That's a good guess Charm, but hyperplasia, is really just a callous (sp? that looks wrong). It is a thickening of the outermost layer of epithelium, and is very common, usually very small areas as opposed to an entire cheek, where something like a rough filling or tooth edge chronically rubs and the epithelium goes through a protective (and benign) change.

I would like our poster to visit new, and oral cancer aware/treatment knowledgable, different doctors.

Two reasons. First anyone that prescribes vitamins to someone for a actual oral physical change is just appeasing them and has no clue what it is in my mind.

Second I have talked to some patients the have salivary gland tumors and cheek thickening was one of their signs and symptoms. We don't have so many salivary gland cancer patients here, so it isn't talked about much. But given the distance across the world I think the best advice is not to ignore this, not to be convinced by a doctor that is not trained in oral cancers specifically that it is nothing, and to get a new opinion from an expert in the field in his country. In my non doctors opinion, this is an established sign and symptom of something that needs definitive diagnosis.