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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ulcer On Tongue And Grinding Of Teeth

I have what seems to be a big ulcer on my tongue that developed after several night of grinding teeth and chewing in my tongue - now the pain is radiating up in my ear canal and down my throat (but it doesn't hurt to swallow) .
The pain is now unbearable and doctors don't seem to understand - I've been prescribed anti fungal mouthwash but isn't doing anything . I've been applying gel to numb my tongue every hour and taking advil and Tylenol every 4 hours ; nothing helps.
Tue, 15 Nov 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concern...

As per your complain the ulcer over the tongue caused by tongue bite is a Traumatic ulcer and in case if you bite continuously then the ulcer will not heal and inflammation will keep on increasing..
For this along with application of numbing gel apply a steroid oral paste over the ulcer and take a multivitamin tablet daily..
Do warm saline gargles..
You should consult a dentist and get evaluated and for teeth grinding habit he can advise you and get a Mouth guard fabricated that will prevent teeth grinding as well as tongue bite..

The other part of the problem is pain radiating to ear can be due to complications occurring with the jaw joint due to a teeth grinding habit and the condition is known as Temporomandibular joint disorder which can be due to muscle fatigue or disorder related to articular disc which is a soft cushion present between the bony ends of the jaw joint...

For this consult an Oral Physician and get an ORTHOPANTOMOGRAM done so that the confirmatory diagnosis can be made and treatment can be planned..

As of now take muscle relaxant containing Chlorzoxasone and anti-inflammatory painkiller like Ibuprofen.
Warm or cold compresses over the jaw and face can help..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora.
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Suggest Treatment For Ulcer On Tongue And Grinding Of Teeth

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concern... As per your complain the ulcer over the tongue caused by tongue bite is a Traumatic ulcer and in case if you bite continuously then the ulcer will not heal and inflammation will keep on increasing.. For this along with application of numbing gel apply a steroid oral paste over the ulcer and take a multivitamin tablet daily.. Do warm saline gargles.. You should consult a dentist and get evaluated and for teeth grinding habit he can advise you and get a Mouth guard fabricated that will prevent teeth grinding as well as tongue bite.. The other part of the problem is pain radiating to ear can be due to complications occurring with the jaw joint due to a teeth grinding habit and the condition is known as Temporomandibular joint disorder which can be due to muscle fatigue or disorder related to articular disc which is a soft cushion present between the bony ends of the jaw joint... For this consult an Oral Physician and get an ORTHOPANTOMOGRAM done so that the confirmatory diagnosis can be made and treatment can be planned.. As of now take muscle relaxant containing Chlorzoxasone and anti-inflammatory painkiller like Ibuprofen. Warm or cold compresses over the jaw and face can help.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora.