Oral Lesions
Overview
Oral lesions are changes in the soft tissues of the mouth—including the lips, cheeks, tongue, gums, and palate that appear as sores, patches, bumps or ulcers. While many are harmless and resolve on their own, some may signal infection, trauma or more serious health conditions that require expert evaluation.
Common Types of Oral Lesions
• Canker sores (aphthous ulcers): Small, painful ulcers inside the mouth
• Cold sores (herpes simplex virus): Fluid-filled blisters, often around the lips
• Leukoplakia: White patches from chronic irritation, such as tobacco use. These lesions can be precancerous.
• Lichen planus: An inflammatory condition with white or red patches
• Candidiasis (oral thrush): A fungal infection causing white, creamy lesions
• Traumatic ulcers: Caused by biting, dental appliances or burns
When to Seek Care
Schedule an evaluation if you experience:
• Lesions lasting longer than two weeks
• Persistent pain, burning or difficulty eating or speaking
• White, red or mixed-color patches that don’t heal
• Recurrent sores or unexplained bleeding
• Hard lumps or thickened areas in the mouth
Early evaluation helps prevent complications and may identify precancerous or serious conditions. When you come in to clinic, we will often perform a biopsy to determine what type of lesion you have.
Common symptoms
Changes in the soft tissues of the mouth, including the lips, cheeks, tongue, gums, and palate that appear as sores, patches, bumps or ulcers
Specialty care
Treatment options
Treatment depends on the underlying cause and may include
• Topical medications: Antimicrobial rinses, corticosteroid gels or anesthetic ointments to reduce discomfort
• Systemic therapy: Antiviral, antifungal or antibiotic medications
• Removal of irritants: Adjusting dental appliances or eliminating habits like tobacco use
• Nutritional support: Addressing vitamin or mineral deficiencies (e.g., B12, iron, folate)
• Surgical management: Biopsy or removal of lesions that are persistent or suspicious
Prevention and Oral Care Tips
• Practice gentle, consistent oral hygiene
• Avoid tobacco and limit alcohol use
• Use a soft-bristled toothbrush and non-irritating toothpaste
• Eat a nutrient-rich diet
• Manage stress, which can trigger some oral conditions