Hi, I am here to help you,
1) Regarding the " red spot" in your gum> From the appearance of the lesion and the history of trauma, the most likely explanation is that it is a "fistula
". This is a tract caused by an infection
… like a tooth that received a trauma. I understand that the trauma was 4 years ago, but the tooth could have died after the trauma . My recommendation is to visit an endodontist (Root canal
specialist) to determine if that tooth is vital (meaning that the nerve is alive or dead). Here is a link to find an endodontist close to your location:
2) Regarding the white tongue area:
You mentioned it is not Candida (I assume you were tested?) .. although that would be the most common problem.
One of the possibilities is that you have a "geographic tongue" This is a condition where you have whiter areas and some other "reddish areas" (although I could not see them in the pictures"… but I am thinking of it because you mention "blisters" … If the whitish areas changes place periodically you may have it. It is a benign condition, that requires no treatment and is related to vitamin deficiencies and sometimes to spicy foods and alcohol.
Another possibility could be a condition called "hairy tongue" where the tongue papilla does has a defective desquamation. It is usually not treated either, unless it gets over infected with Candida.
Smoking and Dehydration can cause a white tongue.
Most of the time a white tongue is usually temporary and harmless. However, it could be an indicator of an underlying condition.
Since you have been with this problem for quite sometime, my advice is to consult an oral pathologist, which is an specialist in soft tissues of the mouth. Here is a link to find one close to your location:
I hope this helps!
Dr Mariana Levy
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