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Growths can occur on the inside of the mouth, most commonly on the inner cheek surfaces, on gums or gingival tissue and on the tongue.
Considered not contagious, they are often associated with immune system problems, viral infections and bacterial conditions.
Agravation of tissues, such as a cut or biting of the tongue or cheek can cause canker sores to appear.
Another common sore, often referred to as fever blisters or Herpes simplex, are fluid-filled blisters that can become painful if untreated.
Aphthous ulcers, cold sores and other tongue lesions in many cases can be treated efficiently and comfortably with the use of a specialized laser. As seen the adjacent pre-treatment photos, other lesions can appear without significant etiology.
The last picture in our treatment series representing post operative treatment shows well healed tissues at the site of the lesion. Periodontic laser technologies can be routinely implemented in a variety of treatment plans for restorative and reconstructive dentistry. Burning tongue syndrome (BMS) has many different alternative names including scalded mouth syndrome, burning lips syndrome, glossodynia, glossopyrosis, stomatodynia, stomatopyrosis, and oral galvanism. While there aren’t any visible signs or lesions to observe, the very real pain can range from moderate to severe, and some have compared its intensity to that of a toothache. BMS usually begins without any recognizable trigger, and may last for a few weeks, months, or even years.
Diagnosis is usually a process of ruling out other possible conditions, and treatment varies from lifestyle changes in diet and behavior to the administration of traditional drugs. Two thirds of those reporting BMS will have recovered in 6-7 years as constant pain and discomfort becomes more episodic.
The most obvious symptom of BMS is an unpleasant to painful burning sensation on the tongue, lips, gums, palate, throat, or even in the whole mouth.
Interestingly, most patients report that they awake with little or no pain and the intensity increases as the day progresses, peaking by bedtime. While the actual causes of BMS have yet to be been clearly established, it seems that the condition can be divided into two general categories. If an underlying problem is identified and BMS becomes a symptom of the greater illness, the term “secondary” BMS is used. With the loss of function of her bitter taste buds, it would appear that the pain neurons are activated and BMS may be the result. Other important factors seem to be stress or a traumatic life event, allergic reactions, upper respiratory infections, and excessive taste bud loaded papillae. Because there is no present consensus on the origins or causes of BMS, most doctors will try to diagnose this condition by process of elimination, ruling out all other possibilities. The doctor will want to know about the symptoms being presented as well as the oral habits and mouth care of the patient.
While each person who suffers from BMS is unique, some associated problems seem to be held in common.
Since there is no known cure or universal treatment for primary BMS, each patient will be dealt with according to the individual presenting symptoms. There are several drugs currently available including Klonopin, a lozenge type form of the anti-convulsant drug clonazepam.
Concerning secondary BMS, the treatment protocol involves identifying the underlying cause and then addressing it as a way to eliminate the presenting burning mouth or tongue issues. Some of the simplest home remedies can actually bring almost instantaneous relief to the BMS sufferer.
Meat, brown rice, fish, wheat germ, whole grain cereals, and soybeans are all great sources of Vitamin B.
Applying glycerin to the tongue has been reported to bring relief, as has eating honey with milk.
Another homeopathic treatment involves applying lavender oil to the tongue and leaving it there over night. There are simple lifestyle choices that can also make a difference in reducing the pain from BMS. Ironically, while the doctor may have prescribed Capsaicin cream for your tongue, it is best not indulge in spicy foods because of added irritation within the mouth.
It may be necessary to switch out a favorite toothpaste, especially if the one in question contains sodium laurylsulfate.
Although hormonal imbalances have taken first place as a plausible cause of BMS, to date there is no conclusive evidence that hormone replacement therapy has had a significant effect in successfully treating this problem.
The expense of finding relief from the pain of BMS is directly related to the number of professionals one may visit and the amount of health insurance in place. Add to these visits, the cost for all the preliminary tests, and the price continues to rise. The best approach would seem to be to try the easiest and least expensive treatment suggestions first. In the past, because of the lack of physical symptoms in the mouth and on the tongue, many patients’ complaints were not taken seriously. It is to be hoped that in the near future, much more definitive knowledge will be available and better treatment protocols in place. My name is Kim Wang and this site is my work in progress helping to pass on some of the things my mother has taught me over the years. I am a 48 year old female, post hysterectomy leaving the fallopian tubes, and have recently started hormaone therapy and I have had tongue problems ever since.
I have been suffering with this ailment for about 6 months now, seen doctors, dentist, peridontist and lastly a professor of dentistry who arranged for me to see a hypnotist. Due to its antiseptic properties, frankincense oil is a great addition to any oral hygiene regimen. I had no idea that this was an actual thing!I thought that I must have burned my tongue some how and it was not healing. I have been doing some research for a friend with regard to how to incorporate Essential Oils into a routine that could be helpful with the painful sensations associated with Burning Mouth Syndrome. Laser dentistry is a highly proficient substitute to painful and noisy drilling procedures. For the treatment of canker sore and herpes lesions, the laser can truly decrease the pain experienced by these sores. Melanin hyper-pigmentation, or "dark gums", can cause an undesirable appearance to otherwise healthy, pink gums. Surgery using lasers can be done to remove swellings  and soft and hard tissue growths in and around the mouth. The usual surgery to release frenum is quite disturbing, painful and can take a long time to heal. Crown lengthening is performed around teeth that are broken or have been filled below the gum line and now require treatment with a crown.
Some people are prone to canker sores and get them from biting their tongue, inside cheek or eating something with rough edges like tortilla chips that pokes and irritates the inside of mouth. In some people canker sores can be especially painful and aggravating, especially in sensitive places like the gum area by the inside of the upper or lower lip.
Favored home treatments include mouth rinses of half water and half hydrogen peroxide or a teaspoon of baking soda mixed in half a cup warm water, a dab of milk of magnesia directly on the sore several times a day, or vitamin E oil applied to the ulcer. Some people find that making a paste with a little baking soda and water and applying it to the gum helps relieve the pain and help it heal faster.


At the drugstore you can find products containing benzocaine such as Anbesol Maximum Strength Oral Anesthetic Gel Instant Pain Relief Gel that can help numb the area and temporarily relieve the pain.
If you have especially stubborn canker sores that won’t go away or they are extraordinarily painful, you may want to see your doctor.
While you have a canker sore you should stay away from spicy foods and acidic foods such as tomatoes, strawberries and citrus, as they may irritate the sore and make it burn.
The good news is that painful canker sore on your gums will go away soon, even without treatment. If what appears to be a skin tag only occurs on one side of the mouth, or is red or white and painless, this may be an indication of mouth cancer.
It is difficult if not impossible to prevent skin tags, and they do not need to be removed, though they may bleed quite badly if cut. If you discover any unexplained or troubling growths on your tongue you should talk to your dentist to make sure that you are safe and to determine any treatments that may be necessary.
This image displays small, fluid-filled blisters on the foot typical of hand-foot-and-mouth disease. Hand-foot-and-mouth disease is a suddenly appearing (acute), self-limited viral disease caused by viruses of the enterovirus group, particularly Coxsackievirus A16. Hand-foot-and-mouth disease most often occurs in infants and children under 10, but teens and adults can also get it. Hand-foot-and-mouth disease begins with fever up to 101 degrees Fahrenheit, sore throat, sore mouth, cough, headache, fatigue, loss of appetite, and, occasionally, joint pain. Hand-foot-and-mouth disease is a self-limited viral infection, so it only needs to be treated for bothersome symptoms.
See your child's doctor if fever is present and is not brought down to normal by medication or if your child has a severe headache, stiff neck, irritability, reduced awareness (lethargy), or if he or she appears very ill. Blood tests and procedures to identify the cause of the infection (cultures) are not usually done. This Site and third parties who place advertisements on this Site may collect and use information about your visits to this Site and other websites in order to provide advertisements about goods and services of interest to you. If you would like to obtain more information about these advertising practices and to make choices about online behavioral advertising, please click here.
In this case, a growth occured on a patient's tongue which eventually became quite painful. Requiring only a few minutes of treatment, we isolated the affected tissue and removed it entirely.
Regardless of the name, the condition involves chronic, burning pain in the tongue, gums, lips, and inside of the mouth. It is also possible to have a numbing or tingling sensation in the mouth or on the tip of the tongue. They experience little or no pain during the night hours, starting the cycle anew each day. When the outbreak has no identifiable cause, it is treated as “primary” or “idiopathic” BMS. The fact that 40% of menopausal women suffer from this condition that starts about 3 years before menopause and lasts as long as 12 years after, seems to support this theory. They are seven times more likely to be affected than men, which may support the argument for hormonal imbalance experienced during menopause as the most frequent underlying condition. Approximately 30% of those diagnosed with BMS report recent dental procedures, illnesses, or newly prescribed medications in their history intake. The patient can typically expect a review of personal medical history and current medications being taken.
Most doctors will want to do a complete general medical examination while they search for an underlying condition that may have triggered this attack. Finally, the last item will probably be a psychological questionnaire to analyze the levels of stress the patient may be experiencing. Some patients report difficulty eating because of the persistent pain in their mouths or on their tongues or lips. The goal will be to alleviate the pain as much as possible, or if that fails, at least to manage it.
Recommendations can include traditional drugs, alternative health care, and lifestyle changes.
They are as uncomplicated as sucking on ice, keeping one’s mouth moist by sipping extra water, and increasing daily intake of certain foods.
Also, foods rich in iron such as red meats, liver, cashews, figs, and Special K cereal are recommended additions, especially in cases where the underlying condition may be anemia. It seems the combination increases the blood flow to the tongue which encourages a healthier response from the pain neurons.
If a doctor determines that psychological factors such as stress, anxiety, or depression are the causes and not the symptoms of BMS, antidepressants may be prescribed. The bottom line may be to make as many lifestyle changes as possible to reduce the negative effects of stress and anxiety in one’s life. Many sufferers first consult their dentist because they view their mouth problems as dental care issues.
Throw in a CT scan or MRI and it’s beginning to be really costly for the person without good health insurance. Add that to the fact that the majority of complainers were middle-aged women in the throes of menopause, and the seriousness of the ailment often came into question. Increased research seeks to understand the etiology and the pathogenesis so that more effective treatments can be prescribed. Until then, trial and error of both traditional drug therapies and alternative health recovery plans, when combined with relevant lifestyle changes, are the best chance one has to find relief from the pain of BMS. For e, it started by feeling like my tongue was too big, after that subsided the tip of my tongues has felt just like I had sipped too hot coffee! The first visit (this week) she didn’t put me under but instead tried to find out as much as possible about my life, stresses etc.
Although the FDA has approved myrrh as a safe food additive, taking concentrated forms or high doses can have unwanted side effects. Look for natural oral care products that contain frankincense oil, especially if you enjoy the aroma. Homeopathic remedies are those that are made and prescribed in a very particular way and only by professional homeopaths. Whoever wrote this does not know what homeopathy even is, as there are no homeopathic remedies listed. They can be used to perform a variety of procedures such as cavity removal, tooth restoration and periodontal surgery. The whining sounds and vibrations previously associated with the dental drill are eliminated. Lasers can be used for cavity removal, teeth whitening and to harden bonding materials used in fillings.
With the help of dental laser technology, we can painlessly and precisely remove these problem areas. These small, round open sores, also known as aphthous ulcers,  generally have a white or yellow center with a red rim and they can make eating and drinking rather uncomfortable. Canker sores on the gum in particular may occurs after dental work such as a root canal or other dental procedures where the gum gets rubbed or irritated.  It appears they are also sometimes triggered by stress, an injury to the mouth from a loose orthodontic wire or aggressive brushing or other trauma, a blip in the immune system, a nutritional deficiency and in some cases they have even be tied to a woman’s menstrual cycle.
For others, eating certain foods like chocolate, tomatoes, vinegar and pineapple can trigger a mouth ulcer.


Pastes are a bit tricky to get to adhere inside the mouth, so you may need to apply it several times, and be sure to avoid eating or drinking so it doesn’t wash away. Dissolving discs like Cankermelts Medicated Discs that adhere to the sore and form a protective coating can be helpful, especially for the gum area. Both can be painful and recur, but canker sores only occur on the inside of the mouth and you can’t spread them to other people. However, most cancers usually grow on the sides of the tongue, and almost never on the top. In the same way, protrusions from the plica fimbriata cannot be prevented and do not need to be removed. The development (incubation) period from infection to symptoms is short, from 3–6 days. Once a child has been infected, he or she might be immune to a repeat infection by the same virus that caused the first infection, but infection with related viruses can still occur. If the doctor is concerned that the child might be infected with the bacteria Streptococcus (strep infection), a throat culture may be done.Antibiotics do not help hand-foot-and-mouth disease. Nemeth's treatments typically bring immediate relief to painful sores and inititate a healing process that can be near complete within just a matter of days. Whether this insomnia is caused by increased levels of evening pain or the stress associated with having this illness is uncertain. Others stop or decrease their times of socializing because of the discomfort and distraction that BMS causes. It would appear that the combination of lifestyle adjustments and alternative health practices offers the best results for many patients.
There are also special oral rinses and mouthwash products that a doctor may include in the treatment regimen. While in the bathroom, check out the mouthwash also, to make sure there is no alcohol in it.
From there, they may consult a family physician who will probably send them on to a specialist.
The dental field is also involved since dental procedures and problems seem to sometimes precede the onset of BMS. It’s been three weeks and I see my doctor in another two weeks so we shall see what happens next. It is best to ask your doctor or a licensed healthcare provider to avoid any complications. It can help prevent dental health issues like tooth decay, bad breath, cavities, or oral infections.
By the time I woke in up the morning, lips were swollen, mouth had severe burning sensation, palms &feet severely tingling. They can effectively reshape gums, remove excess or affected gum tissue in cases of gum disease and also removes bacteria from between diseased gums and teeth. Laser treatment of dark gums can be done in one office visit and with very quick healing time. Formerly, this procedure was performed and needed six to eight weeks of healing before crown preparation.
About 25% of the population gets these annoying little sores and they seem to be more common in women.
A diet deficient in vitamin B-12, zinc, folate (folic acid) or iron may also be a cause, or an intestinal problem such as Crohn’s disease or ulcerative colitis may make you more disposed  to getting canker sores, especially if you get them frequently. Antimicrobial mouth rinses including Orajel Antiseptic Mouth Sore Rinse may also supply some relief. However, lumps on the tongue can indicate a more serious problem that your dentist will need to deal with.
The disease is highly contagious and often spreads from child to child and then from child to adult.
The doctor will likely recommend that you give the child fluids and something to relieve the pain.
Another symptom may be a loss of taste or a change from normal to a bitter or metallic one that lingers in the mouth. In a similar fashion, it is not always clear whether the accompanying depression is a cause of the BMS or a result of trying to deal with this illusive illness. However, some underlying conditions require very serious attention and become the primary focus of treatment, at least initially.
If the patient doesn’t already suffer from anxiety or depression, rising health costs may do it.
Due to its anti-inflammatory and anti-bacterial properties, myrrh can help relieve inflammation of the mouth and gums caused by diseases such as gingivitis and mouth ulcers.
You can also consider making your own toothpaste by mixing frankincense oil with baking soda. Look up the Chinese herbal combinations: lui wei di huang wan(six flavor rehmannia tea pill) and Zhi bai di huang wan(eight flavor rehmannia tea pills).
Now with the advent of dental lasers crown lengthening and crown preparation can be performed at the same visit, saving both time and money.
Applying a product like Orajel Ultra Mouth Sore Medicine or Orabase works pretty well to numb the pain and protect it from irritation.
You can usually lessen the pain and speed the healing with a variety of home remedies or inexpensive over-the-counter treatments. Occasionally the fold protrudes from the tongue a little more in some areas, causing what may look like skin tags. Lesions on arms and legs (extremities) begin as red, flat spots that produce oval or football-shaped blisters, surrounded with red coloration. However, I am a 55 year old woman and just had carpal tunnel surgery, so there is an inflammatory component. Next thing I know I have burning gums and lips have stopped using the culprit that caused it, but the damage has been done. Below are several treatment suggestions including some  home made mouth rinses that can help with the pain and promote healing. Cold sores are quite contagious, while canker sores cannot be spread to others or to other areas of the body. Wash your hands and your child's hands frequently, particularly after using the bathroom or diaper changes and before eating.Although most pregnant women who become infected with hand-foot-and-mouth disease have no symptoms or just a mild illness, a woman infected shortly before delivery could pass the infection to her baby, who may become very ill.
It can also freshen your breath and commonly used as an ingredient in mouthwash and toothpaste. Can’t use any toothpaste at all, just bicarbonate and salt, what has helped though is coconut oil, I have been rinsing my mouth out with a big spoonful, takes some getting use to, but it does bring relief for a while.
Also consider Coptis (related chemically to goldenseal) as it is antibacterial and antiviral.
HSV-1 can be a contributor to this syndrome and coptis reduces inflammation and also inactivates some viruses and kills bacteria.



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