Should You See a Dentist for a Tongue Injury?

Should I see a dentist if my tongue is cracked?

Hello Dr.
Tseng, I would like to ask about a cut on the left edge of my tongue.
It hurts when I eat and swallow saliva.
Should I see an ENT specialist or a dentist? I can confirm that there are no issues with my teeth.
Thank you, Xiao Fang.

Xiao Fang, 30~39 year old female. Ask Date: 2004/07/29

Dr. Zeng Guanghui reply Dentistry

Oral ulcers, commonly known as "mouth sores," can occur on any part of the oral mucosa, including the tongue.
Their causes may include trauma (such as accidentally biting oneself), mechanical irritation (from sharp edges of teeth or ill-fitting dentures), and chemical irritation (such as burns or acid erosion).
Another common cause is recurrent aphthous stomatitis, which may be related to stress, anxiety, or excessive pressure, leading to an autoimmune response that affects the oral mucosa.
Symptoms include painful, yellow-white depressions of varying sizes that typically heal on their own within one to two weeks.
For mild cases, topical corticosteroid ointments can be applied, while more severe and extensive ulcers may require a short course of systemic corticosteroids for about three days, followed by continued topical treatment once symptoms improve.
During the period of oral ulcers, it is important to maintain good oral hygiene to prevent secondary infections of the oral mucosa and to avoid irritating foods or excessively hot beverages.
With appropriate treatment, healing can occur naturally within one to two weeks.

Reply Date: 2004/07/29

More Info

When it comes to injuries to the tongue, especially if you've bitten it and are experiencing pain while eating or swallowing, it's important to assess the situation carefully. In your case, since you have confirmed that your teeth are not an issue, you might wonder whether to consult an Ear, Nose, and Throat (ENT) specialist or a dentist.
Generally, tongue injuries can be managed by both dentists and ENT specialists, but the choice may depend on the severity of the injury and the symptoms you are experiencing. If the injury is minor, such as a small cut or abrasion, it may heal on its own within a few days. However, if you are experiencing significant pain, swelling, or if the injury does not seem to be healing, it would be wise to seek professional help.

Reasons to See a Dentist:
1. Oral Health Expertise: Dentists are trained to handle injuries related to the oral cavity, including the tongue. They can assess whether there are any underlying issues, such as damage to the surrounding tissues or potential infections.

2. Pain Management: A dentist can provide treatments to alleviate pain, such as topical anesthetics or recommendations for over-the-counter pain relief.

3. Infection Prevention: If the injury is deep or if there is a risk of infection, a dentist can prescribe antibiotics or other treatments to prevent complications.

4. Follow-Up Care: If the injury requires further monitoring or if you develop complications, a dentist can provide ongoing care and advice.

Reasons to See an ENT Specialist:
1. Complex Injuries: If the injury is more complex or if there are concerns about deeper tissue damage, an ENT specialist may be better suited to evaluate and treat the injury.

2. Swallowing Issues: If you are experiencing significant difficulty swallowing or if the pain is affecting your ability to eat, an ENT can assess for any related issues in the throat or surrounding areas.

3. Persistent Symptoms: If the pain persists or worsens over time, an ENT specialist can perform a more thorough examination to rule out other potential causes.

Additional Considerations:
- Home Care: In the meantime, you can manage the pain at home by rinsing your mouth with warm salt water, avoiding spicy or acidic foods that may irritate the injury, and maintaining good oral hygiene to prevent infection.

- Signs of Infection: Be vigilant for signs of infection, such as increased redness, swelling, pus, or fever. If you notice any of these symptoms, seek medical attention promptly.

- Healing Time: Tongue injuries typically heal quickly due to the rich blood supply in the area. However, if you notice that the pain is not subsiding after a few days or if the injury appears to be worsening, it is essential to consult a healthcare professional.

In conclusion, while both a dentist and an ENT specialist can address tongue injuries, starting with a dentist may be the most appropriate choice given their expertise in oral health. If symptoms persist or worsen, do not hesitate to seek further evaluation from an ENT specialist. Your health and comfort are paramount, so getting the right care is essential for a speedy recovery.

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