Posted By: Element Should I be worried? - 03-19-2002 07:21 PM
5{e Dentist the other day, and they discovered two very white patches of skin where my wisdom teeth were removed. (They were removed about 15 years ago). The white patches are about the size of a pencil eraser on both sides of my lower jaw, and they look like dead skin, they aren't raised, or anything else. The Dentist said not to worry about them. He took a measurement and said if they grow he'll have a biopsy done. Has anyone here ever had a symptom like this, should I be worried at all?
Posted By: Brian Hill Re: Should I be worried? - 03-19-2002 07:22 PM
Leucoplakias need to be checked out, since sometimes they can be the precursors to a dysplasic change and malignancy. They don't always "grow". A simple brush type biopsy would put your mind at rest. It is painless, takes about 4 minutes, can be done in the dentists office, and is inexpensive. What this dentist has told you, I often refer to as "being treated with watchful neglect." Some guys will watch things for years until they finally develop into a cancer that my gardener could diagnose. Get another dentist to do the brush biopsy and be sure what's what.
Posted By: Element Re: Should I be worried? - 03-19-2002 07:22 PM
That's what I was thinking.
I was shocked to see such pale skin in my mouth when they showed them to me. And I was equally shocked when they didn't do a biopsy. I'm scheduling another visit just so I can get an answer without waiting to see if it changes or not. I'll post the results when I receive them.
Posted By: Element Re: Should I be worried? - 03-19-2002 07:23 PM
I went and saw the best Maxillofacial Surgeon in town. He gave me a complete oral exam. He found two bumps in my mouth, one about the size of a pea, the other a bit smaller. He also examined the white patches where my wisdom teeth were. He said that it was scar tissue that has been agitated by various things and should go away. He said the bumps are nothing to worry about either, he said they are bumps caused by my crooked teeth. He said there was no need for a biopsy, but I should get braces to keep my teeth from damaging the tissue in my mouth. I have decided to go back every six's months. It only cost $40.00.

Thanks for the advice, but I couldn't find anyone around here that uses the brush biopsy, but I did some reading up on it and it sounds like a good deal. Right now it's all surgery around here.
I do feel a little more relieved now that I had a second opinion.
I guess for the time being I will have to trust the Surgeon.
I like this website and think it's a great source of information. And out of the dozens I looked through on this subject, I found this to be my favorite.
Posted By: Brian Hill Re: Should I be worried? - 03-19-2002 07:24 PM
Going to see the oral surgeon was a smart move. And his explanation of the white patches as scar tissue seems logical, I don't know how long it has been since you had that surgery. But you have taken a proactive position on all this, and that will make you a winner in the process whatever you encounter in your future. I'm surprised to hear that you couldn't find a dentist that did the brush biopsy. The company that makes the Oral CDX Brush, (Oral Scans Labs), and the company that provides them to dentists (Sullivan Schein), have done a lot of marketing of them and the brush has been around for several years. More than that, the companies provide them for FREE to dentists, you only have to pay for the laboratory fee if they are used. Sounds like some of the docs in your neck of the woods need to be dragged into the 21st century...............
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