Doctor insights on:
Oral Leukoplakia In Children
Leukoplakia is white patches in the mouth on the cheeks or tongue. It is often caused by irritation from rough fillings or ill-fitting dentures. It is also caused by chewing tobacco and snuff.
Removeal of the irritation will usually cause the patches to disappear. However, they should be biopsied because they may be the start of oral cancer and need to be treated as such. ...Read more
Thanks for asking!: Leukoplakia is a general term given to a white looking patch in the mouth. You cannot make a definitive diagnosis without a biopsy. Many oral lesions may look white but have different microscopic diagnoses. Most leukoplakia do not cause symptoms. However, if they are symptomatic a biopsy may be indicated. You should consult an oral surgeon for an evaluation. ...Read more
Not so easy: Leukoplakia may appear stuck on the mucosal surface but it is deeply attached, so it can not be wiped out. But it can be treated by your doctor. Go see a head and neck surgeon who may use medical or surgical treatments to control/remove it as it is a precancerous condition. You also need to remove the cause? Tobacco chewing or smoking, typically. ...Read more
Been told it usually takes decades of smoking before problems begin. So does that make it highly unlikely to have oral leukoplakia by 25? 4 pack years
Told wrong...: It is an individual variable as how long your body can resist damage from exposure to toxins/poisons. There are known cases of oral cancer and death resulting from only a few years of tobacco use. Why take the risk to see what your body will tolerate? See: http://whyquit.com/whyquit/A_Gruen.html ...Read more
No.: Hairy leukoplakia represents an opportunistic ebv (epstein-barr virus) infection as a result of a suppressed immune system, as may occur in HIV infection. It typically manifests as a white plaque on the side of the tongue. Use of contraceptives is unrelated to oral hairy leukoplakia. ...Read more
Can oral leukoplakia be scrapped off? If im able to scrap it off then is it oral leukoplakia? Not red or discolored underneath. Side under tongue
No: Hairy leukoplakia, sometimes called oral hairy leukoplakia, results from infection with the epstein-barr virus (ebv). Once you've been infected with ebv, the virus remains in your body for life. Normally, the virus is dormant, but if your immune system is weakened, either from disease or certain medications, the virus can become reactivated, leading to conditions such as hairy leukoplakia. ...Read more
If a dentist noticed oral leukoplakia would they 100 percent tell you? I've had white film on my tongue for years but go to dentist every 6 months
We hope so: White film on tongue is white film on tongue, not likely to be leukoplakia. You should be able to scrape or brush this off with floss, tongue scraper or brush (stick tongue out, place whatever on tongue near back and then pull tongue back in mouth). Leukoplakia will not wipe/scrape off and looks more like white adherent skin — think what a callous look like after swimming. See Dentist if needed. ...Read more
I've smoked on and off for 8 years. What are the chances of having oral leukoplakia(pre malignant lesion in mouth) by the age of 25? Would this be rare?
Very real: This would not be rare at all. You have racked up 8 years times the amount per day (measured in packs = ppd). So, at one ppd you have accumulated 8 pack years. Multiply that by 365 days times 20 cigarettes per pack and get the total of 58,400 smokes. Think heat plus chemicals times how long it takes to smoke one cig and that is how much exposure your mouth has had. Be sure to be checked. Smart=Quit ...Read more
Concerns: Oral hairy leukoplakia can be associated with the epstein-barr virus, and is a common finding in patients with hiv. The lateral border of the tongue affected most commonly. Have an HIV test. There are other "hairy tongue" diseases, so rule out oral cancer, yeast infection as well. ...Read more
Hairy leukoplakia is a white patch that develops on the tongue or inside of the mouth that cannot be wiped away. It is called "hairy" because it is fuzzy looking, having folds or ridges. It is often mistaken for oral thrush
hairy leukoplakia is usually seen in people with depressed immune systems such as hiv/aids. ...Read more
Physical exam alone: Leukoplakia lesions are easy to identify. The condition causes white lesions, or patches, on your tongue. The thrush, can be similar in appearance. However, doctors can often remove oral growths on the tongue due to thrush. This makes differential diagnosis between the two conditions easy. ...Read more
Is oral hairy leukoplakia death sign of hiv? I'm scared and want to know if there is any possibility to have OHL without hiv
Probably not OHL: I think you've been reading too much information on the internet, without real understanding. Several things that can cause various marks on the tongue in addition to hairy leukoplakia. Without HIV, OHL is a minor condition. Even with HIV, it's definitely not a "death sign". HIV is rare in 19 year olds in the US. even w/ at "hi risk. See doctor or dentist, and expect a reassuring response. ...Read more
Would smooth oral hairy leukoplakia (unconfirmed) appear 4 months after possible HIV exposure? Perio said looked like regular leukoplakia. Scared.
Biopsy it.: Any lesion is best diagnosed with an actual biopsy and not a visual guess. Then you know exactly what you have and what precautions or treatment is indicated. Don't be scared, just have it biopsied. Personally, I think it's better to know than to worry about possibilities. If your periodontist doesn't want to have it biopsied, ask why and consider seeing an oral surgeon for a second opinion. ...Read more
Huge difference!: Lichen planus is a submucosal inflammatory lesion usually found on the cheeks. Sometimes ulcers can develop, but this represents little more than an irritating rash. Oral hairy leukoplakia is an opportunistic infection by epstein barr virus. This can be linked to steroid use, hiv, or any other condition causing a reduced immune response. ...Read more
Not sure if had oral hairy leukoplakia on bucal mucosa? Lasted 3 months. When periodontist saw, mostly cleared up. He said was leukoplakia. Now gone.
Leukoplakia: Is a greyish/ white patch that develops in the mouth and that cannot be wiped off. It is caused by chronic irritation and should be checked by your dentist. Smoking is the most common cause. ...Read more
Can you get thrush or oral hairy leukoplakia just from common EBV or does there HAVE to be a major condition associated that causes it? I'm scared
Unrelated to EBV: Oral thrush, the overgrowth of candida albicans in the mouth, results when the host immune system cant maintain its natural defense against the fungus always present in small numbers. Normally, the immune system depends on the common oral microorganisms to keep Candida under control. Use of antibiotics, or infection with HIV can result in thrush. ...Read more
Someone with ms, can the symptom of HIV infection show up the next day of being infected and oral hairy leukoplakia 4 days later?
Not really: You do not give information regarding the status of your ms, and no specific ms medication is noted. Therefore, I doubt you were immune-suppressed. Hiv infections develop over a period of weeks, even months, and, results of an infection would certainly not be apparent 4 days later. If you leukoplakia was related, means infection was already present. See infectious disease specialist. ...Read more
Have had white area on tongue for abt 1 year. No changes. Do I have to treat leukoplakia or can I leave it? Is an annual oral cancer screening enuf?
Get it checked: I'd recommend you defer to recommendation of an oral surgeon that knows his stuff. They'd prob want biopsy of some sort before feeling comfortable to watch it. I'd take lots of pics. ...Read more
Does oral hairy leukoplakia make spicy food burn in bucal mucosa? Not sure if I had ohl or regular leukoplakia. The periodontist said it was leukoplakia but no biopsy was done.
Very important!: Many lesions can cause your gums or tissues to be irritated\burn from spicy foods. Some people get this even without any lesions. Of extreme importance is to know exactly what you have, & monitor it at least every 6 months with a complete head and neck soft tissue screening at your dentist, along with routine dental checkups. It should definitely be biopsied! If not recommended, see oral surgeon. ...Read more
Can one be infected by another person with the epstein-barr virus(oral hairy leukoplakia) without being infected with hiv? Thank you
I have oral hair leukoplakia and fever, lymphnodes.etc but HIV PCR RNA 5,15 week; HIV ab 8,13,28,33 weeks all neg, am I HIV free?? Ebv is caus?
Could be-: If repeated HIV testing is (-), and oral hairy leukoplakia (OHL) is present, then you don't have HIV. You have another type of viral infection. EBV is certainly a leading diagnosis- there are specific blood tests that can determine if you have an active or past infection. If the OHL is a soft diagnosis, consider other viruses such as Cytomegalovirus (CMV) and Human Herpesvirus-6 (HHV-6). ...Read more
Biopsy: Leukoplakia means a white spot in the mouth. Have a dentist or oral surgeon look at it and review your medical history. It will be helpful if another doctor took previous pictures of the lesions with measurements. See a doctor and a biopsy probably will be performed. Make sure that the leukoplakia is documented with pictures and measurements. ...Read more
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