General Information
DEFINITION--A thickened area in the delicate lining of the mouth or tongue. This
is not contagious, but it may be premalignant.
BODY PARTS INVOLVED--Inside of cheek; floor of mouth; tongue; palate; roof of
mouth.
SEX OR AGE MOST AFFECTED--All ages, but most common in adults over 60.
SIGNS & SYMPTOMS
- Sensitivity to hot and spicy food.
- A small white patch in the mouth. The patch feels firm, rough and stiff.
- No symptoms in the early stages.
CAUSES--
RISK INCREASES WITH
- Use of tobacco products, including cigarettes, chewing tobacco, snuff, pipe or cigars.
- Dentures.
- Repeated or chronic trauma to oral regions (biting inside of cheek or lip).
- Alcohol consumption.
HOW TO PREVENT
- Don't smoke or use tobacco products.
- Inspect the mouth regularly if you wear dentures or smoke.
- Decrease consumption of hot or highly seasoned foods if suspicious lesions develop.
- Avoid alcohol.
What To Expect
DIAGNOSTIC MEASURES--
- Your own observation of symptoms.
- Medical history and physical exam by a doctor or dentist.
- Biopsy (See Glossary).
APPROPRIATE HEALTH CARE
- Doctor's treatment.
- Surgery to remove the lesions.
- Patches may be surgically removed (cryosurgery) using a local anesthetic.
POSSIBLE COMPLICATIONS
- The lesion may become cancerous if untreated (about 5% of patients).
- New lesions may develop after treatment.
PROBABLE OUTCOME--Sometimes curable with removal of the source of irritation
(such as tobacco) or with surgery.
How To Treat
GENERAL MEASURES--
- Any recognizable irritation should be corrected or removed. Eliminate tobacco and
alcohol (including alcoholic mouthwashes). Lesions may clear up after these factors are
removed.
- Following surgery or biopsy: If bleeding occurs, press cotton gauze gently for 5 minutes
against the operation site. 24 hours after the operation, rinse the mouth with a warm
salt-water solution. Use 1/2 teaspoon salt in 8 oz. warm water. Repeat every 1 or 2 hours.
Brush and floss teeth often and use antiseptic mouthwash during the healing process. A
clean mouth heals faster.
MEDICATION--
- For minor pain, you may use non-prescription drugs such as acetaminophen.
- Your doctor may prescribe topical or oral forms of vitamin A (sometimes).
ACTIVITY--No restrictions.
DIET--Liquid or soft diet for 24 hours; then no special diet.
Call Your Doctor If
- You have symptoms of leukoplakia.
- The following occurs after surgery: Bleeding after 12 hours or more. Severe pain.
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