What causes painless white granules inside the inner cheek?

Question

Hello doctor,

I have found some white granules inside my right inner cheek. Some of them are almost invisible, but two of them are visible. They are not painful. I discovered them accidentally three weeks ago. Could you tell me if I should be worried about them? Also, does my oral mucosa looks alright? Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I really appreciate that you are keen on your oral health and reaching out to me. The picture (attachment removed to protect patient identity) you sent looks normal to me. Our oral mucosa is rich in blood supply and very delicate compared to the outer skin. The picture you have sent shows a good blood supply.

When you look at your cheeks yourself and see some minute granules like structure that are a bit yellowish in color (which I think you are talking about) are called Fordyce granules and are normal in most people. They are small openings of the sebaceous gland (sweat glands without hair follicles). There is no treatment required for that, and it is harmless.

If you notice any ulcer or whitish or reddish patch inside your mouth along with some skin lesions that do not heal for more than three weeks, that is when we should be cautious and seek a dentist immediately. This is because our body is dynamic and can heal any wound or ulcers by itself. If this is not happening, that is the time we should keep an eye on it.

I hope that helps.

Thank you.