Oral Health: Addressing Tongue Issues and Concerns - Dentistry

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Tongue issues (third inquiry)


Hello Dr.
Chuang, thank you for patiently answering my questions.
Recently, I've been feeling uneasy about my health.
I tend to scrutinize even minor physical issues, and with the abundance of information available, I often come across news reports about young people who appear healthy but are diagnosed with cancer, which makes me anxious.
I don’t smoke, drink, or chew betel nut, but my sleep quality has been poor for the past six months.
I tend to overthink, and since I work late, I usually go to bed quite late.
Occasionally, I notice mouth ulcers that typically heal within a week, but sometimes they can last for a month or two.
I plan to visit an oral surgery department at a major hospital on May 2 if the oral lesions do not heal.
I hope everything turns out to be fine, as it has been in the past.
What do you think about my current condition?

A-Zhe, 30~39 year old female. Ask Date: 2013/04/23

Dr. Zhuang Suhui reply Dentistry


A-Zhe: Hello, it depends on the progression of the condition.
If there is no smoking, alcohol, or betel nut consumption, the risk of developing oral cancer is lower.
Additionally, regular exercise can boost immunity and reduce cancer risk.
It is recommended to exercise at least 3 days a week, with each session lasting a minimum of 30 minutes; the intensity should be sufficient to induce sweating or elevate the heart rate to over 140 beats per minute for at least 3 minutes.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only serve as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This message is from Dr.
Chuang Su-Hui, Director of Dentistry, Taitung Hospital, Department of Health, Executive Yuan, who cares about your health.

Reply Date: 2013/04/23

More Info


Hello! Thank you for sharing your concerns about your oral health. It’s understandable to feel anxious about any changes in your body, especially with the wealth of information available today regarding health issues. Let’s break down your situation and address your concerns regarding tongue issues and overall oral health.

From what you’ve described, it seems you are experiencing discomfort in your tongue, which could be related to several factors. Given your history of dental issues, such as missing teeth and potential misalignment, it’s plausible that these could contribute to the discomfort you’re feeling. The remaining second molar on the right side of your mouth may be tilting towards your tongue due to the absence of adjacent teeth, leading to friction and irritation. This is a common issue when teeth are not properly aligned, and it can cause discomfort not only in the teeth but also in the surrounding soft tissues, including the tongue.

Additionally, you mentioned experiencing mouth ulcers and a burning sensation in your oral mucosa. These symptoms can be indicative of several underlying issues, including nutritional deficiencies (such as vitamin B12 or iron), stress, or even oral lichen planus, which is an inflammatory condition that can affect the mucous membranes in the mouth. It’s also worth noting that stress and poor sleep quality can exacerbate these conditions, leading to a cycle of discomfort and anxiety.

Your plan to visit an oral surgeon is a wise decision, especially if the discomfort persists. They can conduct a thorough examination, possibly including imaging studies, to assess the alignment of your teeth and the health of your oral tissues. If there are any lesions or abnormalities, a biopsy may be warranted to rule out more serious conditions.

In terms of your concerns about cancer, while it’s natural to worry, it’s important to remember that many oral conditions are benign and can be treated effectively. Regular dental check-ups and being proactive about any changes in your oral health are key to early detection and management of potential issues.

Regarding your question about whether your symptoms could be related to systemic issues, such as hormonal imbalances or stress-related disorders, it’s certainly possible. Stress can manifest in various physical symptoms, including oral discomfort. If you find that your anxiety about health is affecting your daily life, it may be beneficial to speak with a healthcare professional about stress management techniques or counseling.

To summarize, here are some steps you can take to address your oral health concerns:
1. Visit an Oral Surgeon or Dentist: Schedule your appointment as planned. They can provide a comprehensive evaluation and determine if any dental treatments, such as orthodontics or restorative work, are necessary.

2. Maintain Good Oral Hygiene: Continue to practice good oral hygiene, including brushing twice a day and flossing daily. This can help prevent further irritation and maintain overall oral health.

3. Monitor Your Diet: Ensure you’re getting a balanced diet rich in vitamins and minerals. If you suspect deficiencies, consider discussing this with your healthcare provider.

4. Manage Stress: Incorporate stress-reducing activities into your routine, such as exercise, meditation, or hobbies that you enjoy. Improving your sleep hygiene can also have a positive impact on your overall well-being.

5. Follow Up on Symptoms: If your symptoms persist or worsen, don’t hesitate to seek further medical advice. Keeping a record of your symptoms can help healthcare providers understand your situation better.

Remember, you’re not alone in this, and seeking help is a positive step towards better health. I wish you the best in your upcoming appointment and hope for a swift resolution to your concerns!

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