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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Lesions On The Hard Palate Indicate?

I went to my doctor after my dental hygienist noticed some lesions on my hard palate with the VELscope. My doctor is referring me to an ENT, but doesn't seem concerned about it being cancer since there are no white/red plaques or any ulceration. Here is her synopsis:

"OP with erythematous somewhat warty textured papules on the hard palate, no leukoplakia, no bleeding, no ulceration. Remaining oral mucosa normal.


A/P: (K13.70) ORAL LESION (primary encounter diagnosis)
Comment: possible prolonged inflammatory response or burn, does not have the appearance of thrush or aphthous ulcer. Neoplasm cannot be ruled out."

I burned my mouth earlier that week, but I have also been dealing with Chronic Sinusitis (14 weeks now). I also had a tooth extraction back in October due to a failed root canal (abcess). I am prone to some overreactive autoimmune responses and I was wondering if you could shed any light on if these mouth lesions are tied to either the sinusitis or the abcess and what the diagnosis might be. I am scheduled to see an ENT but it is still a couple of weeks out. Thanks.
posted on Thu, 21 Dec 2017
Twitter Fri, 29 Dec 2017 Answered on
Twitter Fri, 29 Dec 2017 Last reviewed on
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Dentist,  's  Response
Hi..
Thanks for the query..

Wart like growth on palate can be due to causes like burning mouth with fluids, continuous irritation or can be due to viral infection like Human Papilloma Virus..

As you have burned your mouth, it can be a cause, however sinusitis is not seen to cause wart like growth..

But for a confirmation of the exact cause of the growth over the palate you should consult an Oral Physician or an Oral Surgeon and get checked..

A Biopsy can be done for confirmation.

Treatment can be advised only after the exact cause if ruled out..

For now do warm saline gargles and avoid eating spicy and irritant foods..

Hope this helps..

Regards.
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What Do Lesions On The Hard Palate Indicate?

Hi.. Thanks for the query.. Wart like growth on palate can be due to causes like burning mouth with fluids, continuous irritation or can be due to viral infection like Human Papilloma Virus.. As you have burned your mouth, it can be a cause, however sinusitis is not seen to cause wart like growth.. But for a confirmation of the exact cause of the growth over the palate you should consult an Oral Physician or an Oral Surgeon and get checked.. A Biopsy can be done for confirmation. Treatment can be advised only after the exact cause if ruled out.. For now do warm saline gargles and avoid eating spicy and irritant foods.. Hope this helps.. Regards.