Pathology · single question

A patient describes a bilateral white line running along the buccal mucosa at the level of the occlusal plane. What is this finding called?

  1. Bilateral linea alba
  2. Leukoplakia
  3. Lichen planus
  4. Fordyce granules
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Correct answer: A. Bilateral linea alba

Linea alba ('white line') is a benign, raised, hyperkeratotic white line on the buccal mucosa at the occlusal plane caused by chronic frictional trauma/suction from the teeth. It requires no treatment beyond reassurance and habit modification (if related to cheek biting/sucking).

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