Dr. Urvashi Patel

There are many causes of white or white and red patches in mouth. Most common are cheekbites which are seen as horizontal lines in the middle of the cheek. Wisdom teeth can cause thickened white patch on the posterior part of the cheek. Candidiasis is common cause of white patch especially in those using steroid inhaler for asthma. Oral lichen planus a premalignant condition, gives rise to wickham’s striae which appear as white patches, but can also have reddish patches in erosive type. Submucous fibrosis is another premalignant condition which causes marbling or whitening of the whole mucosa & leads to decreased mouth opening as it progresses. Supari & tobacco consumption are the most common causes. Leukoplakia is white patch which cannot be attributed to any of the above causes. It is usually due to tobacco, supari or alcohol consumption. Most of the leukoplakias can be observed. They are innocuous and usually reversible if on the areas where most of the wear and tear occurs, like dorsum of tongue & buccal mucosa. But may need excision if on floor of mouth or palate, especially if speckled i.e. Leukoerythroplakia (with red spots in between), thickened nodular or verrucous leukoplakia as the chances of cancer in there is more than in the homogeneous ones. The cancerous transformation rate varies from 1-10% over 10 years. With about 40-45%% regressing & 40-45%% remaining stable. Erythroplakia is a red patch and usually a Surgical or laser excision is recommended for it as the chances of it harbouring malignancy are as high as 90%. If you want to discuss this further, feel free to contact me directly.

Hello lybrate-user! I need to know the exact site of your ulcer and if it is accompanied by any fever or not. Apply glycerin on the rash until den. It wud lessen the pain.

Use turmeric and salt twice daily to massage the gums. Use Homoeopathic toothpaste heclalava.. Take scaling to remove the tar.

Hi although you brush your teeth twice daily my concern is that I hope you are doing it the right way! dental plaque which forms on our teeth everyday is a biofilm and nobody can prevent that from happening. But this plaque has to be effectively cleaned or else it turns into hard deposits called tartar or calculus which can be removed only by professional cleaning! this what turns your teeth pale and discoloured and causes the mouth to smell bad! please visit a good dentist nearby and get a check up done also ask him the best methods of brushing your teeth and good oral hygiene practises! regards.

The treatment with braces to treat mal-aligned teeth can be started anytime after 10 yrs depending on individual cases. Its not just for aesthetics but for better tooth alignment for better chewing and maintain oral hygiene.

Your preventive methods need to review and also consult dentist about how to brush. Brushing twice a day and flossing before sleeping may be helpful.

Jus by mentioning gaps, treatment can't be suggested. If there are generalised too much of gaps then fixed orthodontic treatment is necessary. Or if its facially localised between one or two teeth it can be corrected by cosmetic procedures by incorporating composites.

Over consumption of pain killers is very harm full to stomach lever kidney get filling done u may require rct n cap for sensetavity use GC TOOTH MOUSE twice daily read instructions before use

The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.

Go for professional scaling and polishing. This only will solve your problem permanently. Temporary relief can be achieved with a use of mouthwash.