<s>[INST] Hi doctor, I went to the ENT for a sore throat. He ended up saying I have leukoplakia. It is mainly in the gap where I am missing the tooth. He said it was in other areas around my lower gum but it pretty much wiped off of there. I then went to my dentist who said it was not leukoplakia. I then went to an oral surgeon who also does not believe it is, but says if it is not gone, to get a biopsy. I just wanted your opinion because you have always been right with the oral problems I had. Some of the white lines are raised and hard, but some I was able to scrape off with my fingernail. I also noticed a red spot. So, I am hoping it is not speckled leukoplakia. I did get a VELscope done which was fine. I have an appointment for a brush biopsy but that says not 100 percent. Do you think I should get the brush done or wait to have a real one because the brush biopsy removes the leukoplakia and then it will not be there to get a real one? In the meantime, before biopsies, what is your opinion? Do you think it is specked or regular leukoplakia? A picture is attached. [/INST] Hello I have seen the image (attachment removed to protect patient identity). For more information consult a dentist online --> </s>