Oral Health Issues: When to See a Dentist for Painful Bumps - Dentistry

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Oral cavity issues?


Hello, Doctor.
I have developed some granular formations in the soft area behind my lower front teeth (the soft, flat area directly beneath my tongue), and it is somewhat painful.
I'm not sure if this is related to the new toothpaste I started using or if I might be brushing too hard.
Additionally, I would like to know how long this condition should persist before I need to see a doctor, and which specialty I should consult.
I have done some research on this website and found similar inquiries, but my situation seems a bit different, so I thought it would be best to write to you for clarification.
Thank you very much for your help!

Jill, 20~29 year old female. Ask Date: 2018/01/04

Dr. Zeng Guanghui reply Dentistry


There are some small, painful lumps in the soft area behind the lower front teeth, which may indicate inflammation of the salivary glands located beneath the floor of the mouth.
It is advisable to consult a dentist or an oral surgeon for further examination.

Reply Date: 2018/01/04

More Info


Hello! Thank you for reaching out with your concerns about your oral health. Based on your description, it sounds like you are experiencing some discomfort in the soft tissue area beneath your lower front teeth, which has developed into small, painful bumps. This situation can be concerning, and it’s important to address it appropriately.


Possible Causes of Your Symptoms
1. Irritation or Trauma: If you have recently changed your toothpaste or have been brushing too vigorously, this could lead to irritation of the soft tissues in your mouth. Abrasive toothpaste or aggressive brushing can cause inflammation and lead to the formation of bumps or lesions.

2. Oral Candidiasis: The presence of white bumps or lesions in the mouth can sometimes indicate a fungal infection, such as oral thrush. This condition is more common in individuals with weakened immune systems, but it can occur in anyone.

3. Aphthous Ulcers: These are small, painful sores that can develop on the soft tissues of the mouth. They are often triggered by stress, certain foods, or trauma to the area.

4. Allergic Reaction: If you have recently changed any oral hygiene products, including toothpaste or mouthwash, you might be experiencing an allergic reaction to one of the ingredients.

5. Gingivitis or Periodontal Disease: If the bumps are associated with swollen or bleeding gums, it could indicate gum disease, which requires dental intervention.


When to See a Dentist
You should consider seeing a dentist if:
- The bumps persist for more than two weeks without improvement.

- You experience increased pain, swelling, or any signs of infection (such as fever or pus).

- You have difficulty eating, drinking, or speaking due to the discomfort.

- The bumps change in appearance or spread to other areas of your mouth.


Which Specialist to Consult
For your symptoms, you should consult a dentist first. They can perform a thorough examination of your oral cavity, assess the bumps, and determine the underlying cause. If necessary, they may refer you to an oral surgeon or an oral medicine specialist for further evaluation and treatment.


Recommendations for Care
- Gentle Brushing: Use a soft-bristled toothbrush and avoid applying too much pressure while brushing. This can help prevent further irritation of the soft tissues.

- Rinse with Salt Water: A warm saltwater rinse can help soothe irritation and promote healing.

- Avoid Irritants: Steer clear of spicy, acidic, or abrasive foods that may exacerbate your symptoms.

- Monitor Changes: Keep an eye on the bumps and any other symptoms you may experience. Documenting changes can be helpful for your dentist.


Conclusion
While it’s understandable to feel concerned about changes in your oral health, many issues can be resolved with proper care and attention. If your symptoms persist or worsen, don’t hesitate to seek professional help. Early intervention can prevent complications and ensure that your oral health is maintained. Thank you for your inquiry, and I hope you find relief soon!

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