The mouth cavity is a very delicate part of our body and if it undergoes any mechanical trauma these are bound to show up in the form of lesions. These lesions occur in the oral lining of the mouth and can culminate into clinical lesions. As a layman you will not be able make out what kind of mouth lesion it is and will therefore not know how to cure it. A dentist will be able to diagnose it and will be in a position to remove the stuck irritant. The procedures might vary and will be based on several different factors. This could involve removing the irritant, blunting the sharp edges of the teeth involved, restoring the teeth, replacing the broken ones with implants and making certain that the teeth are straight and in a row and the dentures fit well. After this is done the lesion will be observed periodically. This is to note that it disappears completely or if another round of work is required on it.
In case after all of this the lesion still persists, that is after 10 days or so, and then one would have to have a biopsy done. This will rule out any other underlying problems that might be linked to your health. The most common lesions that people get in the mouth are all flat and ugly red lesions.
Erythematous macule is a lesion that comes about with an injury that is not really grave. The lesion might have ulcers and could be caused due to sharp teeth, ill-fitting dentures rubbing against the gums or bad habits such as biting your cheek muscles. These lesions if not taken care of can lead to traumatic erythematous macules.
These lesions are usually red because of the increased blood flow in that region. There is no skin covering in the area and that also leads to the region appearing red. Lesions that are red in actuality have a number of blood capillaries passing through them and the slightest trauma will get them bleeding. The red color of the lesion could also depend on the amount of melanin in your skin.
The main regions where you are likely to get lesions are the front and side of the tongue and the top or bottom of the mouth and the sides. The lesions will not be the same severity and color all throughout the mouth. The symptoms that are associated with lesions are tenderness in the area and quite a bit of pain. The lesion is cured quite quickly once you have removed the foreign particle. However, lesions on the tongue take the longest to get cured.
This is the kind of lesion that you will get when you have a blunt and traumatic injury to the skin. The purpuric macula has a discharge of blood from the spot because of the force of the injury. If the dentist were to look at the spot immediately then what would help them to be able to diagnose this as a purpuric macula is the reddish color in the small pinpoints or the larger areas. If this region is observed after a certain amount of time has lapsed then the bruise and the region spots a bluish color to it and as time lapses the color turns into green and then finally yellow.
The purpuric macula is not of a specific size as this is dependent on the force with which the damage was inflicted. The borders of the purpuric macula are not something that can be clearly demarcated and they merge with the surrounding tissues. If you were to apply pressure to the region it need not become further reddish as the red blood cells are hidden within the tissues. Although the reddishness might not be visible, a usual purpuric macula lesion will have some amounts of inflammation linked with it. This will cause blanching on being touched.
The purpuric macula can occur anywhere in the mouth however, some common places are the palate, cheek and the lower region of the mouth.
There are a few purpuric macula lesions that might reoccur and especially towards the palatal part of the skin. These purpuric macula lesions look reddish and are elliptical and are mostly between the hard and soft palate. This could be because of oral sex and might reoccur after two to three days of subsiding.
The purpuric macula lesions can go on to be extremely traumatic. They not only go on to cause a lot of tenderness and soreness in the specific region but also cough and vomiting in the more severe cases. The whole mouth will feel bruised and not good enough to do anything else.
The best way for the purpuric macula lesion to be diagnosed is by your dentist. This will enable them to recommend the best way to take care of it. After a certain time gap has elapsed the dentist will want you to return afterwards in order to ascertain that the lesion has gone completely. If this does not happen then there are chances of it reoccurring and also you might need different tests to further investigate the cause.
The dentist might want to rule out the yeast infection by a smear test called the Candida albicans. If this comes out positive then you might need to go on a bout of medication for instance nystatin or amphotericin.
In case you have several lesions without any major injury then you might need to undergo further investigations.
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