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Buccal mucosa patch
I don't know what is happening with my mucosa from last 4 months a thin layer appears on buccal mucosa and scrap of after 2 days by my tongue this process is repeating from last 4 months is it leukoplakia or candiasis? and also the affected area causes wrinkles please see photo and tell me proper treatment I am very tensed because i reach many dentist but this problem doesn't go away permanently right after scraping a thin plastic shiny layer appears on mucosa and form wrinkles I have searched on internet it tells me that it is precancerous I am very worried please help
Answers (6)
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Hello,
Thank you for sharing the photo and detailed history. I understand your concern, and itâs good that you're attentive to changes in your oral mucosa.
ð¦ Clinical Insight:
Based on the photo and description:
The white shiny peeling layer that recurs and can be scraped off is less likely to be leukoplakia.
It may suggest:
Chronic superficial candidiasis
Frictional keratosis (due to cheek biting, sharp tooth, or repeated trauma)
Mucosal desquamation (possibly allergic or autoimmune reaction)
Chemical trauma (from toothpaste, spicy food, mouthwash, etc.)
Next Steps
Stop scraping the area â it delays healing and causes repeated trauma. Consult an oral medicine specialist or oral pathologist for: Direct examination Fungal culture or exfoliative cytology Biopsy (if required) Maintain high oral hygiene, soft diet, and avoid: Tobacco Betel nut Alcohol Very spicy or citrusy foods Switch to a non-SLS (sodium lauryl sulfate) toothpaste. A short course of antifungal gel (like Miconazole or Clotrimazole) might help if it's candidiasis, but donât self-medicate.
Health Tips
This does not look like leukoplakia (as that usually cannot be scraped off). Precancerous lesions are usually firm, persistent, and non-removable. A definitive diagnosis will come only after a clinical evaluation and test â most such conditions are treatable.
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You should take proper medication for this. Need to check it . And it's not cancerous condition as it can be scraped of. It will not go away like this until and unless you have proper medication for this. Need to consult you by video consultation and suggest you the treatment.
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Hello
As leukoplakia cannot be scraped off, it can be oral candidiasis, or friction keratosis
Please consult the dentist for physical examination
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Thanks for sharing your concern. The white layer you describe could be due to frictional keratosis, candidiasis, or cheek biting. Leukoplakia usually doesn't scrape off, so it's less likely, but it’s good you're being cautious.
Next Steps
✅ Please avoid scraping the area.
✅ Visit an oral medicine specialist or oral pathologist for proper evaluation.
✅ Avoid irritants like tobacco, spicy food, or sharp teeth.
Health Tips
Most cases like this are not dangerous and treatable, so don’t panic. Get a proper diagnosis soon.
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Dr. Madiha
Dentist
2 yrs exp
Noida
Hi! The white patch you’re describing could be due to either chronic candidiasis (which may appear as a thin, shiny, scrapable layer) or leukoplakia (which is usually non-scrapable and potentially precancerous). Since it has been recurring for 4 months, I strongly recommend a clinical examination and biopsy to rule out any serious condition. Maintain good oral hygiene, avoid any tobacco-related habits, and consult an oral medicine specialist as soon as possible.
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Dr. Pia Patel
Dentist
14 yrs exp
Chennai
Hi,
Visit a dentist for a clinical examination.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.