Can Tongue Bite Scars Be Treated with Sutures Safely? - Dentistry

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Scar from a tongue bite injury?


If there is a dent on the edge of the tongue from a previous bite, can it be treated with a surgical incision? If so, will this procedure damage the nerves of the tongue?

Nìmíng, 20~29 year old female. Ask Date: 2018/07/14

Dr. Zeng Guanghui reply Dentistry


In the above situation, it is recommended to consult an oral surgeon to evaluate whether surgical intervention is feasible for addressing the indentation.

Reply Date: 2018/07/14

More Info


When it comes to treating tongue bite scars, particularly those that have resulted in a noticeable indentation or scar tissue, the question of whether sutures can be safely applied is a nuanced one. First and foremost, it's important to understand the anatomy of the tongue and the potential implications of any surgical intervention.

The tongue is a highly vascularized organ, rich in blood supply, which aids in its healing process. However, it is also densely innervated, meaning that it has a high concentration of nerve endings. This is crucial to consider when contemplating any surgical procedure, including suturing, as it can lead to complications such as altered sensation, pain, or even loss of function in the affected area.

In general, if the scar is relatively superficial and does not involve deeper layers of tissue, suturing may not be necessary. Many tongue injuries heal well on their own due to the tongue's ability to regenerate tissue quickly. However, if the scar is deep, causing functional issues (such as difficulty in speech or eating), or if it has become hypertrophic (raised and thickened), then surgical intervention might be warranted.

If you are considering sutures for a scar on the tongue, it is essential to consult with an oral surgeon or a specialist in oral and maxillofacial surgery. They will assess the scar's characteristics, its location, and how it affects your tongue's function. They can also provide guidance on the risks involved, including the potential for nerve damage.
In terms of safety, suturing a scar on the tongue can be done, but it must be approached with caution. The surgeon will likely use a technique that minimizes trauma to the surrounding tissues and nerves. They may also opt for absorbable sutures, which do not require removal and reduce the risk of further irritation to the tongue.

If you are concerned about nerve damage, it is worth noting that while there is always a risk when performing any surgical procedure, skilled practitioners take great care to avoid major nerves. However, minor sensory changes can occur, and these should be discussed with your surgeon beforehand.

In addition to surgical options, there are non-invasive treatments available for tongue scars. These may include laser therapy, which can help to reduce the appearance of scars without the need for surgical intervention. Other options may include topical treatments or silicone gel sheets that can help flatten and soften the scar over time.

In conclusion, while it is possible to treat tongue bite scars with sutures, it is crucial to consult with a qualified healthcare professional to evaluate the specific circumstances of your case. They will help you weigh the benefits and risks, ensuring that any treatment plan is tailored to your needs while minimizing potential complications. Always prioritize professional medical advice over self-treatment, especially in sensitive areas like the tongue.

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