[Question #8629] Oral
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41 months ago
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Oral wart
Hello, I've just been diagnosed with an oral hpv wart. My dermatologist will freeze it Monday. It's located on the floor of my mouth downside my tongue. I am aware it's not dangerous for me. But I feel extremely anxious about my little 5 years old girl. She sometimes uses my fork or spoon I've just used or ask me to lick her Lollipop to taste it: So there is my saliva on it. Can I transmit my hpv to her like this?
And finally once or twice I made a mistake using her toothbrush, I always carefully rinse it after and she didn't use it just after but hours, is it risky?
I am separated from her mother do I have to tell her about my condition to avoid any kind of problem if my daughter get it?
I feel so bad.
Thank you for your help and reply.
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Edward W. Hook M.D.
41 months ago
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Welcome to the forum. Thanks for your questions. As you might imagine there are no well-connected scientific studies Re: transmission of HPV infection in the manner you suggest. In general however oral HPV is relatively uncommon difficult to transmit. I would not be concerned about the possibility of you transmitting HPV through sharing a fork, using her toothbrush or licking a lollipop that. Remember, the court that has been diagnosed is on the floor of your mouth, below the tongue and in an area where there is little opportunity for direct contact which is the means by which HPV is transmitted from person to person. Your daughter’s risk is minuscule and something that I urge you not to worry about.
I see no need for you to tell your daughter’s mother about your HPV infection.
---I hope this perspective is helpful. Please don’t worry. EWH
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41 months ago
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Thank you doctor. I've just been reading that the CDC states that sharing ustensiles and food is a no risk activity for hpv transmission, Dr Hansfield states the same. I imagine it's the same for a toothbrush? What do you think about these statements?
When you say the risk for my girl is minuscule do you mean there is a minuscule risk or if there is a risk it would be miniscule?
For you what is a minuscule risk? 1%.0,1%.0,01%.0,0001%, less?
Thank you for your help.
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Edward W. Hook M.D.
41 months ago
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Sharing a toothbrush would be analogous to sharing utensils. As I said before I would not worry about this.
Regarding your desire to quantify the word minuscule, you were pushing your luck. As I mentioned above, there are no good scientific studies to help answer these questions. Certainly the risk is less than a fraction of 1%. EWH
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41 months ago
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Thank you for your answer Doctor. But I am really confused, if sharing a toothbrush is analogous than sharing food and ustensiles, why the CDC, doctor Hansfield and even the NHS in UK states there is NO risk at all and you are talking about a minuscule risk? No risk and minuscule risk are not the same.....
I want to make an HPV PCR test for high and low risk types and genotyping to be sure about my condition I know it's not CDC approved for oral warts but my biologist confirms me that it is in a lot of countries. I will do the test after the wart being freezed, do liquid nitrogen kills HPV? Do the test will be accurate?
Thank you for your help and excuse me but I feel extremely anxious about this event.
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Edward W. Hook M.D.
41 months ago
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Sigh, no and minuscule risk ARE the same. New observations are made every day. By analogy, your risk of being struck by a meteorite from space while reading this is minuscule/essentially zero. Same with regard to HPV transmission on a toothbrush given variables such as lesion number, size, time between use of toothbrushes, and on and on. In science anyone who says never is pushing their luck.
Regarding PCR testing, you already know you have a wart. Why test? We also know from numerous scientific studies that even after freezing and disappearance of lesions there may be small amounts of detectable nucleic acid (which is detected by PCR) which can still be found. This in the way equates to transmissibility.
With all due respect, as I’ve already said, I think you are overthinking this and appear to have gone down a what if rabbit hole. I think you need to except the fact that there is a work present that you were treating it and it does not put your daughter at risk. EWH
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41 months ago
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Thank you so much doctor for your help. I feel less anxious now. I wish you all the best. Sincerely.
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Edward W. Hook M.D.
41 months ago
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Glad I could help. Take care. EWH ---