Oral Cancer vs. Other Mouth Sores: How to Tell the Difference

A woman holding an illustration of a tongue with oral cancer sores Most people experience a mouth sore at some point – maybe after biting the inside of their cheek or eating something too hot. However, when a sore doesn’t heal, looks unusual, or causes persistent pain, it’s natural to wonder: Could this be oral cancer?

This blog breaks down the key distinctions between common mouth sores and early signs of oral cancer. If you’re located in Houston, Sugar Land, or Katy, Texas, the Oral and Facial Surgery Institute of Houston (OFSIH) offers advanced diagnostic and surgical care for oral cancer, led by the skilled Dr. L.T. Johnson and his expert team.

Common Mouth Sores: What’s Typically Harmless

Most mouth sores are not cancerous. Here are the usual suspects:

  • Canker sores: These are small, painful ulcers with a white or yellow center and red border. They generally heal in 1–2 weeks.
  • Cold sores: The herpes simplex virus causes these sores, also known as fever blisters. They often appear on or near the lips and may recur.
  • Irritation sores: These can be caused by braces, dentures, or biting the cheek/tongue.
  • Allergic reactions: Some foods, medications, or dental materials can trigger redness or swelling.

In most cases, these types of sores resolve independently and don’t last beyond a couple of weeks.

Signs That May Point to Oral Cancer

Oral cancer can develop on the tongue, gums, cheeks, lips, and roof or floor of the mouth. Potential red flags include:

  • A sore that doesn’t heal after two weeks.
  • A lump, thickened area, or rough spot in the mouth.
  • Red or white patches that don’t go away.
  • Persistent pain, numbness, or difficulty chewing or swallowing.
  • Loose teeth or a change in how dentures fit.

If a sore presents with any of the symptoms listed above, especially if you’re a smoker or consume alcohol regularly, get checked by a professional as soon as possible. Catching oral cancer early greatly improves outcomes. 

Seek Expert Advice Today

When it comes to serious illnesses like oral cancer, it’s always better to play it safe. Call the Oral and Facial Surgery Institute of Houston at 281-491-4545 and schedule an evaluation with Dr. Johnson. You can rest easy knowing you’ll be supported every step of the way in a comfortable, patient-focused environment.

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