Tongue Polyps: What to Know Before Visiting the Dentist - Dentistry

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Unidentified polyp on the tongue?


Hello Dr.
Huang, my father developed a polyp on the side of his tongue (visible when he sticks out his tongue) last month that resembles a small cactus, about the size of a 10 NT dollar coin.
It does not affect his eating or speaking.
However, my father is stubborn and refuses to go to the doctor.
I would like to ask what conditions this type of case might indicate, so I can better persuade him to visit the hospital.
Thank you, and I wish you good health and happiness!

Lao Yao, 20~29 year old female. Ask Date: 2006/07/20

Dr. Huang Zhicheng reply Dentistry


Hello: It is difficult to determine the nature of a lesion located on the edge of the tongue based solely on description or visual inspection.
Based on your description, a benign possibility could be a fibroepithelial polyp or an inflammatory infectious lesion such as chronic candidiasis (especially in older adults with chronic illnesses and weakened immune systems).
A more concerning condition could be squamous cell carcinoma, particularly if accompanied by cervical lymphadenopathy in individuals over 60 years of age.
Therefore, the best course of action is to seek medical attention for a biopsy.
Sincerely, Dr.
Huang Chih-Cheng, Dentist.

Reply Date: 2006/07/20

More Info


Understanding tongue polyps, especially in the context of your father's recent experience, is crucial for addressing his concerns and encouraging him to seek medical attention. Tongue polyps, which can appear as small, raised lesions on the tongue, may vary in size, shape, and color. They can resemble small growths or warts and may be benign or indicative of underlying conditions.


Possible Causes of Tongue Polyps
1. Benign Growths: Many tongue polyps are benign and can be caused by irritation or trauma to the tongue. This could be due to habits such as biting the tongue, friction from dental appliances, or even certain foods that may irritate the oral mucosa.

2. Papillomas: These are benign tumors caused by the human papillomavirus (HPV). They can appear as small, cauliflower-like growths and are usually harmless but may require monitoring or removal if they cause discomfort.

3. Fibromas: These are fibrous tissue growths that can occur in response to irritation or injury. They are typically painless and may not require treatment unless they grow larger or cause discomfort.

4. Inflammatory Conditions: Conditions such as lichen planus or geographic tongue can lead to changes in the tongue's surface, resulting in lesions or bumps that may resemble polyps.

5. Oral Cancer: While less common, any new growth in the mouth should be evaluated to rule out malignancy. Early detection is key in the management of oral cancers, which can present as non-healing ulcers or growths.


Importance of Dental Evaluation
Given that your father has a noticeable growth on his tongue, it is essential for him to see a dentist or an oral surgeon for a thorough evaluation. Here are several reasons why:
- Diagnosis: A dental professional can provide a proper diagnosis through visual examination and, if necessary, a biopsy to determine the nature of the growth.

- Treatment Options: Depending on the diagnosis, treatment options may vary. Benign polyps may simply be monitored, while others may require removal or further investigation.

- Peace of Mind: Understanding the nature of the growth can alleviate anxiety for both your father and your family. Knowing whether it is benign or requires treatment can help in making informed decisions.

- Preventive Care: Regular dental visits can help catch any changes in oral health early, which is particularly important for older adults who may be at higher risk for various oral conditions.


Encouraging Your Father to Seek Help
To persuade your father to visit a dentist, consider the following approaches:
- Educate: Share information about the importance of oral health and how early intervention can prevent more serious issues down the line.

- Address Concerns: If he has fears about the dental visit, discuss these openly. Many dental offices now offer sedation options to make the experience more comfortable.

- Offer Support: Offer to accompany him to the appointment. Sometimes, having a supportive family member can make a significant difference in a person's willingness to seek care.

- Highlight Benefits: Emphasize the benefits of getting the growth checked, such as peace of mind, better oral health, and the potential for early treatment if necessary.

In conclusion, while tongue polyps can often be benign, it is essential for your father to have a professional evaluation to ensure proper diagnosis and management. Encouraging him to seek dental care is a proactive step towards maintaining his overall health and well-being.

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