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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Leukoplakia Be Treated?

I had been to a dentist to show my problem in cheek. He prescribed me to take 10 Nos.bi-folate tablets and after that to take/apply 20 nos. QNXT CAPSUL on the cheek. He guesses the disease as leukoplakia of buccal mucasa. After completition of the above medicines, he has stopped me to take any other medicines. I am a regular tabbaco chewer and now I have stopped tobaco. Please advise me what to do.
Tue, 20 Mar 2018
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Dentist,  's  Response
Hello,

As per your complain if there is a white patch on the inner cheek where you used to dip tobacco can be due to causes like Frictional Keratosis that is a harmless overproduction of keratin layer over the mucosa as a protective phenomenon to prevent damage to the mucosa with the friction and chemicals.

Other cause can be Leukoplakia that is also an overproduction of Keratin but there is also disturbance in cells known as cell dysplasia. The medications given to you are appropriate and if you stop chewing tobacco the patch can gradually shrink and fade off. If the patch is still present, I would suggest you consult an oral physician and get evaluated and a clinical evaluation and investigations like Biopsy can be done for diagnosis.

In case if it is due to Frictional Keratosis it will get resolved on its own once the tobacco intake is stopped. In the case of Leukoplakia, you can be advised Multivitamins and antioxidants like Lycopene for at least two to three months. It also gets resolved if tobacco intake is completely stopped. The medicines can be continued further and also a Biopsy can be done to confirm the diagnosis.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora
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How Can Leukoplakia Be Treated?

Hello, As per your complain if there is a white patch on the inner cheek where you used to dip tobacco can be due to causes like Frictional Keratosis that is a harmless overproduction of keratin layer over the mucosa as a protective phenomenon to prevent damage to the mucosa with the friction and chemicals. Other cause can be Leukoplakia that is also an overproduction of Keratin but there is also disturbance in cells known as cell dysplasia. The medications given to you are appropriate and if you stop chewing tobacco the patch can gradually shrink and fade off. If the patch is still present, I would suggest you consult an oral physician and get evaluated and a clinical evaluation and investigations like Biopsy can be done for diagnosis. In case if it is due to Frictional Keratosis it will get resolved on its own once the tobacco intake is stopped. In the case of Leukoplakia, you can be advised Multivitamins and antioxidants like Lycopene for at least two to three months. It also gets resolved if tobacco intake is completely stopped. The medicines can be continued further and also a Biopsy can be done to confirm the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora