Tongue Issues: Causes and Concerns for Teachers - Dentistry

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Tongue issues?


Hello, Doctor: I am an elementary school teacher, and I have recently noticed that my tongue feels strange.
It seems that my lingual frenulum is a bit tight, and I am not sure if this is related to my profession or if it has to do with the street food I ate the day before.
In any case, the next day, I felt some tightness in my tongue, especially when speaking.
Additionally, I have noticed that the underside of my tongue feels a bit numb and seems particularly sensitive; it is uncomfortable regardless of the position of my tongue.
Could this be related to the crab I ate last Saturday? (I have checked my tongue and found no wounds or ulcers.) Also, I had my molars extracted in high school and have not had dentures placed since, so my lower teeth are a bit crooked.
Could this be related to the symptoms I mentioned? Thank you.

Xiao Qi, 30~39 year old female. Ask Date: 2005/10/24

Dr. Zeng Guanghui reply Dentistry


The tongue feels tight, and it seems to be an issue with the lingual frenulum.
First, check if there is any difficulty in tongue movement by moving the tongue side to side or pressing the tip against the lingual side of the upper front teeth, or by extending the tongue out of the mouth.
If there is no difficulty with these movements, then the lingual frenulum is likely not a problem.

If the area under the tongue feels numb and particularly sensitive, it is important to check for any ulcers or lumps in the sublingual area or the floor of the mouth.
Additionally, the lower teeth may be misaligned due to the extraction of molars, causing the adjacent teeth to tilt towards the gap.
This misalignment can lead to occlusal interference and make it difficult to maintain oral hygiene in the interproximal spaces, potentially resulting in gingivitis or periodontal disease.
It is recommended to consider dentures to prevent further tilting of the teeth and to restore occlusal function.

Reply Date: 2005/10/24

More Info


Hello! Thank you for reaching out with your concerns about your tongue issues. As a teacher, you may find that your profession involves a lot of speaking, which can sometimes lead to discomfort or tension in the tongue and surrounding areas. Let's explore the potential causes of your symptoms and what you might consider doing about them.

Firstly, the tightness in your tongue, especially when speaking, could be related to several factors. One possibility is that it could be a result of muscle tension. Teachers often experience stress and anxiety, particularly when speaking in front of a class or addressing students. This tension can manifest physically, leading to a sensation of tightness in the tongue or even the jaw. Additionally, if you've been feeling anxious or stressed lately, this could exacerbate the issue.

Another factor to consider is your recent dietary choices. You mentioned eating at a street vendor and having crab last weekend. Certain foods can cause allergic reactions or sensitivities in some individuals, leading to symptoms such as tingling or discomfort in the mouth. Shellfish, like crab, is a common allergen, and if you have a sensitivity to it, this could explain the tingling sensation under your tongue. If you suspect that your symptoms may be related to a food allergy, it might be wise to keep a food diary and note any other symptoms that arise after eating specific foods.

The tightness of the lingual frenulum (the tissue connecting the underside of the tongue to the floor of the mouth) can also contribute to discomfort. If you feel that your frenulum is unusually tight, it might restrict the movement of your tongue, leading to a sensation of tightness or discomfort when speaking. This condition, known as ankyloglossia or "tongue tie," can sometimes cause issues with speech and eating, particularly if it restricts the tongue's range of motion. If this is a concern, a consultation with a dentist or an oral surgeon may be beneficial to evaluate the frenulum's condition.

Regarding your dental history, the fact that you had a tooth extraction in high school and have not replaced the missing tooth could potentially contribute to your symptoms. Missing teeth can lead to changes in the alignment of the remaining teeth, which can affect how your tongue interacts with your mouth. Misalignment can sometimes lead to discomfort or unusual sensations in the tongue and surrounding areas. If you have concerns about your dental health, it might be worth discussing with a dentist, who can provide insights into how your dental history may be impacting your current symptoms.

In summary, your tongue issues could stem from a combination of factors, including muscle tension due to stress, potential food sensitivities, the condition of your lingual frenulum, and your dental history. If your symptoms persist or worsen, I recommend seeking a professional evaluation from a dentist or an oral health specialist. They can provide a thorough examination and help determine the underlying cause of your discomfort. In the meantime, practicing relaxation techniques, staying hydrated, and being mindful of your diet may help alleviate some of the tension you're experiencing.

Take care, and I hope you find relief soon!

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