Teeth Case – Full Analysis and Provisional Diagnosis (Zoom 100%)

This assessment is based on a single image. A definitive diagnosis requires an in-person oral examination. Soft-tissue lesions can resemble each other; persistent or worsening symptoms require professional evaluation.

1. Visual Findings (Deep Examination)

• Tongue (ventral/lateral surface):

  • A localized circular lesion with a dark central area consistent with traumatic injury (commonly from accidental biting, sharp tooth edge, or recent dental work).

  • Surrounding tissue shows mild inflammation without obvious widespread swelling.

• Teeth near lesion:

  • Adjacent molars appear intact; a sharp cusp or rough edge may be contacting the tongue during chewing.

• Saliva and tissue response:

  • Moist environment supports healing, but repeated trauma can delay recovery.

2. Most Likely Diagnosis (Provisional)

• Traumatic tongue ulcer or bite injury

• Localized soft-tissue inflammation

• Secondary irritation from tooth contact (sharp cusp/restoration)

3. Differential Considerations (If Not Healing)

• Recurrent aphthous ulcer (less likely if a clear bite history exists)

• Infected traumatic ulcer

• Chronic irritation lesion (if repeatedly traumatized)

4. Recommended Treatment Process

Phase 1: Immediate Care (Days 1–3)

• Identify and eliminate the source of trauma (sharp tooth edge or restoration smoothing).

• Warm saline rinses 2–3 times daily.

• Topical protective gel or barrier paste as advised by a dentist.

• Soft diet; avoid spicy, acidic, or hard foods.

Phase 2: Healing Support (Days 4–7)

• Continued oral hygiene with gentle brushing.

• Analgesic mouth rinse if pain persists.

• Monitor lesion size and pain reduction.

Phase 3: Re-evaluation (Days 8–14)

• Lesion should show significant reduction in size and tenderness.

• If no improvement, clinical review is required to rule out infection or other pathology.

Expected healing time:

• Minor traumatic tongue injuries: 7–14 days when the cause is removed.

5. If Healing Takes 14 Days or More – What May Scale Up

• Persistent ulceration and pain

• Secondary bacterial infection

• Difficulty eating or speaking

• Scar formation

• Need for biopsy if lesion does not resolve (to exclude non-traumatic causes)

6. Home Care Guidance (Interim)

• Avoid chewing on the affected side.

• Do not pick or scrape the lesion.

• Avoid alcohol and tobacco.

• Maintain hydration.

7. Professional Commentary

Traumatic tongue lesions usually heal quickly once the source of injury is eliminated. Recurrent biting or sharp tooth edges are common causes. Any tongue lesion persisting beyond two weeks should be examined promptly.

Visit Nearest Dental Clinic

Find a nearby clinic for examination and smoothing of sharp tooth edges:
https://cebudentalimplants.com/map-dental-clinic