Can Oral Ulcers Develop Under the Tongue? - Dentistry

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Oral ulcers can indeed develop under the tongue, and they are commonly referred to as aphthous ulcers or canker sores. These ulcers can occur in various locations within the oral cavity, including the inner cheeks, gums, and the underside of the tongue. The appearance of a white lesion under the tongue could be indicative of an ulcer, especially if it is painful or sensitive to touch.

Aphthous ulcers are typically small, round, and can be white or yellow in color with a red halo. They are often caused by a variety of factors, including stress, hormonal changes, certain food sensitivities (like citrus or spicy foods), and even trauma to the area, such as from aggressive brushing or dental appliances. In some cases, they may be associated with underlying health conditions, such as vitamin deficiencies (particularly B12, folate, or iron), autoimmune disorders, or gastrointestinal diseases.

It is important to monitor the ulcer for changes. If the ulcer persists for more than two weeks without improvement, or if it is accompanied by other symptoms such as fever, difficulty swallowing, or significant pain, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination and may recommend treatments such as topical medications to alleviate pain and promote healing.

In your case, since you mentioned that the lesion is white and located under the tongue, it is crucial to observe its characteristics. If it is painful, has increased in size, or shows no signs of healing, a visit to a dentist or an oral specialist would be prudent. They may perform a biopsy if there is any suspicion of a more serious condition, such as oral cancer, especially if there are risk factors involved, such as tobacco use or a history of oral lesions.

Additionally, maintaining good oral hygiene and avoiding irritants (like spicy foods or alcohol) can help reduce the frequency and severity of oral ulcers. Staying hydrated and managing stress through relaxation techniques may also be beneficial.

In summary, while oral ulcers can develop under the tongue and are often benign, it is essential to keep an eye on the lesion and consult a healthcare professional if it does not improve or if you have any concerns about its nature. Early intervention is key to addressing any potential issues effectively.