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Chronic cheek chewing - Oral Mucosal Lesion
Other Resources UpToDate PubMed

Chronic cheek chewing - Oral Mucosal Lesion

Contributors: Carl Allen DDS, MSD, Sook-Bin Woo MS, DMD, MMSc
Other Resources UpToDate PubMed

Synopsis

Chronic cheek chewing is a common factitial condition that is seen in patients who nibble on the lining of the mouth as a nervous, often unconscious, habit. In most cases, the patient uses the canine teeth to crush the superficial layers of the surface oral epithelium. Interestingly, no ulcerations are seen because biting through the entire thickness of the epithelium would be painful.

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

Codes

ICD10CM:
K13.79 – Other lesions of oral mucosa

SNOMEDCT:
59901004 – Cheek chewing

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Last Updated:06/10/2018
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Chronic cheek chewing - Oral Mucosal Lesion
A medical illustration showing key findings of Chronic cheek chewing : Buccal mucosa, Oral white plaque
Clinical image of Chronic cheek chewing - imageId=2556547. Click to open in gallery.  caption: 'A ragged plaque on the buccal mucosa.'
A ragged plaque on the buccal mucosa.
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