Persistent White Patch on Right Cheek: When to Seek Further Dental Care? - Dentistry

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right cheek


Recently, I noticed a white area inside my right cheek.
I went to the hospital for an examination, and the doctor said it was due to occlusal friction, but I don't even chew on that side! The doctor mentioned it would resolve, but the white patch has not disappeared yet.
My tongue also has a serrated appearance on both sides, along with small bumps, and I feel a tingling sensation.
Additionally, my throat feels tight, almost like it's being constricted, which is very uncomfortable.
Should I seek a second opinion at another hospital? Which specialty should I consult?

Chen, 30~39 year old female. Ask Date: 2015/08/03

Dr. Zeng Guanghui reply Dentistry


There are white lesions on the right cheek, and the tongue has a serrated edge with small bumps and a tingling sensation.
The throat also feels tight.
This may be due to autoimmune system interference caused by excessive stress or lack of sleep.
It is recommended to consult a specialist in oral medicine or an allergist/immunologist for further evaluation and treatment.

Reply Date: 2015/08/03

More Info


It sounds like you're experiencing a concerning issue with a persistent white patch on your right cheek, along with other symptoms such as a serrated appearance on your tongue and a tight sensation in your throat. Given the complexity and duration of your symptoms, it is essential to seek further dental care and possibly consult with other specialists.

Firstly, the white patch in your mouth could be a result of several conditions, including frictional keratosis, leukoplakia, or even oral lichen planus. Frictional keratosis is often caused by chronic irritation, such as from biting the inside of your cheek or from dental appliances. However, if the patch has persisted despite avoiding irritants, it may warrant further investigation. Leukoplakia is a condition characterized by white patches in the mouth that can sometimes be precursors to oral cancer, especially if they do not resolve over time. Oral lichen planus is an inflammatory condition that can cause white patches and may be associated with other systemic symptoms.

The serrated appearance of your tongue and the sensation of tightness in your throat could indicate additional issues, such as geographic tongue or even a form of oral thrush, particularly if you have a compromised immune system or have been on antibiotics. The tight feeling in your throat could also be related to anxiety or muscle tension, but it’s crucial to rule out any physical causes.

Given these symptoms, I recommend that you seek a second opinion from a dentist who specializes in oral medicine or an oral pathologist. They can perform a thorough examination, possibly including a biopsy of the white patch if necessary, to determine the exact nature of the lesion. Additionally, if you continue to experience throat tightness or discomfort, it may be beneficial to consult an ear, nose, and throat (ENT) specialist. They can evaluate your throat and ensure that there are no underlying issues contributing to your symptoms.

In the meantime, keep track of any changes in your symptoms, including any new sensations, changes in the appearance of the white patch, or any other discomfort. This information will be valuable for your healthcare providers in diagnosing and treating your condition effectively.

Lastly, it’s important to maintain good oral hygiene and avoid any irritants, such as spicy or acidic foods, until you have a clearer understanding of your condition. If you experience any worsening symptoms, such as difficulty swallowing, significant pain, or changes in your voice, seek immediate medical attention.

In summary, given the persistence of your symptoms and the discomfort you are experiencing, it is advisable to seek further dental care and possibly consult with an ENT specialist. Your health and comfort are paramount, and getting a comprehensive evaluation will help ensure that any potential issues are addressed promptly.

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