Why Do I Keep Biting My Tongue? Dental Misalignment Explained - Dentistry

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Frequent tongue biting?


Hello Dr.
Wu, I often bite the right side of my tongue.
When I open my mouth, I notice that my lower right incisor is protruding, causing asymmetry between the lower right and lower left sides.
My tongue tends to touch the right wisdom tooth first.
Should I consider orthodontic treatment? Will orthodontics help make my teeth symmetrical and prevent me from biting my tongue again? I often hear about people randomly biting their tongues and then developing oral cancer, which makes me very anxious whenever I bite my tongue because I'm afraid of getting oral cancer.
I hope you can provide some advice.

alex, 30~39 year old female. Ask Date: 2005/02/17

Dr. Wu Jinjun reply Dentistry


Hello, the oral mucosa (including the lips and tongue) can easily undergo pathological changes when subjected to long-term external stimuli (such as dentures or misaligned teeth).
In rare cases, lesions may have the potential to develop into cancer.
Therefore, it is recommended that you visit a hospital for a definitive diagnosis by a physician.
If extraction is necessary, it should be done; if orthodontic treatment is needed, it should be pursued.
This will provide the greatest protection for your health.

Reply Date: 2005/02/17

More Info


Biting your tongue, especially if it happens frequently, can be a frustrating and painful experience. Based on your description, it seems that your dental misalignment, particularly the protrusion of your lower front tooth (often referred to as a "bulldog" or "overjet" condition), is contributing to this issue. When your teeth are not aligned properly, it can lead to an uneven bite, which increases the likelihood of your tongue being caught between your teeth, especially when chewing or speaking.


Understanding Dental Misalignment
Dental misalignment can manifest in various forms, including overbite, underbite, crossbite, and crowding. In your case, it sounds like you have a form of dental crowding or misalignment that is causing your lower teeth to protrude. This can lead to a situation where your tongue is more likely to come into contact with your teeth, particularly the lower incisors and wisdom teeth, which can result in accidental bites.


Potential Solutions
1. Orthodontic Treatment:
- Braces or Clear Aligners: Consulting with an orthodontist would be a wise step. They can evaluate your dental alignment and recommend appropriate treatment options, such as traditional braces or clear aligners (like Invisalign). These treatments can help realign your teeth, making them more symmetrical and reducing the risk of your tongue being bitten.

- Expected Outcomes: After orthodontic treatment, many patients experience improved bite alignment, which can significantly decrease the frequency of tongue biting. The goal is to create a more harmonious relationship between your teeth and tongue, allowing for more comfortable movement and function.

2. Dental Consultation:
- Comprehensive Evaluation: It’s essential to have a thorough evaluation by a dentist or orthodontist. They can assess not only the alignment of your teeth but also the overall health of your oral cavity. If there are any other underlying issues, such as gum disease or tooth decay, these should be addressed as well.

- Customized Solutions: Depending on your specific situation, your dentist may recommend other solutions, such as dental crowns or reshaping of certain teeth to improve your bite.

3. Behavioral Adjustments:
- Mindfulness While Eating: Being aware of your tongue's position while eating or speaking can help reduce the likelihood of accidental bites. Try to consciously keep your tongue away from your teeth during these activities.

- Avoiding Hard or Sharp Foods: Certain foods can exacerbate the risk of biting your tongue. Soft foods may be easier to manage while you work on correcting your dental alignment.


Concerns About Oral Cancer
It’s understandable to be concerned about the potential for oral cancer, especially after experiencing repeated trauma to your tongue. While frequent biting of the tongue itself is not a direct cause of oral cancer, chronic irritation can lead to other issues, such as leukoplakia or lichen planus, which may require monitoring. If you notice any persistent changes in your mouth, such as unusual lumps, sores that do not heal, or changes in the color or texture of your tongue, it is crucial to consult a healthcare professional for further evaluation.


Conclusion
In summary, your frequent tongue biting is likely related to dental misalignment, and seeking orthodontic treatment could provide a long-term solution. While it’s essential to address your concerns about oral cancer, focusing on correcting the underlying dental issues will likely alleviate the immediate problem of biting your tongue. Regular dental check-ups and maintaining good oral hygiene will also contribute to your overall oral health. Don’t hesitate to reach out to a dental professional to discuss your concerns and explore the best options for your situation.

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