Dealing with a Torn Tongue Tip: Healing or Surgical Intervention? - Dentistry

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Bitten the tip of the tongue... a small piece has flipped up?


Three days ago, I accidentally bit the tip of my tongue while eating in a hurry.
The bite was deep enough that a small piece of tissue on the tip of my tongue is flipped up.
Normally, it can lay flat, but whenever I eat or speak, I feel a significant foreign body sensation, as if I have sugar on the tip of my tongue.
Should I have this small piece of tissue removed, or will it heal on its own? (However, it seems to fluctuate daily...
it doesn't feel like it's going back into place...) The area is approximately 3-4 mm².

Boreas, 30~39 year old female. Ask Date: 2021/11/22

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to visit a dentist or an otolaryngologist to have it properly treated for faster wound healing.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/11/22

More Info


Dealing with a torn tongue tip can be quite uncomfortable, and your description indicates that you have sustained a significant injury. The good news is that the tongue is a highly vascularized organ, which means it has a rich blood supply that promotes healing. However, the specifics of your injury will determine whether you need surgical intervention or if it can heal on its own.


Healing Process of a Torn Tongue Tip
1. Self-Healing: In many cases, minor injuries to the tongue, such as small cuts or tears, can heal on their own without the need for surgical intervention. The healing process typically takes about 1 to 2 weeks. Given that your injury is approximately 3-4 mm², it falls within a size that often heals well on its own.

2. Symptoms to Monitor: While the tongue is healing, you may experience discomfort, swelling, or a foreign body sensation, especially when eating or speaking. These symptoms are common and can be exacerbated by certain foods, particularly those that are spicy, acidic, or abrasive. If you notice increased pain, swelling, or signs of infection (such as pus or fever), it is essential to seek medical attention.

3. Management Strategies: To facilitate healing, consider the following:
- Avoid Irritants: Stay away from spicy, acidic, or crunchy foods that may aggravate the injury.

- Maintain Oral Hygiene: Keep your mouth clean to prevent infection. Rinse with a mild saltwater solution to help soothe the area.

- Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort.


When to Consider Surgical Intervention
1. Persistent Symptoms: If the torn area does not show signs of improvement after a week or two, or if the tissue appears to be flipping or not returning to its normal position, it may be time to consult a healthcare professional. They can assess whether the tissue is healing properly or if surgical intervention is necessary.

2. Surgical Options: If surgical intervention is deemed necessary, the procedure may involve trimming the torn tissue or suturing it back into place. This is typically a straightforward procedure performed under local anesthesia, and recovery is usually quick.

3. Consultation with a Specialist: If you are uncertain about the healing process or if the injury is causing significant discomfort, it may be beneficial to consult with an oral surgeon or an ENT specialist. They can provide a thorough examination and recommend the best course of action.


Conclusion
In summary, a torn tongue tip can often heal on its own, especially if the injury is small and you take care to avoid irritating it. However, if you experience persistent discomfort, changes in the appearance of the injury, or signs of infection, it is crucial to seek medical advice. A healthcare professional can provide guidance tailored to your specific situation and help ensure proper healing. Remember, while the tongue is resilient, it is essential to monitor your symptoms and take proactive steps in your recovery.

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