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Dr. George McKee
Dr. George McKee, Dentist
Category: Dental
Satisfied Customers: 1396
Experience:  Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
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What could be a dark blue spot on the hard palate of your

Resolved Question:

what could be a dark blue spot on the hard palate of your mouth
Submitted: 8 years ago.
Category: Dental
Expert:  Dr. George McKee replied 8 years ago.

HiCustomer Thank you for asking your question on JustAnswer. The other Experts and I are working on your answer. By the way, it would help us to know:

-Where on the hard palate is the spot? Next to a tooth? High up at the midline of the roof of the mouth?

Thank you again for trusting us with your problem. Please reply as soon as possible so that we can finish answering your question.

Customer: replied 8 years ago.

It is up at the midline of the roof of my mouth and it is a round spot about 1 inch in diameter, and there is actually another spot about the same size right next to it but it is dark red in color.

Expert:  Dr. George McKee replied 8 years ago.
Thanks for that information. One more question. Is this toward the back of the mouth where the hard palate starts getting soft and flabby, or definitely totally on the hard surface on the roof of your mouth?
Customer: replied 8 years ago.
it is definately on the hard surface on the roof of my mouth
Expert:  Dr. George McKee replied 8 years ago.
Dear ,

Thanks for the additional information. First of all, I can only tell you what this might be. Even if you were sitting in
front of me and I could see the lesion, I still wouldn't know exactly what it was, nor would any dentist without taking a tissue sample of the area and having it evaluated under a microscope. The oral pathologist doing the evaluation would then be able to tell you exactly what these cells represent.

With that in mind here is how I would evaluate the lesion.

Dark blue usually suggests a vascular lesion, such as a congregation of venous blood vessels near the surface of the tissue. To tell or not, push on the blue spot with your finger and then carefully look at the color of the spot as you quickly take your finger off the lesion. If it is vascular in nature, the color of the lesion will be white or pink for a moment before it fills up with blood again and turns back to the blue color.

Vascular lesions are normally not a cancer, but should be removed by an oral surgeon as they have the potential to get poked at or scraped in the future causing quite a nasty bleeding spell. Besides, the lesion doesn't belong there, better to have it removed.

If the color doesn't change when pressing on it, then you have to determine if the lesion is raised or not. Does it elevate above the base level of the skin in that area.

As large as a lesion you describe, an inch in diameter I doubt this is a freckle or even a wart like lesion. This could be something simple such as a bruise caused by a recent suction applied to your mouth, such as trying to suck something thick through a straw, such as a thick milkshake. THis action will break the blood vessels and cause such a discoloration. And, unfortunately, this large a lesion may suggest some underlying medical condition, disease or blood disorder.

You need to have an oral surgeon take a look at this as he/she will have more experience with oral lesions as compared to your general dentist. You can find the nearest oral surgeon to you by following this link:

I hope this answers your question. If you would like to discuss this further or have any additional questions, please reply to my answer and I will get right back to you.

Sincerely, ***** ***** DDS

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