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Have recurring ulcers on tongue. Feel caused by biting in sleep. Told visit maxillofacial clinic

Hi, I have recurring ulcers on my tongue which take several weeks to clear. At the moment I believe the ulcers I have down the left side of my tongue are caused with me biting during my sleep. I have previously had a biopsy and have now been referred to a maxilla facial clinic but think it a waste of time as I know these are recurring. Can you advise. Thanks,
Asked On : Thu, 11 Apr 2013
Answers:  6 Views:  79
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Dentist 's  Response

Thanks for asking the query,

Recurrent mouth ulcers occurs due to many factors like immunologic abnormalities , nutritional deficiencies, traumatic incidents like self inflicted bites at night, dental trauma, hormonal imbalance, allergic reactions.

Visit to dentist and get thorough checkup done to know the cause of the ulcers.

Take multivitamin tablets.

Apply cortisone acetate cream topically over the affected area.

Avoid intake of hot spicy foods.

Use saline water gargles 3-4 times daily to give numbing effects.

Use antiseptic mouthwash like chlorhexidine twice daily.

Maintain a good oral hygiene.

Hope this helps out.

Answered: Thu, 11 Apr 2013
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Sep 2013
Hello, Thanks for the visiting H.C.M.C. site.
We are here to solves your's problems.
You have not mentioned the result of biopsy. Any how we believe it was normal. So now tell the exact site of tongue ulcer as anterior 2/3rd and posterior 1/3 of makes a junction.
2nd point is the colour of ulcer, if it is cherry red without any discharge than need not to worry.
If it is whitish purple color and somewhat hard in consistency than there is a point of anxiety. In that condition you have to visit a consultant he will tell you whole thing.
Usually recurrent ulcer are common but if you chew tobacco than please shun it at once.
Also avoid fried & spicy food. Alcohol you have to forget.
Take on regular basis cyanocobalamine as this is B 12 vitamin and it is not formed in our intestine.
Chew tabs of vit C.
Please be cautious about tongue ulcer. GOOD Luck. Dr. HET
Answered: Thu, 11 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
From the details ,its clear that you are suffering from recurrent aphthous ulcers.
I would suggest you to take plenty of fluids and nutritious rich food.
Vitamin becosules and iron,folic acid supplements can be taken.
Always keep your mouth clean.
Avoid intake of salty/spicy foods.
Frequent warm saline rinse may be helpful.
Use chlorhexidine mouthrinse to gargle.
Take care.
Answered: Thu, 11 Apr 2013
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Dentist Dr. Farah Hussain's  Response
hi there,

Appearance of recurrent ulcers on the oral mucosa like tongue mucosa indicates inflammation .

Recurrent trauma to the tongue may lead to formation of ulcers or
It may be caused due to several reasons like deficiency or certain vitamins especially vitamin B12 and vitamin C.

Maintain good oral hygiene by practising regular mouth rinsing with lukewarm saline water or antiseptic mouthwash like betadine or chlorhexidine.

start with multivitamin supplements for 7 to 10 days and vitamin C lozenges will help in resolving the problem.

avoid alcohol , carbonated drinks , tobacco chewing and smoking as these may worsen the area affected.

you can apply topical oral antiseptics like dentogel over the affected which helps in giving soothing effect and reduces burning sensation.

i hope this helps ,

take care.
Answered: Thu, 11 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

If it is recurring in the same place - biopsy must be done / local irritative factors like teeth should be considered.
If it is in different places, systemic causes like poor oral hygiene, vitamin deficiency (B group), Stress (common in students before exam) should be considered.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 12 Apr 2013
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Dermatologist Dr. Geetika Paul's  Response

Welcome to HCM
Seems like you have developed Aphthous ulcers
Aphthous stomatitis (also termed canker sores, recurrent aphthous stomatitis, RAS, recurring oral aphthae and recurrent aphthous ulceration) is a common cause of benign and non-contagious mouth ulcers (canker sores). This condition is characterized by the repeated formation of ulcers on the mucous membrane of the oral cavity (the lining of the mouth), in otherwise healthy individuals.
Symptoms range from a minor nuisance to interfering with eating and drinking. The cause is not completely understood. Different people may have different triggers, including nutritional deficiencies, local trauma, stress, hormonal influences, allergies, and a genetic predisposition. The condition is very common, affecting about 20% of the general population. There is no cure, and treatments are aimed at reducing pain and speeding the healing process. Often, the onset of the condition is during childhood or adolescence and usually lasts for several years before gradually disappearing, with or without any form of treatment.
Vitamin B12 supplementation prevents recurrence.
you can check on internet the pictures of the above condition, in case you feel that you also develop similar lesion ,then rest assured ...In very severe and recalcitrant cases, some oral therapy might be needed..So i would advise you to visit a dermatologist if the condition persists or is very painful

Hope it helps
Dr Geetika Paul
Answered: Thu, 11 Apr 2013
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