Lesion in buccal: causes and treatment?

It appears to be a raised white lesion of inflammatory nature? Any known allergies? was she biting on her cheek due to the anesthesia, and change in bite pattern from the implant placement? if the lesion is non-painful i would be concerned and recommend biopsy for any neoplastic causes. If she had pain and the margins are getting smaller, i would just continue to followup and chalk it up to a possible trauma or inflammatory reaction.

hi u didnt mention History of present illness..i mean..any previous history of d lesion..any other medical condition.. 20yrs on steroids is pretty big issue. More follow up needed to ascertain whether lesion getting smaller or remains d same. Ill look forward to ur feedback

Lichen Planus?

As I've said so any times before on this site, what would you do on your family member? BIOPSY of course! Any other guess is exactally that, a guess. Let us know what the results of the biopsy are when you get them back.

BIOPSY ASAP! or refer to oral surgeon ASAP! how long have you been watching it???? How long has she been ignoring it????

Make sure first that has not been bitten mucosa.

Biopsy, you cannot take chances with lesionslike this in the oral environment

Unless you are comfortable treating oral cancer send to an OMS for biopsy. The steroid use is immaterial. Hard to see on a photo but rule out trauma and if it is healing.

From your comment I am inferring that the lesion was not present before implant placement but that you noticed it at the time of taking the impression. How long ago was the implant placed? Any injury from trauma, necrosis of the tissue from the vasoconstrictor in the anesthetic, etc. should heal in a timely manner. If this has been present more than 2 or 3 weeks a biopsy is indicated.

biopsy or refer to oral surgeon recommended.

White lesion on the buccal mucosa may be the result of the irritation of the bridge on the implants if it was formed after the application of the bridge or it may be a leukoplakia which is a precancerous lesion and has to be followed seriously for a period of time.Please take of the bridge and wait for a month if the lesion subsides then the cause is the irritation if not you have to make an excisional biopsy but ı do not think that the cause is the corticosteroids

Point 1 - A history of taking steroids 20 yrs ago is irrelevant Point 2 - We need to know more about this lesion, in particular its chronology. How long a time span has there been between this lady's penultimate appointment, when presumably the lesion wasn't present, and her last appointment when you took the photograph? It doesn't look like lichen planus and a true neoplastic leucoplakic patch this size doesn't pop up within a few days or weeks. Don't rush into a biopsy without taking a history. My guess is that it's an aspirin burn - but it's only a guess. I note this case was posted in January and I'm prepared to bet the lesion has now resolved. If not it should certainly have been biopsied by now. Can we have some feed back?