Healing Sores from Cheek Chewing: A Guide to Recovery

Cheek chewing, known medically as morsicatio buccarum, is a body-focused repetitive behavior (BFRB) that involves repetitively biting, chewing, or grinding the inner cheek tissue. This behavior often occurs during periods of stress or anxiety. While it might temporarily relieve tension, it can lead to painful sores that impact daily activities like eating and speaking.

Understanding Your Sores

Cheek chewing sores typically appear as shallow, whitish, or yellowish ulcers, often with slightly raised borders. While uncomfortable, these sores are generally superficial and respond well to gentle care and protection during healing.

Immediate Care for Healing

When you first notice a sore, rinse your mouth with warm saltwater. Mix half a teaspoon of salt in a cup of warm water and gently swish for 30 seconds several times throughout the day. This helps keep the area clean and can reduce discomfort. Over-the-counter medications like ibuprofen can help reduce pain and inflammation, while topical products like Orajel can temporarily relieve particularly uncomfortable spots.

Protecting Sores During Healing

To promote healing, create an environment that supports recovery. Consider switching to soft, bland foods temporarily to avoid irritating sensitive areas. Maintain gentle oral hygiene using a soft-bristled toothbrush, and avoid spicy or acidic foods that might aggravate the sores. Your dentist might recommend a custom-fitted oral device to protect your cheeks from further injury while healing occurs.

Supporting Long-term Recovery

While focusing on physical healing, working with healthcare providers who understand both the physical and behavioral aspects of cheek chewing can make a significant difference. They can help develop strategies to address triggers and establish healthier coping mechanisms.

When to Seek Professional Help

If you experience any of the following, contact your healthcare provider:

• Sores persist beyond a few weeks

• Pain becomes severe or interferes with daily activities

• You notice signs of infection like increased redness or swelling

• You develop a fever

Remember, healing involves both treating current sores and developing strategies to prevent future ones. Many people who experience cheek chewing feel frustrated or discouraged, especially when dealing with recurring sores. These feelings are valid, and it's important to acknowledge them while remaining focused on care and healing.

Conclusion

Whether seeking treatment for yourself or supporting someone else, you don't have to navigate this challenge alone. With the right combination of support and patience, you can work toward both physical healing and long-term management of cheek chewing behavior.