Q. What is the white lesion in mouth that started as canker sore and can be scraped off?

Answered by
Dr. Sreekesh Menon
and medically reviewed by iCliniq medical review team.
Published on Aug 17, 2018

Hello doctor,

I am seeing white stuff in my mouth. I see more in quantity in inner cheeks and gums when I wake up in the morning. It has been four weeks. It can be scraped off using the finger.

I consulted a dentist nearby and she told me it might be leukoplakia and it goes away by itself in a few days but it did not. After a few days, I again visited the same dentist and she told me that it might be precancerous and suggested me to apply ghee on gums every night before bed.

I tried everything but it does not go away. I see it every morning and evening. I brush my teeth twice a day. I saw a canker sore in my mouth when it started and I also sometimes feel burning sensation after brushing. Please diagnose and help me out.



Welcome to icliniq.com.

As I can see you can scrape off your lesions, then it will not be leukoplakia because it is thickened, white patches that form on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue. These patches cannot be scraped off.

So, I will go with the diagnosis of pseudomembranous candidiasis which will have buring sensation and the lesions are scrapable. Do not worry. It is treatable.

Candidiasis can be treated with topical anti-fungal drugs, such as Nystatin, Miconazole, Gentian violet or Amphotericin B. If these antifungal creams are not available over the counter then you can suggest your dentist to prescribe them.

The Probable causes:

Fungal infection.

Differential diagnosis:

Secondary syphilis.

Treatment plan:

Antifungal creams.

Regarding follow up:

For more information consult a dentist online.--->https://www.icliniq.com/ask-a-doctor-online/dentist

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