Hello,
Based on your history (burning sensation for 1 year, worse in evening, white line/patch-like changes, sensitivity to spicy food, normal blood reports), the possibilities include:
• Oral Lichen Planus (OLP)
• Oral lichenoid reaction
• Early Burning Mouth Syndrome (if no significant clinical lesion)
Since symptoms are persistent for 1 year and not responding to routine treatment, this should not be ignored.
I would strongly recommend:
• A detailed clinical examination by an Oral Medicine specialist
• If required, an incisional biopsy to confirm diagnosis
• Evaluation for any local irritants (sharp teeth, restorations, tobacco history)
Avoid spicy food, alcohol-based mouthwash, and stress triggers.
Please upload a clear close-up picture of the affected area for better guidance. Proper diagnosis is essential before further treatment.
Answered2026-02-15 08:38:06
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