Dealing with Tongue Pain and Bumps After Dental Injury: Solutions - Dentistry

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The right side of the tongue is swollen, and the tip of the tongue is numb and painful?


Last year, I suffered a dental injury that resulted in a fractured tooth.
After receiving a temporary crown from the dentist, I continued to experience pain.
I informed the dentist, but there was no improvement.
Now that the permanent crown has been placed, I have a protrusion in the implant area that makes it difficult to position my tongue.
The tip of my tongue touches the tooth, causing numbness, and I have developed a fibroma on the side of my tongue due to constant irritation from grinding.
This has been painful for over six months and is a daily source of distress.
I have discussed this with my dentist, but they have been unable to address the issue.
I am at my wit's end and don't know how to proceed.

Jia Yi, 50~59 year old female. Ask Date: 2020/08/28

Dr. Lin Jiayong reply Dentistry


Hello: Regarding the implant's prominence, it is recommended to have your dentist smooth it out.
For the tongue lesion, it is advisable to have an oral surgeon excise it and send it for biopsy.
Thank you and wishing you good health! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital.

Reply Date: 2020/08/28

More Info


Dealing with tongue pain and bumps after a dental injury can be quite distressing, especially when the discomfort persists for an extended period. Based on your description, it seems that you have experienced a series of complications following a dental injury, which has led to ongoing pain and irritation in your mouth. Here are some insights and recommendations for managing your symptoms effectively.


Understanding the Causes
1. Dental Injury and Temporary Solutions: After a dental injury, especially one that involves a fracture, the use of temporary dental solutions can sometimes lead to complications. If the temporary tooth was not properly aligned or if it caused irritation to the surrounding tissues, this could result in pain and discomfort.

2. Bumps and Irritation: The bump you mentioned on your tongue could be a result of constant irritation from the dental work. When the tongue repeatedly contacts a rough or protruding edge of a dental restoration, it can lead to the formation of fibrous tissue, commonly referred to as a fibroma. This condition can be painful and may require intervention if it does not resolve on its own.

3. Neuropathy: The sensation of numbness or tingling in the tongue could indicate nerve irritation or damage. This can occur due to trauma during the dental procedure or from the pressure of the dental appliance against the tongue.


Recommendations for Management
1. Consult a Specialist: If your current dentist is unable to provide relief, consider seeking a second opinion from an oral surgeon or a specialist in oral medicine. They can perform a thorough examination and may recommend imaging studies, such as X-rays or a CT scan, to assess the underlying structures.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, it’s essential to follow the recommended dosages and consult with your healthcare provider if you find that you need to take them frequently.

3. Oral Hygiene: Maintaining excellent oral hygiene is crucial, especially if you have any lesions or bumps in your mouth. Use a soft-bristled toothbrush and consider rinsing with a saline solution or an alcohol-free mouthwash to reduce irritation.

4. Avoid Irritants: Try to avoid spicy, acidic, or very hot foods that can exacerbate the pain. Soft foods may be easier to manage while you are experiencing discomfort.

5. Topical Treatments: There are topical anesthetics available that can provide temporary relief for oral pain. Products containing benzocaine can numb the area and may help alleviate discomfort when applied directly to the affected area.

6. Surgical Options: If the bump on your tongue is persistent and painful, surgical removal may be necessary. This is typically a straightforward procedure performed under local anesthesia.

7. Follow-Up Care: Regular follow-ups with your dentist or specialist are essential to monitor the situation. If there are signs of infection or if the pain worsens, further intervention may be required.


Conclusion
Persistent pain and discomfort in the mouth following a dental injury can significantly impact your quality of life. It is essential to address these issues promptly and effectively. By consulting with a specialist, maintaining good oral hygiene, managing pain appropriately, and considering surgical options if necessary, you can work towards alleviating your symptoms. Remember, communication with your healthcare provider is key; do not hesitate to express your concerns and seek further assistance if your current treatment plan is not providing relief.

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