Leukoplakia


Description

Leukoplakia is a white or gray-white patch in the mouth that cannot be wiped off. The patches usually develop slowly, over weeks or months. They are usually caused by irritation. They are rarely cancerous. Leukoplakia is more common in people who are exposed to chewing tobacco, cigarette smoke, sun on the lips, or certain mouthwashes or toothpastes that contain sanguinarine. It also is seen in people who have ill-fitting dentures or rough surfaces on teeth, fillings, or crowns.

Symptoms

White patch in mouth. Usually people do not have pain.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Diagnosis is usually made based on examination. Biopsy may be performed to see if the patch contains healthy, precancerous, or cancerous cells.

Tests:
Biopsy

Specialists:
Oral and Maxillofacial Surgery, Dentistry, Dentistry - Pediatric

Treatment

Treatment is aimed at the underlying cause. If a source of irritation is removed, the patch often disappears. The patch should be examined again within two weeks for healing progress. If the patch persists, a biopsy will be performed. The patch may need to be removed by surgery, including laser surgery.
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