Which oral condition is characterized by white patches in the buccal mucosa and is often confused with leukoedema?

Oral lichen planus is indeed characterized by the presence of white patches on the buccal mucosa. This condition is a chronic inflammatory disorder that can present with a lacy, reticular appearance or as white lesions that may be symptomatic and cause discomfort, making it distinct in its presentation.

One of the reasons oral lichen planus is often confused with leukoedema is due to the appearance of white patches. Leukoedema typically presents as a grayish-white, opalescent appearance of the buccal mucosa, which can sometimes resemble the white lesions seen in oral lichen planus. However, oral lichen planus is associated with other clinical features and may have an ulcerative component that leukoedema typically does not present.

Understanding these nuances is crucial for accurate diagnosis and management. Although the other conditions listed may have their own distinct characteristics, oral leukoplakia usually presents as white patches that cannot be wiped away and is more concerning for potential malignancy. Cheek biting and fibromas do not present with the characteristic white patches regarding the buccal mucosa, reinforcing the specificity of oral lichen planus in this context.