Bilateral Oral Lesions – by Dr. Richard Simpson, DMD

Bilateral lesions
image captured with TelScope Telehealth System
Bilateral lesions
image captured with TelScope Telehealth System


This 11-year-old male presented with “sores in his mouth.” They have been present for 3-4 days.


An examination revealed ulcerations on the buccal mucosa (inside of the cheek) in almost identical locations on both the right and the left sides.
There were no other abnormalities found throughout the oral cavity or throat.
When questioned, the patient confirmed he had been bumped in the chin a few days ago, and he bit his cheeks.
The history and presentation confirms these lesions to be traumatic ulcerations from accidental biting of both cheeks in the area of the lower canines.

The final diagnosis is bilateral oral lesions.


These images, taken with the TelScope Telehealth System using an iPhone, demonstrate how accurately precision intraoral photographs can be taken, in almost identical positions and angulations, on opposing sides of the mouth. The left lesion has been marked with a circle to demonstrate one of the many features of the TelScope App.
These images were taken in the dental office. However, had the family had a TelScope located conveniently at home to attach to any mobile smart device, the trip would have been unnecessary. This is a great example of a case that could be handled remotely through teledentistry from home, or even from a TelScope-equipped physician’s office or urgent care facility, had the patient reported there instead.
The TelScope’s high-quality, illuminated images, transmitted securely, combined with a brief history from the patient & parent would have been more than sufficient to diagnose the problem and make appropriate recommendations.
You can learn more about and find an authorized distributor for TelScope Telehealth System here.

This content is for information only. This content is not for advice, diagnosis, or guarantee of outcome for patients. No patients should use the information, resources, or tools contained within to self-diagnose or self-treat any health-related conditions. 

About the AuthorDr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service.