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Mark Bornfeld, DDS
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 6017
Experience:  Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
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Raw, red and sore lips. Also, redness at corners of mouth

Customer Question

Raw, red and sore lips. Also, redness at corners of mouth and under bot***** *****p. Easily flares up when eating. What is it?
Submitted: 9 years ago.
Category: Dental
Expert:  Mark Bornfeld, DDS replied 9 years ago.

Are you referring primarily to the external lip surfaces and the skin around the mouth, or is the inside of your mouth also involved?
Customer: replied 9 years ago.
Reply to Mark Bornfeld DDS's Post: Mainly the outside area around the lips. Some mild throat soreness on occasion. Lips gp red and raw looking after eating or when dehydrated.
Expert:  Mark Bornfeld, DDS replied 9 years ago.

Most cases of peri-oral dermatitis are due to unconscious lip-licking habits. This is particularly true at the corners of the mouth, where there is a greater tendency for inadvertent leakage of saliva. The frequent chronic exposure to moisture causes maceration of the affected skin, which can become secondarily infected by either yeast or bacteria. There is a greater predilection for this condition in individuals who have a pre-existing dermatologic disorder such as eczema, psoriasis, or seborrheic dermatitis.

Most of these symptoms can be addressed by the conscientious application of an emollient barrier ointment to the affected areas-- petrolatum is particularly effective, although unsightly and uncomfortable. Secondarily infected areas, especially at the corners of the mouth, are frequently managed by application of prescription topical ointments such as Vytone creme 1%; particularly resistant cases may require systemic medication such as Diflucan.

In your case, you may be able to identify specific foods that tend to provoke the condition, and try to eliminate these foods from your diet at least temporarily to see if it affords any improvement. If conservative measures don't bring relief, you should consider consulting with either your dentist or a dermatologist to more aggressively manage the problem.

Hope this helps...

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