 16. Inside Cheek Soreness
If the soreness is accompanied by a persistent white diffuse pigmentation it is
refereed to as " lichen planus". Lichen planus can be caused by: stress, nuts,
chocolate, acidic fruits, anti-tarter tooth pastes, tooth pastes that contain "sodium
lauryl", and medications such as diuretics and tetracyclines. If the white lesion
gives way to a red bleeding ulcer contact your dentist or physician immediately, about 2%
of these can become malignant. Management often includes: avoidance of the causative
factors, topical steroids, systemic steroids, topical steroid administered through a slow
releasing custom mouth guard, and in some cases laser surgery.
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©1998, Jeffrey Kohlhardt DDS, 1204 Cottonwood Street, Suite 4
Woodland, California 95695, (530) 662-7128 dr-k@dentalresource.com
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