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Question:
Nine months ago I had a molar tooth exctraction. Now my tongue burns. I have difficulty moving it to the left side. But I've no difficulty while speaking. The doctor says that I've got a geogrophic tongue and gave me B12 vitamins and antibiotic combinations.
It's not useful. My tongue is still burning and yellowish-white in colour. What else can I do? ... Selcen in Instanbul, Turkey
Answer:
Selcen, we appreciate your inquiry regarding the symptoms of a burning tongue and geographic tonque. You did not specify your age or sex which could be
important because post menopausal women could develop burning tongue symptoms
due to hormonal changes.
A geographic tongue occurs as an irregularly outlined but well defined area.
There are little papillae on the surface of the tongue and they do not have a
vascular core. When there is irritation the papillae are lost. The pattern
in a geographic tongue changes with the wear and regrowth of the papille.
This phenomenon has never been fully explained; however, in some patients the
changes in the area may occur during menses, in others during periods of
anxiety and tension. Some patients may complain of discomfort during eating
highly seasoned foods or drinking carbonated beverages. This is usually an
asymptomatic problem and there is no treatment for it.
A burning tongue could be the result of a systemic disorder such as a vitamin
B deficiency, hormonal deficiency, pernicious anemia, or a neuropathy as a
rsult of diabetes. You would have to have further testing to rule out a
systemic disorder. In post menopausal women, especially if they are on
medications that reduce salivary flow, can experience a burning tongue or
mouth.
The only other possibility that I have not mentioned is if the lingual nerve which is the sensory nerve to the tongue was injured during the tooth extraction. My recommendation would be to get a second opinion from another dentist. I hope I have helped.
Florida Reconstructive Dentistry
Mitchell Pohl, DDS
2900 N. Military Trail, Suite 105
Boca Raton Florida FL 33431
(561) 368-3440
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