How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Behere Your Own Question

Dr. Behere
Dr. Behere, Dentist
Category: Dental
Satisfied Customers: 2045
Experience:  Masters degree, years of experience with all kinds of dental problems.
8790942
Type Your Dental Question Here...
Dr. Behere is online now
A new question is answered every 9 seconds

Hi I have a sore on the upper left side of my gum- I t ...

Resolved Question:

Hi I have a sore on the upper left side of my gum- I t looks exactly like a canker sore- but from what I've read they don't usually appear on the hard bony part of the gum. I am conerned about oral cancer. I am a female 52 years old and do not drink alcohol at all. I used to smoke 10 years ago. I am concerned about oral cancer
Submitted: 6 years ago.
Category: Dental
Expert:  Dr. Behere replied 6 years ago.
Hello,

Thanks for putting up your question on Just Answer.

Canker sores, or the scientific name for which is Recurrent Apthous Stomatitis, are charachetrized by repeated ulcers occuring in the mouth. They heal in about 7 days , but during this period they are extremely painful. There is great dificulty in talking, eating and swallowing.

They generally appear on mobile , loose parts of the mouth. Like the cheek mucosa, the mucosa under your tongue etc.

But,what your tongue is feeling what you THINK is your gums, could infact be the deepest part of the mucosa there, where the gums end, and the cheek mucosa begins.

There have been various factors that have been linked to the cause of RAS:

- genetic basis
- stress
- smoking
- nutritional deficienies
- immune basis

The treatment consists of a multipoint approach, consisting of the following:

1. Tetracyclin in the form of mouth swish or expectorate. This is effective for its antibacterial action.

2. Topical anesthetic in the foem of a Benzocaine paste. This helps to numb the pain temporarily.

3. A topical steroid gel containing Triamcinolone Acetonide. This helps to reduce the inflammation.

4. A 15 day course of vitamin B complex capsules. This helps to correct any nutritional deficiencies.

Please keep in mind, that once they occur, the ulcers, with all the above treatment, will heal in 3-4 days, as compared to the 7-8 days that they take.

There is no wonder drug that can make them go away in a days time.

I recommend that you read this excellent article on RAS:

http://www.emedicine.com/derm/topic486.htm

Now to your concern on oral cancer. there are certain characteristics, that make a cancer ulcer different from an apthous sore.

If the sore is surrounded by a red zone, it is likely to be an apthous ulcer.

Cancer ulcers are bigger, they have dead, whitish tissue inside, they do not respond to normal therapy, and their margins are raised upwards.

And they are extremely rare on the gums. Plus, you have not been placing a chewable form of tobacco in your mouth for extended periods of time. You have quit smoking ten years ago.

I strongly feel that it is not a cancer sore.

But still, if you do want to be 100 % sure, it will only take a short trip to an oral surgeons clinic. the sore and the tissues surounding it will be removed after anesthetizing the area, and sent fot laboratory study. The report will take a couple of days, and will be the absoulte final word to settle the matter.

Go for the above procedure, ONLY if my reasoning has still not convinced you completely, that it is NOT a cancer sore.

Hope this answers your question. Feel free to contact me again for more information.

I wish you a speedy recovery !!!

Regards,
Dr. Behere.

If my answer has helped you, please click on the *ACCEPT* button and give me *POSITIVE FEEDBACK*.

A * BONUS* will be highly appreciated. This tells me that my advice was indeed beneficial.
Dr. Behere, Dentist
Category: Dental
Satisfied Customers: 2045
Experience: Masters degree, years of experience with all kinds of dental problems.
Dr. Behere and other Dental Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
< Last | Next >
  • http://ww2.justanswer.com/uploads/GE/gemini132/2012-6-7_14143_MarkPic.64x64.jpg Mark Bornfeld, DDS's Avatar

    Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
  • http://ww2.justanswer.com/uploads/drbehere/2010-04-11_192833_IMG_055575.jpg Dr. Behere's Avatar

    Dr. Behere

    Dentist

    Satisfied Customers:

    1850
    Masters degree, years of experience with all kinds of dental problems.
  • http://ww2.justanswer.com/uploads/knecht522/2008-12-17_154020_alex22.jpg Dr. Alex's Avatar

    Dr. Alex

    Dentist

    Satisfied Customers:

    1607
    I am a General Dentist and founder of the American School of Dental Assisting
  • http://ww2.justanswer.com/uploads/doclagoa/2008-10-01_163313_geosmall.jpg Dr. George McKee's Avatar

    Dr. George McKee

    Dentist

    Satisfied Customers:

    1392
    Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
  • http://ww2.justanswer.com/uploads/slodentistry/2009-05-25_004702_h.jpg Dr. Girish's Avatar

    Dr. Girish

    Dentist

    Satisfied Customers:

    788
    19 years of clinical experience in all phases of Dentistry.
  • http://ww2.justanswer.com/uploads/jwcdds/2009-05-09_190942_portrait.gif Julian Chen's Avatar

    Julian Chen

    Dentist

    Satisfied Customers:

    558
    Practicing General Dentist since 2002
  • http://ww2.justanswer.com/uploads/drwilldds/2009-10-29_201512_justanswer.jpg Dr. Winterholler's Avatar

    Dr. Winterholler

    Dentist

    Satisfied Customers:

    266
    4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class
 
 
 

Related Dental Questions

Chat Now With A Dentist
Dr. Behere
Dr. Behere
Dentist
2045 Satisfied Customers
Masters degree, years of experience with all kinds of dental problems.