Q. Are my lips raw and swollen due to allergy from tooth fillings?
Hello doctor,
I am having lots of problems with my mouth, and the VA clinic is struggling to help me. I am a 36-year-old male and have no significant health issues besides this. I am really struggling because my lips are constantly raw, peeling, and swollen. They also burn and hurt almost always. I have one amalgam filling in my mouth from 15 or longer years ago. I also have a bit of resin or composite fillings in my mouth. I am trying to make connections and remember. I had a bad skin reaction to an artificial football field turf a few years ago, and it was where the plastic field pellets were stuck to my skin. I also had path testing done at the VA and they found I was allergic to Sesquiterpene lactones, cobalt, and nickel, as well as other metals likely. Is it possible the materials in my mouth are keeping me in a constant state of misery?
Hello,
Welcome to icliniq.com.
I saw your clinical picture (attachment removed to protect patient identity). If I just look at your lips, it looks like severe cheilitis. Considering the history, I would like to rule out oral lichen planus. Amalgam is known to cause lichen planus. Check-in your mouth for a whitish-lacy pattern. I suggest you meet your dermatologist for a detailed oral examination.
Warm compresses will be helpful till you meet your doctor. Avoid licking your lips; saliva further aggravates the condition. I suggest using Bioline jelly, apply to lips four times a day. These are all symptomatic treatments, not specific. If the diagnosis of lichen planus is confirmed after a detailed examination from your doctor, then you will be prescribed topical Tacrolimus, topical Corticosteroids and oral Corticosteroids if needed.
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