentation disappear? (I have never experienced such a situation with mouth ulcers before, and I'm a bit anxious.)

dodo, 30~39 year old female. Ask Date: 2013/10/03

Dr. Zeng Guanghui reply Dentistry


Hello: I have a large ulcer in my mouth that has lasted for almost a month.
Although it feels like it is healing, there is still a small white indentation.
This is an oral ulcer (commonly known as a canker sore).
The indentation will gradually heal.
It is important to maintain oral hygiene and avoid irritating foods to promote faster healing.
Wishing you good health.

Reply Date: 2013/10/03

More Info


Oral ulcers, commonly known as canker sores, can be quite uncomfortable and concerning, especially when they linger longer than expected. Based on your description, it seems that you have been dealing with an oral ulcer for nearly a month. While the pain has subsided, the presence of a white area and a small indentation at the site of the ulcer can understandably cause anxiety.

Firstly, it's important to recognize that the healing process for oral ulcers can vary significantly from person to person. Typically, most oral ulcers heal within 1 to 2 weeks, but there are several factors that can influence this timeline, including the size of the ulcer, your overall health, nutritional status, and any underlying medical conditions. In some cases, ulcers can take longer to heal, especially if they are larger or if there is ongoing irritation from food, dental appliances, or other factors.

The white area you are observing is likely a part of the healing process. When an ulcer heals, it often goes through several stages, and the white appearance can be due to a buildup of tissue or a protective layer forming over the healing area. This is generally a normal part of the healing process. The small indentation or "dimple" you mentioned may also be a result of the healing tissue remodeling itself. In many cases, these indentations can fade over time as the tissue continues to heal and regenerate.

However, if the ulcer has not shown significant improvement after a month, it is advisable to consult with a healthcare professional, particularly a dentist or an oral specialist. They can perform a thorough examination to rule out any other potential issues, such as infections or more serious conditions. While the likelihood of a serious condition such as oral cancer is low, especially given your description of the ulcer, it is always best to err on the side of caution and seek professional advice.

In terms of what to expect moving forward, the indentation may gradually diminish as the tissue continues to heal. However, complete healing can sometimes take several weeks to months, depending on individual factors. Maintaining good oral hygiene, avoiding irritants (such as spicy or acidic foods), and possibly using topical treatments recommended by a healthcare provider can help facilitate healing.

If you are experiencing any new symptoms, such as increased pain, swelling, or changes in the appearance of the ulcer, or if the ulcer persists beyond the expected healing time, it is crucial to seek medical attention promptly. Additionally, if you have any concerns about your overall health or if you notice any other unusual changes in your mouth, do not hesitate to reach out to a healthcare professional for further evaluation.

In summary, while the presence of a white area and a small indentation can be concerning, they are often part of the normal healing process for oral ulcers. However, given the duration of your symptoms, it is wise to consult with a healthcare provider to ensure proper healing and to rule out any other potential issues.

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