Name of the Condition

• Leukoplakia of Oral Mucosa, including Tongue
• Also known as oral leukoplakia.

Summary

Leukoplakia of oral mucosa, including the tongue, is a condition characterized by the formation of white patches on the mucous membranes in the mouth. These patches cannot be rubbed off and may potentially represent precancerous changes in the tissues.

Causes

The exact cause of leukoplakia is not fully understood, but it is often associated with tobacco use (smoking or chewing) and chronic irritation from factors such as poorly fitting dentures.

Risk Factors

• Tobacco use (smoking or chewing).
• Heavy alcohol consumption.
• Chronic irritation (e.g., from dental issues).

• Being over the age of 40.

  Symptoms

• White patches on the gums, insides of the cheeks, bottom of the mouth, or tongue.
• Sometimes presenting with rough textures or slight sensitivity.

Diagnosis

• Clinical examination of the oral cavity.
• Biopsy of the lesion to rule out cancer or other conditions.
• Potential use of imaging techniques if malignancy is suspected.

Treatment Options

• Removal of the causative factors like stopping tobacco use.
• Regular monitoring for changes in the patches.
• Surgical removal if the risk of cancerous transformation is high.

Prognosis and Follow-Up

• With removal of irritants, leukoplakia often resolves.
• Regular follow-up is essential for early detection of potential malignant changes.

Complications

• Increased risk of developing oral cancer if left untreated or poorly managed.

Lifestyle & Prevention

• Cease tobacco use and limit alcohol consumption.
• Maintain good oral hygiene and have regular dental check-ups.
• Prevent and address sources of chronic oral irritation.

When to Seek Professional Help

• Immediate consultation if patches develop or change in appearance, especially if they become hard or exhibit sores or ulcers.

Additional Resources

• American Dental Association (ADA)
• Oral Cancer Foundation

Tips for Medical Coders

• Ensure accurate documentation of the location and nature of the leukoplatia.
• Differentiate between leukoplakia and other oral conditions to avoid miscoding.