Ulcer Tongue-Leukoplakia (Contd)
Leukoplakia of the tongue is a whitish lesion of the lining of the tongue and of the inside of the cheek. This is a precancerous lesion.
Irritation in the mouth may be caused by rough teeth or rough places on dentures, fillings, and crowns. It may also result from smoking or other tobacco use (smoker’s keratosis).
White patches usually appear on the tongue and sometimes on other places in the mouth. The condition may look like thrush, a type of Candida infection that is also linked to HIV and AIDS in adults.
The ideal treatment is to take a biopsy followed by surgical removal
Conservative surgical excision remains the treatment of choice for small Leukoplakia. Electrocautery, cryosurgery and laser ablation appear to be equally effective. The key is long-term follow-up after removal, because recurrences are frequent and additional Leukoplakia occurs. Clinical evaluation every six months is recommended. Treatment sites remaining disease free for three years need no longer be followed, but any patient with residual Leukoplakia should be followed for a lifetime.
Oral cancers are typically painless but can be detected by a color change to erythroplakia or erythroleukoplakia, an increased firmness (induration), unexplained hemorrhage, chronic ulcer formation, or mass formation. With early detection the prognosis is excellent and surgical deformity can be minimal.
Laser surgery for oral mucosal lesions has been reported to have many advantages, and it is widely used in the treatment of oral Leukoplakia. The wound healing process after laser surgery is very fast and no significant complications are observed. . The CO2 laser has provided a promising new approach in the management of these lesions with excellent wound healing.
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