Ask a Doctor Online Now
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I noticed a red spot near my wisdom tooth two days ago. I am worried about erythroplakia or oral cancer. I do not know for how long the spot has been present, it seems to rest over the lower wisdom tooth when the mouth closes. I have attached the pictures below, please advise.
Thank you.
Hello, Welcome to icliniq.com.
I went through the attached pictures (attachments removed to protect the patient's identity), they are not so clear. If you have only observed the spot recently, then do not worry it is nothing chronic and looks more like an ulcer due to pericoronitis or wisdom tooth infection, or cheek bite. You need to ensure that the ulcer does not increase, you should take appropriate steps like saltwater rinsing several times a day. You can also apply a Lidocaine or Benzocaine gel (anesthetic gel). Dentogel or Dologel (Choline salicylate + Lidocaine) can be applied for pain relief and to prevent it from getting bigger. If it is a self-limiting lesion, it will eventually decrease and fade away. Also, follow a regular mouth washing regimen for 15 to 30 days during night time with preferably Chlorhexidine mouthwash. Unless the ulcer or this lesion has seen is persisting for the past two weeks, I would not recommend a biopsy. A physical examination at the dentist is preferable.
Regards.
Patient's Query
Hello doctor,
Thank you for your reply.
I am attaching two more photos. This is the best I could get because I am not able to access that region. I do not have any pain while brushing my teeth. What do you think are the chances of this being oral cancer or erythroplakia?
Hello, Welcome back to icliniq.com.
No, it is just a red lesion of the oral cavity, but the important thing to bear in mind is that it should not persist past two weeks. I have seen the pictures attached (attachments removed to protect the patient's identity), which is clear now, and you need not take much tension. If you have any detrimental habits just in case, please quit smoking or alcoholism. It is neither oral cancer nor erythroplakia as both are chronic conditions, so stay assured. Make sure you follow the rinsing and mouth washing, and gel protocol I suggested. If you have more doubts, I can help you during subsequent follow-ups. If the red lesion is still present for a month then you can consult me anytime, and I can put you on antibiotic prophylaxis. It is not needed right now if you do not have any pain. You can also start Omega 3 or 6 supplements thrice a week to reduce the risk of frequent oral ulcerations.
Regards.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dentistry
Related Questions
I have painless hard lump in my tongue for the past 2 years. Could this be cancerous?
What are the first signs of oral cancer?
Does measles cause pericoronitis?
I have pericoronitis and swollen lymph nodes. Can I wait until my appointment?
Two of my wisdom teeth are impacted. Is it better to remove?
I got two wisdom teeth pulled two days back and still have pain. Please advice.
Oral and Maxillofacial Surgery
*guaranteed answer within 4 hours
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy