Tongue Issues: Common Concerns and Orthodontic Effects - Dentistry

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Tongue issues?


Hello, doctor.
I would like to ask about some issues regarding my tongue.

1.
The area marked in green seems to be slightly raised compared to the surrounding areas, but it is neither painful nor itchy.
Could you please tell me what the issue might be?
2.
I am undergoing orthodontic treatment, and the lower lingual braces are in contact with my tongue.
Could this be related to the issue?
Here is the image: http://imgur.com/gallery/ZNLH7qA
Thank you, doctor.

Ali, 10~19 year old female. Ask Date: 2020/05/09

Dr. Zeng Guanghui reply Dentistry


Hello Ali: The raised area on your tongue may be due to inflammation caused by irritation of the tongue mucosa.
This irritation could be a result of repeated friction from the side of an orthodontic appliance against the tongue mucosa.
It is recommended to consult a dentist or orthodontist for further examination.
Dr.
Tseng Guang-Hui, Nantou Hospital.

Reply Date: 2020/05/09

More Info


Hello! Thank you for your questions regarding tongue issues and their potential connections to orthodontic treatments. Let's address your concerns one by one.

1. Green Circle on the Tongue: The area you described as being slightly raised but not painful or itchy could be a variety of things. Commonly, such changes in the tongue's appearance can be due to benign conditions such as geographic tongue, which is characterized by irregular patches on the surface of the tongue. These patches can appear raised and may change over time. Other possibilities include benign tumors or fibromas, which are non-cancerous growths. However, without a visual examination, it's difficult to provide a definitive diagnosis. If the area changes in color, size, or begins to cause discomfort, it would be wise to consult a dentist or an oral specialist for a thorough evaluation.

2. Orthodontic Appliances and Tongue Contact: You mentioned that the lower lingual orthodontic appliance is making contact with your tongue. This is a common issue for individuals undergoing orthodontic treatment, especially with fixed appliances like braces or lingual retainers. The presence of these appliances can lead to irritation or discomfort in the tongue, particularly if they are positioned in a way that causes friction. Over time, your tongue may adapt to the presence of the appliance, but initially, it can be uncomfortable.
To alleviate this discomfort, consider the following strategies:
- Oral Hygiene: Maintaining excellent oral hygiene is crucial. Ensure that you are brushing your teeth, including the tongue, and using mouthwash to minimize irritation and prevent any potential infections.

- Orthodontic Wax: You can apply orthodontic wax to the areas of the appliance that are irritating your tongue. This can create a barrier and reduce friction.

- Consult Your Orthodontist: If the discomfort persists, it’s essential to discuss this with your orthodontist. They may be able to adjust the appliance or suggest alternative solutions to minimize contact with your tongue.


Additional Considerations
- Tongue Positioning: Proper tongue positioning is vital for oral health and can influence dental alignment. Ideally, the tongue should rest against the roof of the mouth when not in use. This position helps maintain the arch of the palate and can prevent certain dental issues, including crowding and misalignment. However, if you are currently undergoing orthodontic treatment, your orthodontist may provide specific instructions on how to position your tongue to avoid interference with the treatment.

- Potential Orthodontic Effects: It’s important to understand that orthodontic treatment can have various effects on the tongue and oral cavity. For example, if teeth are moved significantly, it can alter the space available for the tongue, potentially leading to changes in swallowing or speech patterns. If you have concerns about how your orthodontic treatment may be affecting your tongue or oral function, it’s advisable to have an open discussion with your orthodontist.

In conclusion, while some changes in the tongue's appearance can be benign, persistent or concerning symptoms should always be evaluated by a healthcare professional. Additionally, if your orthodontic treatment is causing discomfort, don’t hesitate to reach out to your orthodontist for adjustments or advice. Maintaining good oral hygiene and being proactive about any discomfort will help ensure a smoother orthodontic experience. If you have any further questions or concerns, feel free to ask!

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