Tongue Imprints: Causes and Treatment Options - Dentistry

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Tongue issues?


I would like to ask the doctor about the presence of teeth marks on my tongue.
Is there any medication available in Western medicine? When I consulted with a Traditional Chinese Medicine practitioner, they mentioned issues like spleen deficiency and qi deficiency.
Additionally, I have noticed a swollen area on the left side of my tongue, near the back close to the root, which is not painful but feels strange.
Could this be inflammation? Thank you for your response, doctor.

A-Wen, 30~39 year old female. Ask Date: 2020/03/12

Dr. Lin Jiayong reply Dentistry


Hello: 1.
Simple tongue indentations, if not accompanied by other inflammatory skin lesions, do not require specific medication treatment.
2.
Swelling and pain on the left side of the tongue near the base may indicate inflammation of the lingual tonsils or palatine tonsils.
It is recommended to visit an otolaryngologist to confirm if there are any other upper respiratory infections.
Thank you!

Reply Date: 2020/03/12

More Info


Tongue imprints, also known as scalloped tongue or tongue indentations, can be indicative of various underlying health issues. The presence of indentations along the edges of the tongue can suggest several conditions, including dehydration, nutritional deficiencies, or systemic issues such as hypothyroidism or anxiety. In traditional Chinese medicine, a scalloped tongue is often associated with "spleen qi deficiency" or "phlegm dampness," which reflects the body's energy and digestive health.

In Western medicine, there are no specific medications solely for treating tongue imprints. Instead, the approach focuses on identifying and addressing the underlying causes. For instance, if the scalloped appearance is due to dehydration, increasing fluid intake may help. If nutritional deficiencies are suspected, dietary adjustments or supplements may be recommended. Conditions like hypothyroidism would require appropriate hormonal treatments.

The swelling you mentioned near the back of the tongue could be due to several factors, including inflammation, infection, or even a benign growth. While it may not be painful, any persistent swelling should be evaluated by a healthcare professional to rule out any serious conditions. Inflammation could arise from various causes, such as allergic reactions, irritants, or infections.
If you are experiencing discomfort or unusual sensations in your mouth, it is advisable to consult a healthcare provider for a thorough examination. They may recommend diagnostic tests, such as blood tests or imaging studies, to determine the cause of the swelling and any associated symptoms.
In terms of treatment options, if the swelling is due to inflammation, anti-inflammatory medications or topical treatments may be prescribed. If a specific infection is identified, antibiotics or antiviral medications might be necessary.
In summary, while there are no specific medications for tongue imprints, addressing the underlying causes is crucial. A comprehensive evaluation by a healthcare professional can help determine the appropriate course of action, whether it involves dietary changes, medications, or further diagnostic testing. If you have concerns about your symptoms, do not hesitate to seek medical advice to ensure proper management and care.

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