Tooth Sharpness: Questions About Dental Care and Tongue Health - Dentistry

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Hello Dr.
Tseng: My lower left and right second molars, as well as my lower left first premolar, seem to have become sharper or rougher due to long-term wear.
Occasionally, when my tongue touches these teeth, I feel a sharper sensation.
I would like to ask Dr.
Tseng the following questions:
Q1.
I "feel" that my tongue has not been scratched by these sharper teeth, as there is no pain or obvious wounds, only a sharper sensation.
Is it possible that my tongue has actually been scratched by my lower left and right second molars and lower left first premolar for a long time without my knowledge?
Q2.
If teeth consistently scrape the tongue, can this lead to the formation of keratinized thickening in the areas of the tongue that are scraped, as a defense mechanism against the scraping from the teeth?
Q3.
Given that I "feel" my tongue has not been scratched by these sharper teeth, since there is no pain or obvious wounds, only a sharper sensation, do you think I could visit a dentist to have the sharper or rougher areas of my lower left and right second molars and lower left first premolar smoothed and polished?
Q4.
Following up on the previous question, what makes me hesitant is that my tongue only feels the sharpness of the teeth but should not have been scratched.
Does this mean that the teeth are not sharp enough to cause injury to the tongue, and that smoothing the teeth might simply sacrifice healthy enamel without necessity?
Thank you, Dr.
Tseng.

Kris, 40~49 year old female. Ask Date: 2024/03/27

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Kris: 1.
It is recommended to see a dentist for further examination.
2.
It is possible that long-term irritation from scraping has led to hyperplasia of the tongue tissue.
3.
If you frequently scrape your tongue, it is advisable to consult a dentist to smooth out any sharp tooth edges.
4.
It is recommended to seek further evaluation from a dentist to determine if tooth reshaping is necessary.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2024/03/27

More Info


Hello! Thank you for your questions regarding dental care and tongue health. It's great that you're being proactive about your oral hygiene and seeking advice. Let's address your concerns one by one.


Q1: Could my tongue be getting scratched by my sharp teeth without me realizing it?
While it's possible for your tongue to be in contact with sharp edges of your teeth, the absence of pain or visible wounds suggests that significant damage is unlikely. However, the tongue is a sensitive organ, and even minor abrasions can go unnoticed. If you feel discomfort or a sharp sensation when your tongue touches those teeth, it might be worth having them evaluated by a dentist. They can assess whether the sharpness is significant enough to warrant treatment.


Q2: Can long-term contact with sharp teeth cause the tongue to thicken or develop calluses?
Yes, chronic irritation from sharp teeth can lead to a condition known as hyperkeratosis, where the skin (or in this case, the mucous membrane of the tongue) thickens as a protective response. This is the body’s way of trying to shield itself from ongoing irritation. If you notice that your tongue feels thicker or has developed a rough texture, it may be a sign that your body is reacting to the sharp edges of your teeth.


Q3: Should I consider having my sharp teeth smoothed out by a dentist?
If the sharpness of your teeth is causing discomfort or affecting your quality of life, it is advisable to consult with a dentist. They can perform a procedure called "tooth reshaping" or "contouring," which involves smoothing out the sharp edges. This is a relatively simple and quick procedure that can alleviate discomfort and prevent potential injuries to your tongue.


Q4: Is it necessary to smooth my teeth if they are not causing visible injuries?
This is a valid concern. If the sharpness of your teeth is not causing any pain or visible injury, you might wonder if the procedure is necessary. However, it’s important to consider that even if there are no visible signs of damage, the discomfort you feel indicates that your tongue is being irritated. Smoothing the teeth can help prevent future issues, such as chronic irritation or the development of calluses on your tongue. Additionally, preserving the enamel is crucial, but a dentist can perform the procedure in a way that minimizes enamel loss.


Additional Considerations
Maintaining good oral hygiene is essential, especially if you have sharp edges on your teeth. Here are some tips to help you manage your dental health:
1. Regular Dental Check-ups: Schedule regular visits to your dentist for cleanings and check-ups. This will help catch any issues early and keep your teeth and gums healthy.

2. Proper Brushing Technique: Ensure you are brushing your teeth correctly. Use a soft-bristled toothbrush and fluoride toothpaste, and brush at least twice a day.

3. Flossing: Incorporate flossing into your daily routine to remove food particles and plaque from between your teeth, which can help maintain overall oral health.

4. Diet: Be mindful of your diet. Avoid overly hard or sticky foods that can exacerbate sharp edges or cause damage to your teeth.

5. Hydration: Drink plenty of water to keep your mouth hydrated, which can help maintain the health of your oral tissues.

6. Avoid Tobacco Products: If you use tobacco, consider quitting, as it can lead to various oral health issues, including gum disease and oral cancer.

In conclusion, while your current situation may not seem urgent, addressing the sharpness of your teeth can prevent future complications. Consulting with a dentist will provide you with tailored advice and treatment options that suit your needs. Remember, taking care of your oral health is an investment in your overall well-being. Thank you for reaching out, and I hope this information helps you make informed decisions about your dental care!

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