Treatment FAQ

leukoplakia tongue treatment what specialist

by Mr. Leonardo Bogisich Published 2 years ago Updated 2 years ago
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Preparing for your appointment. You're likely to start by seeing your dentist or primary care professional. However, you may be referred to an oral surgeon or an ear, nose and throat (ENT) specialist for diagnosis and treatment.Mar 6, 2018

Do dentists treat leukoplakia?

The lesion can be removed either by your general dentist or by an oral surgeon. Hairy leukoplakia needs treatment with an antiviral medication.

Can an ENT diagnose leukoplakia?

FAQs on Leukoplakia (White Patches on Tongue) You can consult your dentist or primary care professional. In case the doctor suspects unusual changes, you may be referred to an oral surgeon or an ear, nose, and throat (ENT) specialist for accurate diagnosis and treatment. 2.

What doctor treats oral lesions?

Oral lesions can be benign or malignant; referral to a dentist or an otolaryngologist is appropriate if any lesion persists for more than two weeks.

What is the best treatment for leukoplakia?

Leukoplakia can be treated by two types of medications: systemic and topical. If your dentist recommends a systemic medication, they will prescribe an antiviral medication like Valtrex or Famvir. While the virus that causes leukoplakia never leaves the body, its spread can be halted.

What kind of doctor does tongue biopsy?

The first thing you should know is that the test is commonly performed by either an oral surgeon or a periodontist. However, a dentist too can do a dental biopsy. After sterilizing the target area, your dentist with numb your mouth.

Does ENT treat leukoplakia?

Excisional biopsy. If the biopsy is positive for cancer and your doctor performed an excisional biopsy that removed the entire leukoplakia patch, you may not need further treatment. If the patch is large, you may be referred to an oral surgeon or ear, nose and throat (ENT) specialist for treatment.

Do ENT doctors treat mouth problems?

Some mouth sores can be treated with over-the-counter medications, but others should be treated by an ear, nose and throat specialist, or ENT. These are just a few of the more common types of mouth sores: Canker sores–which are also called aphthous ulcers, appear as white or red ulcerated areas and are acutely painful.

Do you go to a doctor or dentist for tongue problems?

Many facial injuries, such as lacerations to the cheeks or tongue will be dealt with by doctors, though any damage to your teeth will result in a trip to the dentist. Symptoms of a larger disease that affect that mouth, such as dry mouth or lesions, should be dealt with by doctors.

Does ENT treat oral Lichen Planus?

People with oral lichen planus have an elevated risk of developing oral cancer. Therefore, it's important for patients with this condition to consult their primary care physician about possibly establishing care with an ENT (ear, nose, and throat) specialist, or otolaryngologist.

Is leukoplakia curable in homeopathy?

Answers (8) We can treat it. Homoeopathic treatment would be effective and permanently cure for this problem without any side effects. Consult online or visit our Clinic.

Should I be worried about leukoplakia?

Outlook (Prognosis) Leukoplakia is usually harmless. Patches in the mouth often clear up in a few weeks or months after the source of irritation is removed. In some cases, the patches may be an early sign of cancer.

Does leukoplakia spread fast?

Nearly all cases will eventually become cancerous at a number of different sites. PVL is usually diagnosed late in the development of leukoplakia, as it takes time to spread to multiple sites. It also has a high rate of recurrence.

How many types of leukoplakia are there?

There are two main types of leukoplakia:

How many people with leukoplakia will develop cancer?

Within 15 years, about 3% to 17.5% of people with leukoplakia will develop squamous cell carcinoma, a common type of skin cancer. The likelihood of developing cancer from leukoplakia depends on the size, shape, and appearance of abnormal cells. Cleveland Clinic is a non-profit academic medical center.

What causes white spots on the inside of the mouth?

Leukoplakia is a condition that involves white patches or spots on the inside of the mouth. It can be caused by chewing tobacco, heavy smoking, and alcohol use.

How long should you have follow up examinations for leukoplakia?

If leukoplakia returns after treatment, you should continue to have follow-up examinations for as long as your healthcare provider recommends.

What causes hairy spots on the tongue?

There is also a condition called oral hairy leukoplakia, which also happens as a result of having the Epstein-Barr virus , which stays in your body throughout your life. People with weak immune systems, like people with HIV/AIDS, can develop oral hairy leukoplakia. This condition looks like its name—white hairy patches, often with folds so it looks like hair is growing out of the folds. These spots mostly happen on the tongue, but might be found in other parts of the mouth. Oral hairy leukoplakia doesn’t become cancer, but if you have it, you will probably want to talk to your provider about checking for HIV/AIDS.

Can leukoplakia become cancer?

These spots mostly happen on the tongue, but might be found in other parts of the mouth. Oral hairy leukoplakia doesn’t become cancer, but if you have it, you will probably want to talk to your provider about checking for HIV/AIDS.

Do white patches of leukoplakia cause symptoms?

Since the white patches of leukoplakia do not cause symptoms, they are often first noticed by healthcare providers during a routine examination. Before a diagnosis of leukoplakia is made, other possible causes of the white patches are investigated.

How to diagnose leukoplakia?

A diagnosis of leukoplakia usually involves: An oral examination by the healthcare provider. An attempt to try to wipe away the white patches (if they can be wiped off, it is likely not leukoplakia) A thorough medical history to uncover certain risk factors (such as smoking or chewing tobacco)

How effective is leukoplakia?

Treatment of leukoplakia is most effective after early diagnosis. Regular follow-up visits to the healthcare provider are vital, as is learning to thoroughly and regularly perform self-inspections of the mouth.

What is the difference between hairy leukoplakia and regular leukoplakia?

Another major difference between hairy and regular leukoplakia is that hairy leukoplakia is not associated with a risk for cancer. Hairy leukoplakia may be one of the very first signs of HIV .

What is the name of the condition where the mucous membranes are thickened?

Leukoplakia and Cancer. Oral Hairy Leukoplakia. Symptoms. Causes. Diagnosis. Treatment. Leukoplakia is a mouth condition involving thickened white patches on the mucous membranes (lining) of the mouth, gums, or tongue. It is most often caused by smoking or other types of tobacco use (such as using chewing tobacco).

How long does it take for leukoplakia to clear up?

It’s important to see a healthcare provider when: White patches in the mouth do not clear up on their own in two weeks.

What is the name of the white ridges on the side of the tongue?

One type of leukoplakia is called hairy leukoplakia. The name originated from the fuzzy white patches that look like folds or ridges that are often found on the sides of the tongue. Oral hairy leukop lakia is often mistaken for thrush mouth (a yeast infection of the mouth and gums). Unlike leukoplakia, thrush causes creamy white patches ...

What percentage of people with leukoplakia have cancer?

Within 15 years, about 3 to 17.5 percent of people with leukoplakia will develop squamous cell carcinoma, a common type of skin cancer.”. Cancers on the bottom of the mouth sometimes appear adjacent to leukoplakia in a condition called “speckled leukoplakia,” which involves white and red areas in the mouth.

How to prevent leukoplakia?

The best way to prevent leukoplakia is to avoid the things that may cause it. Try these lifestyle changes: 1 Stop smoking or using tobacco in other ways. 2 Limit your alcohol. 3 Eat a healthy diet with lots of fruits and vegetables. 4 Vitamin A and beta- carotene supplements may help.

How to treat hairy leukoplakia?

Hairy leukoplakia needs treatment with an antiviral medication. Leukoplakia Prevention. The best way to prevent leukoplakia is to avoid the things that may cause it. Try these lifestyle changes: Stop smoking or using tobacco in other ways. Limit your alcohol. Eat a healthy diet with lots of fruits and vegetables.

What Is Leukoplakia?

Leukoplakia is a white or gray patch that shows up on your tongue, the inside of your cheek, or on the floor of your mouth. It’s the mouth's reaction to ongoing (chronic) irritation of the mucous membranes of the mouth. Leukoplakia patches can also develop on the female genital area; however, the cause of this is unknown.

What are the patches on the inside of your mouth called?

Leukoplakia patches on your tongue, gums, roof of your mouth, or the inside of the cheeks of your mouth may be: White or gray in color. Thick or slightly raised. Hardened and rough in texture. These patches may develop and change slowly over weeks to months.

How long does it take for a leukoplakia to clear?

Leukoplakia is usually harmless, and lesions usually clear in a few weeks or months after the source of irritation is removed. If eliminating the source of irritation is ineffective in reducing leukoplakia, the lesion may need to be surgically removed. The lesion can be removed either by your general dentist or by an oral surgeon.

What does it mean when your tongue is fuzzy?

White, fuzzy patches show up on the tongue and sometimes elsewhere in the mouth. It can look like thrush, an infection caused by the fungus Candida which, in adults, usually happens if your immune system is not isn’t working the way it should.

Can a leukoplakia patch be on the female genital area?

Leukoplakia patches can also develop on the female genital area; however, the cause of this is unknown. Leukoplakia patches can occur at any time in your life, but it is most common in senior adults.

How to remove leukoplakia patches?

Oral leukoplakia patches can be removed by using laser therapy.

Which age group is most affected by oral leukoplakia?

Middle-aged males are most affected due to oral leukoplakia.

What is the most common premalignant condition of the oral mucosa?

Oral leukoplakia is the most common premalignant condition of the oral mucosa which results in white thick patches in the tongue. Oral leukoplakia is characterized by white patch or plaque of the oral mucosa which cannot be easily identified. People who are addicted to tobacco chewing, smoking or alcoholism are more likely to suffer ...

Can homeopathic medicine help with leukoplakia?

Yes, homeopathic medicines help in case of oral leukoplakia. Some of the homeopathic medicines which are helpful in case of leukoplakia. These are: Antimonium Crudum. Apis Mellifica. Nitric Acid. Taraxacum. For more information, you can visit NCBI and Wikipedia.

What is the best treatment for leukoplakia?

Treating Leukoplakia. Leukoplakia can be treated by two types of medications: systemic and topical. If your dentist recommends a systemic medication, they will prescribe an antiviral medication like Valtrex or Famvir. While the virus that causes leukoplakia never leaves the body, its spread can be halted.

How to prevent leukoplakia?

Preventing Leukoplakia. Avoid Tobacco Use — Avoiding smoking or chewing tobacco products is one of the best things you can do for your oral health. Your doctor has access to smoking cessation programs (or even medications) that can help you kick the habit and keep your mouth healthy.

What Is Leukoplakia?

Leukoplakia is a condition in which thick, white patches or lesions appear within the mouth — typically on the gums or inside the cheeks — and is caused by excess cell growth . The sores can vary in appearance but are typically white or gray, and have thick, raised edges with a hard surface. These lesions usually appear within the mouths of smokers or users of smokeless tobacco, but they can also be a symptom of poorly fitting dentures or a sign of someone who habitually chews on the inside of their cheek.

What percentage of HIV patients have hairy leukoplakia?

According to Johns Hopkins , as many as 25 percent of HIV-positive people are affected by hairy leukoplakia. Its appearance may mean one of two things — that the HIV is spreading within the body or that their antiretroviral therapy is losing its efficacy in fighting on behalf of the weakened immune system.

Is leukoplakia a benign disease?

While not normally dangerous (most patches are considered benign), a small percentage of leukoplakia instances show early signs of mouth cancers appearing next to the growths. If you notice a sudden blossoming of these growths within your mouth, you should immediately contact your dentist for advice and treatment.

Can podophyllum resin be used topically?

If your dentist recommends a topical medication, you could be dealing with a podophyllum resin solution or a retinoic acid. Both are applied topically to the patches, but as with systemic treatments, the patches can return if the topical medications aren’t used regularly and consistently.

Can leukoplakia cause cancer?

While it’s not pain ful and might not lead to cancer, hairy leukoplakia still may indicate an HIV infection or AIDS. Even once the patches of leukoplakia have been removed, there is still a risk of experiencing some type of oral cancer in the future, so it’s best to remain vigilant about your mouth’s environment until your dentist has given you the all-clear.

How is oral hairy leukoplakia diagnosed?

Oral hairy leukoplakia patches are easy to identify. Healthcare providers can often diagnose it from a physical exam alone . Oral candidiasis, or thrush, can be similar in appearance. However, your healthcare provider can often remove thrush growths on the tongue. This helps your healthcare provider to tell the difference between the two conditions.

How to prevent hairy leukoplakia?

Preventing oral hairy leukoplakia starts by having a healthy immune system. Stick to your prescribed HIV treatment plan and dental hygiene routine. Also, take steps to maintain a healthy lifestyle. Practice safe sex, exercise regularly, and follow a healthy diet. Do not smoke.

What causes oral hairy leukoplakia?

Oral hairy leukoplakia is caused by conditions that weaken the immune system. This includes the Epstein-Barr virus and HIV.

What is the condition that causes white patches on the tongue?

The condition causes white lesions, or patches, on the tongue. Treatment is aimed at treating the underlying immune problem, such as HIV. Oral hairy leukoplakia can be a warning sign of HIV or a severely weakened immune system.

Why does my tongue have white spots?

Oral hairy leukoplakia is a condition triggered by the Epstein-Barr virus (EBV). It causes white patches on your tongue. Sometimes the patches happen in other parts of your mouth. The patches may look hairy. This is where the name comes from. Oral hairy leukoplakia happens most often in people with weak immune systems.

What are white patches on my teeth?

White patches are the main symptom of oral hairy leukoplakia. The patches are: White and “corrugated,” or folded, in appearance. Hairy, hair-like growths come from the folds in the patches. Permanent, you can’t remove the patches with a toothbrush or with another oral care tool. Sometimes, the patches cause discomfort and taste changes.

What to do if you have a follow up appointment?

If you have a follow-up appointment, write down the date, time, and purpose for that visit.

What is the prevalence of oral leukoplakia?

Oral leukoplakia has an estimated prevalence of 0.1% 3 and is mostly found on the tongue of middle-aged and older men who smoke. 1. Oral leukoplakia has various forms based on thickness, texture, color, and regularity, and each form has a different biologic behavior. 2 Tenderness and induration on palpation are indications of malignancy. 1.

What is the gold standard for oral leukoplakia?

For the initial management of oral leukoplakia, incisional biopsy for histopathologic study is the gold standard. The histopath ologic appearance of oral leukoplakia can range from hyperkeratosis to various degrees of epithelial dysplasia. 3 The clinical diagnosis of leukoplakia should change to a pathohistologic diagnosis in the presence of in situ carcinoma, squamous cell carcinoma, or verrucous carcinoma. 3

What is the treatment for dysplasia?

2 Nonsurgical treatments have included administration of retinoids, vitamin C, beta carotene supplements, 5-fluorouracil, and bleomycin. 3

Is leukoplakia premalignant?

FEATURES OF ORAL LEUKOPLAKIA. Oral leukoplakia is the most common chronic kera totic lesion of the oral cavity and is potentially premalignant. 1, 2 It is a clinical diagnosis and is characterized predominantly by adherent white plaques of the oral mucosa. 3.

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Leukoplakia and Cancer

Oral Hairy Leukoplakia

Symptoms

  • You're likely to start by seeing your dentist or primary care professional. However, you may be referred to an oral surgeon or an ear, nose and throat (ENT) specialist for diagnosis and treatment.
See more on mayoclinic.org

Causes

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Most of the time, the white patches from leukoplakia are not considered cancerous and are therefore deemed benign. In some cases, though, it has been found that leukoplakia is an early sign of mouth cancer. In fact, according to the Cleveland Clinic Health Library, “ it can eventually develop into oral cancer. Within 15 years, …
See more on verywellhealth.com

Diagnosis

  • One type of leukoplakia is called hairy leukoplakia. The name originated from the fuzzy white patches that look like folds or ridges that are often found on the sides of the tongue. Oral hairy leukoplakia is often mistaken for thrush mouth(a yeast infection of the mouth and gums). Unlike leukoplakia, thrush causes creamy white patches that can be wiped away and can be trea…
See more on verywellhealth.com

Treatment

  • The white patches of leukoplakia are normally found on the gums, inside the cheeks, under the tongue, or on the tongue itself. They may not be noticed initially. Other symptoms of leukoplakia may include: 1. Grayish colored patches that cannot be wiped off 2. Irregular textured or flat-textured patches in the mouth 3. Areas in the mouth that are hardened …
See more on verywellhealth.com

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