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What could be the white lines near the teeth on the lower lip?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have white lines near the teeth on the lower lip which appears and goes by their own. But sometimes it hurts.

Answered by Dr. Bhargav R Gutha

Hello,

Welcome to icliniq.com.

It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus.

The Probable causes

The probable cause is history of smoking.

Investigations to be done

Do biopsy.

Differential diagnosis

The differential diagnosis are candida, leukoplakia, and submucous fibrosis.

Probable diagnosis

The probable diagnosis is lichen planus.

Treatment plan

Do biopsy (nearest dental hospital) and follow-up with a specialist.

Preventive measures

Use Nicotine patch to stop smoking.

Answered by

Dr. Bhargav R Gutha

Medically reviewed byDr. Nithila. A

Published At June 11, 2019
Reviewed AtJuly 7, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Bhargav R Gutha

Dr. Bhargav R Gutha

Orthodontist

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