Can gum recession from using smokeless tobacco lead to cancer?

Question

Hello doctor,

I am a 32-year-old male who has used smokeless tobacco (Swedish Snus) for the past four years, always in the same spot in my mouth. About four weeks ago, I noticed severe gum recession in this area, and one week after quitting, the gums became very sore. The discomfort has persisted for two weeks, and although there are no visible lesions, the gums appear discolored and “pickled” in texture.

I do not have bleeding, swelling, or other oral symptoms, and I am unsure if the soreness is coming from the gum tissue itself or the exposed tooth roots. I have not experienced any systemic symptoms such as fever or weight loss. A dental X-ray was taken at my dentist’s office, though no other laboratory tests have been performed.

I am very anxious about the possibility of gum cancer due to my history of smokeless tobacco use. The recent soreness and changes in gum appearance are worrying.

Kindly help

Answer 1

Hello,

Welcome to icliniq.com.

I have reviewed the images posted (attachment removed to protect patient identity). You have to change your brushing technique as soon as possible. Brush in an up-and-down motion without putting too much pressure on the teeth and gums.

The recession is not a cancer. Instead, it seems to be a side effect of intense brushing. Use a soft-bristled toothbrush. You can consult a periodontist to find out ways to regenerate or surgically stitch back the gums to their old position.

I hope this information helps.

Thankyou