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The lesions from a yeast infection can typically be rubbed off while those of leukoplakia cannot. [4] [14] Treatment recommendations depend on features of the lesion. [4] If abnormal cells are present or the lesion is small surgical removal is often recommended; otherwise close follow up at three to six month intervals may be sufficient. [4]
The white lesion, which cannot be scraped off, is benign and does not require any treatment, although its appearance may have diagnostic and prognostic implications for the underlying condition. Depending upon what definition of leukoplakia is used, hairy leukoplakia is sometimes considered a subtype of leukoplakia, or a distinct diagnosis. [3]
A differential diagnosis between oral candidiasis and GT, two similar looking conditions, can be established through a careful and thorough examination. GT is a keratotic lesion which can be described as a round or irregular shaped white plaque, cannot be scraped off and is normally self-resolving. [18]
Abrasion is loss of tooth substance caused by physical means other than teeth. [10] The term is derived from the Latin verb abrasum, which means ‘to scrape off’. [2] It tends to present as rounded ditching around the cervical margins of teeth, commonly described as ‘shallow’, concave or wedge shaped notches. [1]
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