I am 24-years-old. I noticed white spots and a line around my wisdom teeth approximately three to four months back, getting slightly bigger than before. My dentist advised me to get my right wisdom tooth removed, and I have had a cracked tooth on the same side for almost two years. There are no symptoms like pain or other difficulties except for the white spots, and I have been chewing tobacco excessively for nearly 10 years. I have attached the images of the white spots. I do not suffer from other illnesses and have not taken any medications. Kindly give your advice on what could it be? Could it be cancer? Also, should I get my wisdom teeth removed?
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.
Thank you for your reply.
1) The only tooth with a filling is the seventh tooth, which was filled with amalgam seven years back.
2) I occasionally get my cheek bitten by the teeth, but it is not very often.
3) No, I place tobacco on my upper lip's right or left side. I have stopped using tobacco for the last two years. Instead, I use one nicotine pouch per day.
I also found three palpable cervical lymph nodes, which are smaller than half a centimeter, and the lymph node in front of my ear is around one centimeter. Also, my cheek is slightly bigger on the particular side.
Kindly give your opinion on changing the amalgam filling to a different one?
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.
Was this answer helpful?|
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. like a minor aphthous ulcer, which gives no pain and subsides by itself. Please check if there is any pus discharge, pain in the tooth and any other area of the mouth also has this kind of spots. Aphthous ulcer often causes minimal symptoms or pro... Read fullI got two wisdom teeth pulled two days back and still have pain. Please advice.
.. seen the pictures you attached with your query (attachment removed to protect patient identity). Both the extracted regions looks perfectly good. I see that the sutures have been placed for helping those gums to heal quickly. Also, there is the fo... Read fullCan leaving tobacco chewing cure oral fibrosis?
And leaving tobacco is how much helpful ... Main causes are tobacco-gutkha, beetle nut ... Read full
Ask your health query to a doctor online?Ask a Dentist Now