What are the potential causes of a dark spot inside the cheek? How can it be treated? What are the signs that indicate the need to seek medical help? Find the answers to these questions and more.

Potential Causes of Dark Spots Inside the Cheek

Dark spots inside the cheek can have several potential causes, ranging from harmless conditions to more serious concerns. Understanding the underlying causes is crucial for determining the appropriate course of action.

Blood Blisters

Blood blisters are raised bubbles on the skin that contain blood. They can develop in the mouth due to accidentally biting the cheek or as a result of an allergic reaction. Blood blisters appear dark red or purple in color.

Amalgam Tattoos

Amalgam tattoos occur when metal fillings leak, causing dark marks to appear inside the mouth. These marks can appear when a dentist places or removes a filling, and tiny metal fragments fall between the teeth. They most commonly appear on the gum or cheek, near the amalgam filling.

Smoker’s Melanosis

Smoking can cause a condition called smoker’s melanosis, which results in brown or black pigmentation developing inside the mouth and throat. This condition is not harmful, but the underlying tobacco use can lead to various other health problems.

Oral Melanoma

Oral melanoma is a rare type of cancer that affects the pigment-making cells, or melanocytes, in the mouth. These cancers usually appear as a raised area with a black, brown, or dark blue appearance, and may also have an irregular border and cause swelling.

Addison’s Disease

Addison’s disease is an endocrine disorder that can cause the development of darker areas on the skin and inside the mouth. Other symptoms of Addison’s disease include chronic fatigue, muscle weakness, abdominal pain, weight loss, and appetite loss.

Peutz-Jeghers Syndrome

Peutz-Jeghers syndrome is a rare genetic condition that can cause dark freckles to appear around the face and inside the mouth, as well as the development of polyps in the gastrointestinal tract. Other symptoms may include nausea, vomiting, stomach pain, rectal bleeding, and digestive issues.

Seeking Medical Attention

It is essential to seek medical attention if a dark spot inside the cheek is accompanied by other concerning symptoms, such as pain, swelling, or changes in appearance over time. A healthcare professional will perform a physical examination and may order additional tests to determine the underlying cause and appropriate treatment plan.

Treatment Options

The treatment for a dark spot inside the cheek will depend on the underlying cause. In many cases, harmless conditions like blood blisters and amalgam tattoos do not require any specific treatment and may improve on their own. However, more serious conditions like oral melanoma or Addison’s disease will require medical intervention and treatment.

Treatment for Blood Blisters

Blood blisters may cause discomfort, in which case over-the-counter pain relief medication can provide relief. Otherwise, they typically heal without the need for treatment.

Treatment for Amalgam Tattoos

Amalgam tattoos do not require any form of treatment, as they are not harmful and do not cause any symptoms.

Treatment for Smoker’s Melanosis

While smoker’s melanosis itself does not require treatment, the underlying tobacco use should be addressed, as it can lead to various health problems, including gum disease, tooth loss, and mouth cancer.

Treatment for Oral Melanoma

The primary treatment option for oral melanoma is surgery, and a healthcare professional may also recommend radiation therapy.

Treatment for Addison’s Disease

Treatment for Addison’s disease involves taking hormone replacement medications, such as corticosteroids and fludrocortisone, to replace the missing hormones produced by the adrenal glands.

Treatment for Peutz-Jeghers Syndrome

There is currently no cure for Peutz-Jeghers syndrome, but treatments may involve surgically removing any polyps that are causing gastrointestinal problems.

Importance of Regular Dental Checkups

Regularly visiting a dentist for checkups and cleanings can help identify any changes or abnormalities in the mouth, including the development of dark spots or other concerning conditions. Early detection and prompt treatment can significantly improve the chances of a favorable outcome, especially in the case of more serious conditions like oral melanoma.

Conclusion

Dark spots inside the cheek can have a variety of causes, ranging from harmless conditions to more serious concerns. It is crucial to seek medical attention if the spot is accompanied by other concerning symptoms or if it changes in appearance over time. By understanding the potential causes and seeking appropriate treatment, individuals can address this issue and maintain good oral health.

Pictures, causes, treatment, and when to seek help

Black spots inside the cheek can have several causes, such as blisters or hyperpigmentation. In rare cases, they may indicate something more serious, such as mouth cancer.

Many harmless conditions can cause a black spot to develop inside the cheek. Often, there will be no other symptoms, and it will improve without treatment.

Rarely, however, a black spot inside the cheek may be a symptom of oral melanoma. This is a rare type of cancer.

The American Cancer Society estimate that just over 54,000 people will develop mouth or throat cancer in 2021. Melanoma usually accounts for 0.5% of all oral cancers.

This article will examine some potential causes of a black spot inside the cheek. It will also look at some treatment options and when a person should contact their doctor.

Blisters are raised bubbles on the skin with fluid inside. They can occur anywhere on the body, including in the mouth.

Blood blisters contain blood and appear dark red or purple. They may develop in the mouth due to accidentally biting the cheek or as a result of an allergic reaction.

Learn more about blood blisters in the mouth here.

Treatment

Blood blisters are not typically harmful, and they will often heal without treatment.

Sometimes, however, they may cause pain or discomfort. In these cases, a person can use over-the-counter (OTC) pain relief medication.

Amalgam tattoos occur when metal fillings leak, causing dark marks to appear inside the mouth.

These marks can appear when a dentist places or removes a filling and tiny metal fragments fall between the teeth.

They most commonly appear on the gum or cheek, near the amalgam filling. However, they can appear anywhere in the mouth.

Treatment

Amalgam tattoos do not cause any symptoms or require any form of treatment.

Smoking can cause smoker’s melanosis. This is a condition wherein brown or black pigmentation develops inside the mouth and throat.

Treatment

This condition is not harmful, and it does not require treatment.

However, the tobacco smoke that causes these spots is harmful to various areas of the body. For example, smoking can cause gum disease, tooth loss, and mouth cancer, as well as several other conditions.

Melanoma is a cancer of the pigment-making cells, or melanocytes, that typically affects the skin. However, these cancers can also occur on mucosal membranes, such as in the mouth.

Oral melanoma usually appears as a raised area that has a black, brown, or dark blue appearance. These marks can be asymmetric with an irregular border.

There may also be swelling, if inflammation is present.

One 2020 article notes that oral melanoma is not related to sun exposure. Healthcare professionals are unsure about what the risk factors may be, but they may include:

• dental irritation
• cigarette smoking
• alcohol consumption

Treatment

The main treatment option for oral melanoma is surgery. A healthcare professional may also recommend radiation therapy.

Addison’s disease is an endocrine disorder that occurs when the adrenal glands, which are the glands on the top of the kidneys, do not make enough of certain hormones. These include cortisol and aldosterone.

The National Institute of Diabetes and Digestive and Kidney Diseases note that Addison’s disease can cause the development of darker areas on the skin and inside the mouth.

Other symptoms can include:

• chronic fatigue
• muscle weakness
• abdominal pain
• weight loss
• appetite loss

Treatment

Treatment for Addison’s disease will include hormone replacement medications. People can take a corticosteroid, such as hydrocortisone, to replace missing cortisol. They will take an oral tablet two or three times per day.

To replace aldosterone, a person can take fludrocortisone to help balance the amount of fluid and sodium in the body.

Peutz-Jeghers syndrome is a rare genetic condition that causes dark freckles to appear around the face and inside the mouth. It may also cause mushroom-shaped tissue growths called polyps to develop throughout the gastrointestinal tract.

Peutz-Jeghers syndrome can also cause other symptoms, including:

• nausea
• vomiting
• stomach pain
• rectal bleeding
• digestive issues

Treatment

There is currently no cure for Peutz-Jeghers syndrome. However, treatments may involve surgically removing any polyps that are causing gastrointestinal problems.

A doctor or dentist will perform a physical examination of the black spots to determine the cause. Also, they will likely ask the person whether or not the spots are painful or have any accompanying symptoms.

A doctor may also check a person’s medical history for any signs of genetic conditions, such as Peutz-Jeghers syndrome, that could be the cause. They might also review the person’s dental records for the presence of metal fillings.

Depending on their assessment, a doctor may also order additional tests to make a firm diagnosis. For example, they might require a blood test or skin sample for further analysis.

Many causes of black spots inside the cheek, such as amalgam tattoos, are harmless.

Although no medical treatment is necessary for some causes of a black spot in the cheek, a person should contact a doctor about any sore or spot that lasts for longer than 3 weeks.

If the black areas develop sores or ulcers, these could be symptoms of mouth cancer. Early detection of mouth cancer is crucial for successful treatment.

There are many possible causes of black spots inside the cheek. For most people, these spots will cause no additional symptoms and will not require treatment.

Some people may require OTC treatments for causes that cause pain, such as blood blisters. Other causes, such as mouth cancer, will require medical treatment.

Although black spots inside the mouth may be harmless, it is worth contacting a doctor about persistent cases. They can help determine whether the spot is harmless or requires further care.

Causes and What Needs to Be Treated

Finding a black spot or dot on the inside of your cheek can be alarming, but it’s not necessarily a sign of something serious.

A variety of harmless conditions can cause discoloration in your mouth, such as moles, hyperpigmentation, and leakage from your dental fillings.

In extremely rare cases, a black spot may be a sign of a type of cancer called oral melanoma. Oral melanoma accounts for about 1.6 percent of cancers of the head or neck, and less than 1 percent of all melanomas, according to The Oral Cancer Foundation.

Keep reading to find out what may be causing a black spot on the inside your cheek and when you should see your doctor.

The following conditions may cause a black dot, a small, circular mark, to form on the inside of your cheek.

Oral nevi

Oral nevi are small brown, bluish gray, or almost black dots that can appear inside your mouth. Nevi is a medical term for moles (nevus is singular).

Oral nevi are usually slightly raised. They’re more common on the roof of the mouth or inner lip, but they can also form on the cheeks. They usually don’t cause any symptoms.

No treatment is usually necessary for an oral nevus, and there are no reports of an oral nevus becoming cancerous. However, your doctor or dentist may still recommend getting a biopsy to make sure it’s indeed a nevus and not melanoma.

Blood blister

Blood blisters are sacs of fluid that fill with blood. They can range in color from purple to dark red. They commonly form when the skin in your mouth gets pinched.

Blood blisters are often big enough that you can feel them with your tongue. They most often form on the soft parts of your mouth, like your cheek or inner lips. They’re typically painful when touched, or if you eat spicy food.

The majority of blood blisters don’t last long and don’t need treatment if you leave them alone. But if the blood blister lasts for more than 2 weeks or becomes a reoccurring problem, it’s a good idea to visit your doctor.

Melanotic macules

Oral melanotic macules are areas of hyperpigmentation that average about a quarter of an inch in diameter. They can be as small as 0.04 of an inch. These spots are typically flat and have a well-defined border.

Oral melanotic macules are noncancerous, but your doctor may recommend a biopsy to rule out melanoma.

The following are potential causes of dark spots on the inside of your cheek. Spots can vary in size but they are larger than a dot.

Leakage from a dental filling

Amalgam is a material made of mercury, tin, zinc, silver, and copper. It’s been used for more than 150 years for dental fillings.

Amalgam tattoos are leakages from these dental fillings. They’re relatively common and usually appear dark blue, gray, or black. They’re most often located next to a filling.

Amalgam tattoos don’t cause any symptoms and don’t need treatment. They’re permanent unless removed with laser surgery.

Smoker’s melanosis

Smoking can leave blotchy stains called smoker’s melanosis inside your cheeks and gums. About 22 percent of people who smoke have this staining.

These stains don’t cause symptoms and don’t need treatment. However, your doctor will likely recommend a biopsy to rule out other conditions. The stains can be removed with laser treatment or electrosurgery.

Oral cancer

Melanoma is a type of skin cancer that affects pigmented cells called melanocytes.

Melanoma is most common on parts of your skin frequently exposed to sunlight, but it can also form in your mouth and nose. In extremely rare cases, a dark spot inside your cheek may be a sign of oral melanoma.

In its early stages, oral melanoma often has minimal symptoms. It usually manifests as a dark brown to blue-black spot. It can also be unpigmented or white. In its late stages, the spot may be accompanied by pain, ulcers, and bleeding.

The average age of diagnosis of oral melanoma is 56. Oral cancer is twice as common in men as women.

Treatment for oral melanoma may include:

• surgery
• immunotherapy
• radiation
• drug therapy

Peutz-Jeghers syndrome

Peutz-Jeghers syndrome is a condition that causes noncancerous growths called polyps in the intestines and stomach.

Children who develop this condition also commonly develop dark spots on their lips, inside their mouth, near their eyes and nose, and around their anus. The spots usually fade with age.

People with Peutz-Jeghers syndrome also often develop complications such as pain, bleeding, or bowel obstruction.

There’s no current cure for Peutz-Jeghers syndrome, but surgery can remove the polyps in the digestive tract.

Addison’s disease

Addison’s disease, or adrenal insufficiency, is a deficiency of the hormones produced by your adrenal glands. One of the symptoms of Addison’s disease is hyperpigmented blotches of skin inside your mouth.

Other symptoms include:

• extreme fatigue
• weight loss
• salt cravings
• low blood sugar
• hyperpigmentation

You can take medication to replace the hormones your adrenal glands can’t produce by themselves.

Even though the chances of developing oral melanoma is very low, it’s good practice to see your doctor whenever you notice an abnormally colored spot or dot in your mouth.

It’s especially important to get the spot checked if you’re older than 55 years. Older adults have a higher risk for developing oral cancer.

Your doctor may use the following tests to help confirm a diagnosis of the dark spot inside your cheek:

• Physical inspection. Your doctor may be able to identify the spot during a physical examination simply based on its appearance.
• Biopsy. During a biopsy, your doctor will cut away a small piece of the spot and send it to a lab for analysis.
• Blood test. Your doctor may administer a blood test measuring your potassium, cortisol, and ACTH hormone levels if they suspect Addison’s disease.

Finding a dark spot or dot in your mouth is unlikely to be a sign of cancer. However, it’s still a good idea to show it to your doctor or dentist. If it does turn out to be cancerous, getting an early diagnosis and treatment can improve your outlook.

Mouth spots: causes

What is ? The spots that appear in the mouth – on the palate, gums or tongue – are not a good sign, in most cases it is an indicator of the presence of certain pathological processes in the body.

What to do with this ? Sometimes the appearance of spots is nothing more than a natural reaction to external stimuli, mechanical or temperature. And soon the problem will “resolve” by itself. But you should not rely on this, it is better to be examined by a doctor.

In this article:

1. Types of stains in the mouth
2. Main causes of problems
3. Plaque and spots on the tongue
4. Secondary oral lesions

Types of spots in the mouth

Spots in the mouth are a change in the color of the mucous membranes of the oral cavity in one of the areas while maintaining their structure. The appearance of spots does not lead to tissue thickening, swelling or bleeding.

If you notice spots in the mouth, including the tongue, they are not necessarily external symptoms of the disease, but may be the result of exposure to foreign dye or simply pigment. You should consult a doctor if the spots have the following symptoms:

• Red . Darkening of the mucous membrane, changing its color from normal pink to deep red, and sometimes burgundy occurs as a result of the expansion of the vessels of the circulatory system and an increase in blood volume, which most often indicates an inflammatory process. If the treatment of the affected area is not prescribed in time, pain and a violation of the structure of the mucous membrane may appear.
• Pale or bluish . Such changes indicate the outflow of blood from this area, which may be an external sign of a violation of the blood supply to the gum tissue during periodontal disease.
• White spots on the oral mucosa may be a symptom of candidiasis (thrush), and thick white folds – a white spongy nevus related to hereditary diseases. With persistent stains, it is better to take tests at the medical center for the level of tumor markers in order to exclude the initial stage of oral cancer.
• Dark brown or black . This discoloration of the mucosa can be the result of long-term cigarette smoking and is called smoker’s melanosis. Sometimes brown spots are hereditary, more common in representatives of the dark-skinned race or Mediterranean residents.

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A change in shade in a certain area with blurry edges is called erythema and is the result of an inflammatory process. Spots of small size, usually up to 10 mm in diameter, with limited contours – this is roseola. Its appearance testifies to such infectious diseases as typhus, scarlet fever, syphilis, etc.

As a result of violation of the integrity of the walls of blood vessels on the surface of the mucosa, hemorrhages are formed – spots of a red tint, which eventually disappear on their own. This darker is the result of blood getting inside the soft tissue, and its color changes depending on the degree of decomposition of the pigment, like a simple hematoma: scarlet, cyanotic, yellow-brown and greenish. Most often, hemorrhages are associated with trauma.

Another external manifestation of the expansion of the walls of blood vessels or the appearance of neoplasms that are not associated with the development of the inflammatory process are telangiectasias.

Main Causes of Problems

Allergies in People of All Ages

If you or your child develop small, reddish patches in their mouth, it is most likely an allergic reaction. Most often they are located in the region of the upper palate and other parts of the oral cavity, sometimes together with small watery vesicles – papules, vesicles.

In addition to spots, swelling and inflammation form on the mucous membrane, which can quickly increase in size, causing the risk of a life-threatening complication – angioedema.

Don’t wait for the allergic reaction to go away on its own. If one of the symptoms occurs, an urgent call for an ambulance or an independent visit to a medical institution is required. Under the supervision of a specialist, you will be safe in the event of complications and timely tests will help identify the allergen in order to avoid contact with it in the future.

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At home, to slightly alleviate the condition and stop the increase in edema, as well as the spread of red spots to the respiratory organs, you should take any drug that blocks histamine receptors in the body. It can be suprastin, tavegil, diazolin. When children develop allergies, they should act immediately to prevent swelling of the throat and respiratory arrest.

If, in addition to the appearance of a rash, the body temperature rises and there is a feeling of weakness, then these are signs of an infection rather than an allergy.

Infectious diseases in children

Infection can cause stains in the mouth of a child. Most of these diseases often occur in childhood, but occasionally adults are also infected. The most famous infectious disease that provides marital immunity after recovery is chickenpox. Almost all children get sick with it, and then it is much easier to tolerate than if it becomes infected in adulthood.

Rubella . Red spots that appear in the oral cavity, gradually spreading throughout the face and body, may indicate a rubella disease. Again, it is much easier for her to get sick at a young age than for an adult.

The exception is children under 1 year of age, so if you notice small reddish specks on the oral mucosa in the baby, which eventually form spots, immediately consult a doctor to rule out rubella. The disease in adults causes many complications, especially in women during pregnancy.

Roseola . It is often confused with a cold and subsequent drug allergy due to a sharp jump in body temperature for a couple of days, and only then a rash of red spots on the body.

If small red spots and blisters have already appeared on the surface of the palate and throat, then in the near future they will spread throughout the body. Usually this symptom is accompanied by pain when swallowing and darkening of the pharyngeal mucosa.

Scarlet fever . As a result of infection with scarlet fever in a child, the rash begins to spread from the skin of the body, gradually moving into the oral cavity to the upper palate. The color of the mucous membrane of the pharynx becomes scarlet, the lymph nodes and tonsils increase, the surface of the tongue acquires a crimson hue and is covered with a dense layer of white plaque. The body temperature rises strongly and vomiting may occur, and in a more severe condition, even convulsions and clouding of consciousness.

Measles . As in the case of rubella, with measles, small spots in the oral cavity form before they can be seen on the skin, in 1-2 days. But the rash differs in appearance: when the measles virus enters the body, the mucous membrane becomes covered with dots of a white or light gray shade, similar to semolina. Spots in the region of the upper palate, tonsils and back of the throat are framed by a pink border and are a manifestation of the Belsky-Filatov syndrome.

Common diseases caused by infection

Various infectious agents entering our body significantly worsen a person’s well-being and complicate the solution of even the simplest daily tasks. After the illness, antibodies and an immune response to a new pathogen attack are not produced. Therefore, the appearance of inclusions on the back of the throat, watery pimples on the mucous membrane of the gums and red spots on the palate can occur in a person at any age, not only in a newborn or schoolchild.

Herpes virus . Many people think that herpes vesicles, or common colds, only appear on the outside of the lips. But this is fundamentally not true, in fact, they can appear on any part of the oral cavity, body and on the mucous membranes of internal organs. Inside most of us, the herpes virus is constantly and does not manifest itself in any way until the immune defense decreases sharply.

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Weakening of immunity gives impetus to the development of the virus and the appearance of a red scattering on the skin of the face and mucous membranes of the oral cavity. Later, the bubbles burst and turn into foci of the inflammatory process and secondary infections. Even non-critical at first glance, the defeat of the herpes virus can turn into an ulcerative necrotic form, therefore, it requires immediate treatment already at the initial stage.

Stomatitis . Inflammation of the oral mucosa. The disease can be fungal, bacterial or viral in origin and is often detected in infants. In both children and adults, stomatitis is red spots in the mouth, covered with a white or yellowish coating, which, with fungal stomatitis, has a curdled consistency. In the absence of timely treatment, instead of spots, aphtha sores begin to appear, which cause pain.

Treatment of stomatitis depends on its causative agent. If it is a virus, then it is necessary to get rid of it with the help of antiviral drugs. If a bacterium, then antibiotics are prescribed. And if stomatitis was caused by a fungus, then the doctor prescribes antifungal agents to the patient. It is difficult to independently determine the etiology of the disease; this requires testing in a medical institution.

Herpetic sore throat or enteroviral pharyngitis . The disease is called so because of the similarity of symptoms with tonsillitis and herpes at the same time: watery pimples are located on the surface of the palate and tonsils. But the approach to treating the disease differs from the method of getting rid of both herpes and tonsillitis. Therefore, it is so important to determine the nature of the rash, which can only be done by a qualified specialist.

Mononucleosis . This is a disease with an infectious etiology. A sign is the spread of a rash over the skin and oral cavity in the form of pink papules, localized in the mouth on the soft palate and tonsils. Mononucleosis does not particularly manifest itself and most often goes away on its own in a few days.

However, may cause complications in infants and children under 2 years of age. Most often, it is diagnosed in babies aged 3 to 5 years, but sometimes adults also become infected if immunity was not developed as a result of a disease in childhood.

Due to the fact that mononucleosis is very similar in its symptoms to tonsillitis and pharyngitis, a definite diagnosis can only be made on the basis of blood tests.

Other factors . Re-entry of infectious pathogens into the body can occur as a result of a weakened immune defense due to influenza or SARS, chronic diseases, prolonged exposure to cold or stress. In many cases, they lead to the appearance of red or white spots inside the mouth, bleeding and damage to the mucous membranes.

Plaque and spots on the tongue

The appearance of plaque on the surface of the tongue does not always indicate poor oral hygiene. As we have already said, many different processes occurring inside the body can provoke a change in the state of the oral mucosa.

Let’s summarize, what kind of stains and plaque can appear on the tongue? Depending on the infection, these can be brown spots in the mouth, as well as red, pink, white, black, yellow, etc. Flat or convex in shape and with different localization areas: over the entire surface of the tongue or on its tip, on the side and below, and even near the root.

Spots vary in shape and size. Next to the spot that appears, the structure of the tongue can be smooth or, conversely, rough, with papillae protruding above the surface. The spot can be in the singular or in the form of a whole placer, evenly distributed over the entire area of ​​​​the mucous membrane of the tongue.

Spots and plaque occur regardless of a person’s age, and their color varies in intensity. For example, a red spot can have a spectrum from pale to dark, burgundy. And the shade of white spots in the mouth is gray or yellowish.

The normal condition of the tongue is if it is sufficiently moist and not swollen, has a pink color and a slightly rough surface. The presence of a light whitish plaque, which is easily removed during brushing, is not critical either. If the appearance of your tongue is just like that, then there is no reason to worry.

What symptoms should I see a doctor for? If plaque on the surface of the tongue:

1. does not decrease over a long period;
2. its area of ​​distribution and thickness increase;
3. hue changes;
4. there is an unpleasant aftertaste in the mouth;
5. decreased taste perception;

If you notice at least one of them, then the development of disorders in the body is likely. Which ones can be determined by the color of the plaque.

The color and structure of the plaque differ from the color of the surface of the tongue and indicate the occurrence of specific pathological conditions. There is one rule based on long-term observations: the higher the density of the plaque layer, the more serious the disease. It turns out that the color and density of plaque are something of a signal that conveys information about the nature of the problem and the area of ​​​​its localization. We will tell you more about the connection of plaque with possible diseases.

White plaque in most cases is a sign of the spread of a fungal infection, upper respiratory tract disease or gastritis.

Yellow spots in the mouth and on the tongue may indicate ARVI and acute respiratory infections, as well as pathologies of the liver and biliary tract.

Gray plaque is often a consequence of a lack of fluid in the body and sometimes an acid-base imbalance in the stomach in the direction of increasing acidity.

A brown or dark spot in the mouth is a symptom of diseases of the gastrointestinal tract in a chronic degree, as well as a deficiency of B vitamins.

A bluish tint indicates a violation of the cardiovascular and nervous systems, kidneys and a lack of iron in the blood (anemia).

The appearance of red spots indicates hormonal imbalance, autoimmune, infectious and blood diseases.

There are many shades of spots in the mouth, as well as the causes of their occurrence. It is impossible to make an accurate diagnosis on the basis of a single examination of a change in the color of the mucosa or the density of plaque. Only a specialist can diagnose, prescribe tests and determine the nature of the violation of the oral cavity.

Secondary oral lesions

A complication of the disease may occur against the background of a previously damaged mucosal structure and be a signal that the underlying problem has not yet been resolved. In most cases, the following manifestations occur:

1. Erosions . Violation of the integrity of the mucosa, which is the result of regular injuries, inflammatory processes, malnutrition of soft tissues, penetration of viruses and bacteria into the body. In some cases, erosion bleeds, causes pain and spreads over the entire surface at high speed.
2. Ulcers . An ulcer is an erosion spot enlarged in depth. The ulcer may ooze pus and cause pain. In the absence of treatment, the likelihood of scarring and growth in size increases, accompanied by increased inflammation.
3. Afta . Ulcerative foci on the mucous membrane of the lips and the inner surface of the cheeks, forming white spots. Characterized by pain, increased salivation, difficulty chewing food and pronunciation of words.

Let us conclude that the appearance of spots of various shades in the mouth indicates pathological processes in the body and it is not always possible to get rid of them in the shortest possible time. Treatment is prescribed by a doctor depending on the nature of the pathogen, and it will not work on your own.

The material is based on research:

• E. Cohen. Atlas of Cosmetic and Reconstructive Periodontal Surgery
• Naoshi Shito. Periodontal surgery. Clinical Atlas
• Ralph Bellizzi / Robert Lushin. Clinical Atlas of Endodontic Surgery

Possible causes of a black spot on the cheek – Drink-Drink

11.07.2022 DrinkDrinkAdmin

Contents

• Causes of a black spot on the cheek
  • Oral nevi 90 014
  • Blood blister
  • Melanotic spots
• Causes of a dark spot on the cheek
  • Leaking dental filling
  • Smoker’s melanosis
  • Oral cancer
  • Peutz-Jeghers syndrome
  • Addison’s disease
• When to see a doctor
• Diagnosis of the cause
• Conclusion

Finding a black spot or dot on the inside of the cheek may be alarming, but not necessarily a sign of something serious.

Discoloration of the mouth can be caused by a variety of harmless conditions such as moles, hyperpigmentation, and leaking dental fillings.

In incredibly rare cases, a black spot can be a sign of a type of cancer called oral melanoma. Oral melanoma accounts for about 1.6 percent of head or neck cancers and less than 1 percent of all melanomas, according to The Oral Cancer Foundation.

Keep reading to find out what can cause a black spot on the inside of your cheek and when you should see your doctor.

Causes of Black Spot on Cheek

The following conditions can cause black spot, a small round mark on the inside of the cheek.

Oral nevi

Oral nevi are small brown, bluish-gray or almost black dots that may appear in the mouth. Nevuses is the medical term for moles (nevi in ​​the singular).

Oral nevi are usually slightly elevated. They are more common on the palate or the inside of the lip, but can also form on the cheeks. They usually do not cause any symptoms.

Oral nevus usually does not require treatment and there are no reports of oral nevus becoming cancerous. However, your doctor or dentist may still recommend a biopsy to make sure it’s really a nevus and not melanoma.

Blood blister

Blood blister are fluid sacs that fill with blood. They can range in color from purple to deep red. They usually form when the skin is pinched in the mouth.

Blood blisters are often large enough to be felt with the tongue. They most often form on the soft parts of the mouth, such as the cheeks or inner lips. They are usually painful when touched or when eating spicy food.

Most blood blisters do not last long and do not require treatment if left alone. But if the blood blister doesn’t go away for more than 2 weeks or becomes a recurring problem, it’s a good idea to see a doctor.

Melanotic macules

Oral melanotic macules are areas of hyperpigmentation that average about a quarter of an inch in diameter. They can be as small as 0.04 inches. These spots are usually flat and have a well-defined border.

Melanotic patches in the mouth are not cancerous, but a doctor may recommend a biopsy to rule out melanoma.

Causes of a dark spot on the cheek

The following are possible causes of dark spots on the inside of the cheek. The spots may vary in size, but they are larger than the dot.

Leaking dental filling

Amalgam is a material composed of mercury, tin, zinc, silver and copper. It has been used for over 150 years for filling teeth.

Amalgam tattoos are leaks from these dental fillings. They are relatively common and usually appear dark blue, gray, or black. Most often they are located next to the seal.

Amalgam tattoos do not cause any symptoms and do not require treatment. They are irreversible unless removed with laser surgery.

smoker’s melanosis

Smoking can leave spots on the cheeks and gums called smoker’s melanosis. About 22 percent of people who smoke have this staining.

These spots do not cause symptoms and do not require treatment. However, your doctor will likely recommend a biopsy to rule out other conditions. Stains can be removed with laser treatment or electrosurgery.

Oral cancer

Melanoma is a type of skin cancer that affects pigmented cells called melanocytes.

Melanoma most often occurs on areas of the skin that are frequently exposed to sunlight, but it can also form in the mouth and nose. In extremely rare cases, a dark spot on the cheek can be a sign of oral melanoma.

In the early stages, oral melanoma often has minimal symptoms. It usually appears as a dark brown to blue-black patch. It may also be unpigmented or white. In advanced stages, the spot may be accompanied by pain, ulcers, and bleeding.

The median age at which oral melanoma is diagnosed is 56 years. twice as common in men as in women.

Oral melanoma treatment may include:

• surgery
• immunotherapy
• radiation
• drug therapy

Peutz-Jeghers syndrome

Peutz-Jeghers syndrome is a condition that causes benign growths called polyps in the intestines and stomach.

Children who develop this condition also commonly develop dark spots on the lips, mouth, near the eyes and nose, and around the anus. The spots usually disappear with age.

People with Peutz-Jeghers syndrome also often develop complications such as pain, bleeding, or bowel obstruction.

There is currently no cure for Peutz-Jeghers syndrome, but surgery can remove polyps in the digestive tract.

Addison’s disease

Addison’s disease, or adrenal insufficiency, is a deficiency in the hormones your adrenal glands produce. One symptom of Addison’s disease is hyperpigmented patches on the skin in the mouth.

Other symptoms include:

• extreme fatigue
• weight loss
• salt cravings
• low blood sugar
• hyperpigmentation

You can take medication to replace hormones that your adrenal glands cannot produce on their own.

When to See a Doctor

Although the chance of developing oral melanoma is very low, it is recommended that you see a doctor any time you notice an abnormal color spot or dot in your mouth.