Chronic cheek chewing - Oral Mucosal Lesion
This condition usually is first seen in the second decade of life and seems to be less frequently encountered after the fourth decade.
Chronic cheek chewing is asymptomatic.
Related topic: Oral frictional hyperkeratosis
K13.79 – Other lesions of oral mucosa
59901004 – Cheek chewing
Differential Diagnosis & Pitfalls
- Candidiasis – The plaques of candidiasis usually wipe off more easily than the keratotic tags of cheek chewing.
- Leukoplakia – This condition usually does not have a ragged surface and is more sharply demarcated than cheek chewing.
- Leukoedema – This condition is characterized by a smooth white surface of the buccal mucosa, and the lesion tends to disappear when the mucosa is stretched or everted.
- Lichen planus – While lichen planus often affects the buccal mucosa, the surface of this process is not as ragged, and even the more papular forms often have areas of reticular striae.
- White sponge nevus – The lesions of white sponge nevus tend to be more diffuse and affect areas of the mucosa that cannot be reached by the teeth.
- Squamous cell carcinoma