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White areas on gingiva after treatment

I had a pt whose tissue has white areas on the buccal area after periodontal debridement. Topical lidocaine was used as well as anesthesia. The patient stated that Listerine causes his tissue to slough. https://goo.gl/photos/DoDHBsMnCkg7WHEn8



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In: Patient Care | May 19, 2017

MyeeshaGrey2
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To me, this looks like a chemical burn. This can happen when chemicals not intended for topical placement are used. Other white lesions that should be included in a differential diagnosis are frictional keratosis, hyperplastic candidiasis, and lichen planus. But again, it looks like a chemical burn to me, not sloughing of tissue caused by Listerine.

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Kara RDHOrange991Expert
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Thank you so much for answering my question and confirming what I believed it to be.

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MyeeshaGrey2
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If it doesn’t clear up in 2 weeks, the patient should probably have a biopsy.

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Kara RDHOrange991Expert
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Thank you

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MyeeshaGrey2
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The only other possibility may be an ultrasonic burn? This doesn’t look like the ones I have seen other pictures of, but if nothing else is the cause, could be another idea!

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RDH_7Grey9
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