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Leukoplakia

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Overview

Leukoplakia is a condition characterized by the formation of thick, white patches on the gums, cheeks, and mouth. These patches are not cancerous and cannot be scraped off. Doctors do not know the exact cause of leukoplakia, but ongoing irritation from tobacco or long-term alcohol use may be the most common causes.

Types of Leukoplakia

There are several types of leukoplakia, including:

  1. Oral leukoplakia: This type affects the gums, cheeks, and mouth.
  2. Tongue leukoplakia: This type affects the tongue.
  3. Buccal leukoplakia: This type affects the inside of the cheeks.

Causes of Leukoplakia

The exact cause of leukoplakia is not known, but it is believed to be related to ongoing irritation from tobacco or long-term alcohol use. Tobacco use can cause chronic irritation and inflammation in the mouth, which can lead to the formation of leukoplakia.

Risk Factors of Leukoplakia

Certain individuals may be more at risk of developing leukoplakia due to:

  1. Tobacco use (smoked, dipped, or chewed).
  2. Long-term alcohol use.
  3. Poor oral hygiene.
  4. Genetic predisposition.
  5. Age (most common in adults).

Symptoms of Leukoplakia

Common symptoms of leukoplakia include:
1. White or Gray Patches: Thick, white or gray patches that form on the gums, insides of the cheeks, bottom of the mouth, and sometimes on the tongue. These patches cannot be scraped off.
2. Texture of Patches: Patches may have a rough, ridged, wrinkled, or smooth surface, or a combination of these textures. The surface of the patches can be irregular or flat.
3. Shape and Edges: Patches with shapes and edges that are not regular.
4. Thickness: Patches can be thick or hard.
5. Color Variations: White patches may appear along with raised, red areas called erythroplakia. This combination is known as speckled leukoplakia and is more likely to show changes that may lead to cancer.
6. Hairy Leukoplakia: Causes fuzzy, white patches that look like folds or ridges, usually forming on the sides of the tongue. Often mistaken for oral thrush, which causes creamy white patches that can be wiped away.
7. Pain or Discomfort: Generally, leukoplakia is not painful and may not be noticed for a while. However, pain may occur when the lesions come in contact with acidic or spicy food.

Preventions of Leukoplakia

To prevent leukoplakia, it is important to:

  1. Avoid tobacco use
  2. Limit or avoid alcohol use
  3. Practice good oral hygiene
  4. Visit a dentist regularly for check-ups and cleanings.

Diagnosis of Leukoplakia

Diagnosis of leukoplakia typically involves a physical examination and diagnostic tests, including:

  1. Oral examination by a dentist or physician.
  2. Biopsy (if necessary).
  3. Imaging studies (e.g., X-rays).

Treatment for Leukoplakia

Treatment for leukoplakia typically involves a combination of lifestyle changes and medical interventions, including:

  1. Quitting tobacco use.
  2. Limiting or avoiding alcohol use.
  3. Practicing good oral hygiene.
  4. Using topical medications (e.g., creams or ointments).
  5. Taking pain relievers as necessary.

When to seek medical attention ?

If you experience any symptoms of leukoplakia or have concerns about your risk factors, seek medical attention promptly.

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