Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/22/2025

Management of Linea Alba of the Buccal Mucosa

Initial Management Approach

  • The American Dental Association recommends having a dental team evaluate for sources of mechanical trauma, including ill-fitting dental prostheses, fractured teeth, or sharp dental restorations, to manage linea alba of the buccal mucosa 1, 2, 3
  • Counseling patients to avoid conscious cheek biting or tongue thrusting against the buccal mucosa is advised to prevent further irritation 3

Basic Oral Hygiene Measures

  • The American Dental Association suggests brushing teeth twice daily with a soft toothbrush using the Bass or modified Bass method to maintain good oral hygiene and prevent secondary complications 1, 2, 3
  • Using alcohol-free mouthwash at least four times daily for approximately 1 minute is recommended to keep the oral mucosa clean 1, 2, 3
  • Maintaining adequate hydration to keep oral mucosa moist is advised to prevent dryness and irritation 1, 2, 3