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TONGUE ULCER
My father developed a tongue ulcer related to a tooth issue, for which he underwent a dental implant procedure. After 4 months, a ulcer developed again in tongue and is not healing since 3 weeks.
We have also noticed a small black spot on the ulcer. He does not have any history of tobacco use or smoking. No diabetes
Kindly advise whether we should consult a Dentist / ENT specialist / OMFS or General doctor for further assessment?
Answers (8)
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Since it’s a non healing ulcer, would recommend visiting an Oral Surgeon at the earliest.
Health Tips
Do carry all previous medical/ dental X-rays/ documents.
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Since the ulcer is non-healing for 3 weeks with a black spot, it is advisable to consult an Oral & Maxillofacial Surgeon at the earliest.
They will examine and may suggest a biopsy if required.
Early diagnosis is very important.
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3 weeks non-healing tongue ulcer + black spot is a matter of concern it may be due to
Traumatic ulcer (sharp cusp/implant irritation)
Chronic ulcer with secondary infection
Local factore may be
Sharp implant crown margin
Opposing tooth trauma
Ill-fitting prosthesis
Next Steps
referr to omfs
Health Tips
visit dentist for proper diagnosis and treatment plan
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Hello
Even if there is no history of tobacco consumption, non-healing ulcer is still a matter of concern.
Please see a dentist.
Causes can be various from a traumatic bite/sharp tooth to viral or fungal infection.
Every possibility will have to be assessed and confirmed with the investigations/biopsy whichever is feasible on examination.
Next Steps
Visit a dentist especially an MDS.
Carry all the previous dental treatment records with you.as well as any medicines ongoing.
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Dr. Swasti Jain
Dentist
2 yrs exp
Indore
Hello
Is it growing in size very fast? It seems like it's a nonhealing ulcer.
Next Steps
Visit OMFS asap.
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Dr. Suragoni Lahari
Dentist
4 yrs exp
Hyderabad
A non-healing tongue ulcer for 3 weeks, especially with a blackish spot, should be evaluated promptly.
Even though it may be related to local irritation (sharp tooth edge, implant component, or trauma), any ulcer on the tongue persisting beyond 2 weeks must be considered suspicious until proven otherwise.
Possible causes include:
Chronic traumatic ulcer (due to tooth/implant irritation)
Infection
Less commonly, premalignant or malignant changes (needs to be ruled out)
Next Steps
Thorough clinical examination Checking for any sharp edges or implant-related irritation Biopsy of the lesion if it is not healing Important advice: Do not delay consultation Avoid self-medication or topical irritants Early diagnosis ensures better outcomes
Health Tips
Consult an OMFS/Oral Medicine specialist at the earliest for proper evaluation and possible biopsy to rule out serious pathology.
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Dr. Sumayya Nazneen
Dentist
5 yrs exp
Hyderabad
Most likely diagnosis: Halitosis from posterior tongue biofilm
Anaerobic bacteria on the back of the tongue producing foul-smelling sulfur compounds
Not related to stomach issues (tests already negative)
Can help. this Tongue scraping (especially posterior area) – twice daily,Antibacterial mouthwash (chlorhexidine short-term / zinc-based long-term),Maintain good oral hygiene + hydration
,Check for gum disease, dry mouth, or tonsil stones
Regular brushing alone isn’t enough — targeting the back of the tongue is essential for long-term relief.
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Dr. Sharwari Pawale
Dental Surgeon
5 yrs exp
Pune
Hello
If the ulcer is not healing then there mest be some irritant for which the healing process is interrupted
Better to consult with your nearest dentist for further examination
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.