I noticed white spots around my wisdom teeth after chewing tobacco for 10 years. What could it be?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

After analyzing the images you have attached (attachments removed to protect the patient's privacy), I suspect the whitish areas might be due to;

1) An impact of the amalgam (silver) filling in the particular tooth.

2) Trauma from biting using the wisdom tooth.

As of now, you do not require tooth removal as the tooth is symptom-free. However, if it shows any symptoms, you need to get the tooth removed.

Also, It would be helpful to analyze your condition better if you could answer the following questions;

1) Have you gotten these wisdom teeth filled? If yes, when?

2) Do you get your cheek area bitten by teeth sometimes?

3) Do you place snuff (tobacco) in that particular area?

Kindly revert with the answers.

Hello,

Welcome back to icliniq.com.

1) The amalgam filling can cause lichenoid reactions (an adverse reaction caused due to certain substances), initially presenting as a non-painful white spot lesion. Therefore, I suggest you get the amalgam filling replaced with a glass filling or light cure filling.

2) Frequently getting bitten by teeth can cause such whitish areas, whereas nicotine patches do not have such impact.

3) However, the concern right now is lymph node enlargement. If the lymph nodes are hard on picking with fingers and painless, I suggest you consult with an oral and maxillofacial surgeon.

4) Also, I suggest you take the following medications;

Tablet Amoxicillin and Clavulanic acid 625 mg twice daily for five days.

Tablet Acelofenac 100 mg, Paracetamol 325 mg, and Serratiopeptidase 15 mg twice daily for five days.

Apply Kenacort 0. 1 % (Triamcinolone acetonide) paste on the area twice daily for 15 days.

Revert after 15 to 20 days to check the status of the lesion and decide the further course of action.

I hope this helps.