HomeAnswersDentistrycandidiasisI have white patches on my cheeks and gums. Why?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 17, 2018
Reviewed AtFebruary 17, 2024

Patient's Query

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.

Answered by Dr. Sreekesh Menon

Hello,

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sreekesh Menon
Dr. Sreekesh Menon

Dentistry

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