Managing Tongue Discomfort After Dental Bridge Placement: Solutions and Tips - Dentistry

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Friction between the tongue and teeth?


I have had a missing left lower molar for many years and recently had a bridge made using the canine teeth (total of 3 teeth).
However, my tongue has been constantly rubbing against it, causing redness, swelling, pain, and even sores, which has been ongoing for a month.
Initially, the dentist mentioned that due to the long period of tooth loss, my tongue would need some time to adjust.
However, after a month of discomfort, my tongue still hasn't adapted.
Can I ask the dentist to thin the lingual side of the prosthesis a bit, or do I have to force myself to change the position of my tongue?

Miss Chen, 40~49 year old female. Ask Date: 2022/02/22

Dr. Zeng Guanghui reply Dentistry


If the gap from missing teeth remains for too long, the tongue may start to move outward.
Once fixed dentures are placed, the tongue may initially feel restricted and may rub against the dentures, requiring some time to adapt.
However, if the issue of tongue friction persists after a while, it is necessary to consult a dentist for further examination to determine if the dentures are positioned too far towards the tongue side and to make necessary adjustments.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/02/22

More Info


Managing discomfort after the placement of a dental bridge can be a challenging experience, especially when it involves the tongue. Your situation, where the tongue is experiencing irritation and discomfort due to the new dental bridge, is not uncommon. Here are some insights and recommendations based on your description and general dental knowledge.


Understanding the Cause of Tongue Discomfort
1. Anatomical Changes: When a dental bridge is placed, it alters the oral environment. The tongue may come into contact with the new structure, leading to irritation, especially if the bridge is slightly overextended or if the contours are not smooth.

2. Adjustment Period: It is normal for the tongue and surrounding tissues to take some time to adjust to new dental work. However, if discomfort persists beyond a few weeks, it may indicate that the bridge requires adjustment.

3. Improper Fit: If the bridge is not fitting properly, it can cause pressure points that irritate the tongue. This could be due to the bridge being too bulky or having sharp edges.


Solutions and Recommendations
1. Consult Your Dentist: The first step is to communicate your discomfort to your dentist. They can assess the fit of the bridge and determine if any adjustments are necessary. It is entirely reasonable to request that the dentist smooth or thin the lingual (tongue-side) aspect of the bridge if it is causing irritation.

2. Adjustment of the Bridge: Dentists often make adjustments to dental bridges to ensure comfort and proper function. If the bridge is too thick or has sharp edges, your dentist can modify it to alleviate pressure on the tongue.

3. Tongue Positioning: While it may be challenging, consciously adjusting the position of your tongue can help minimize contact with the bridge. However, this should not be a long-term solution if discomfort persists.

4. Oral Hygiene: Maintaining good oral hygiene is crucial, especially around the bridge area. Use a soft-bristled toothbrush and consider using an antimicrobial mouthwash to help reduce irritation and promote healing.

5. Dietary Modifications: If certain foods exacerbate the discomfort, consider modifying your diet temporarily. Soft foods that require less chewing may help reduce irritation while you adjust.

6. Follow-Up Appointments: Regular follow-ups with your dentist are essential. If the discomfort does not improve after adjustments, further evaluation may be necessary to rule out other issues, such as gum inflammation or an allergic reaction to materials used in the bridge.

7. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may help manage discomfort temporarily. However, consult your dentist before taking any medication to ensure it is appropriate for your situation.


Conclusion
In summary, while some discomfort after the placement of a dental bridge is expected, persistent irritation of the tongue is a sign that further evaluation and adjustment may be needed. It is essential to maintain open communication with your dentist regarding your symptoms and to seek adjustments to ensure your comfort. Remember, your oral health and comfort are paramount, and your dentist is there to help you achieve both. If necessary, do not hesitate to seek a second opinion from another dental professional if you feel your concerns are not being adequately addressed.

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