Dental

Ask a Dentist. Get Answers to Your Dental Questions.

Ask an Expert,
Get an Answer ASAP!

Dental
This answer was rated:

I've been having pain/ more of an irritation under my tongue

so after months I looked...
I've been having pain/ more of an irritation under my tongue so after months I looked in the mirror and noticed a bean size lump intwined with my Lingua Frenulum. I've seen pics of what it's suppose to look like and I know that it's not normal. Do you think it's just an ulcer or do you think it could be something more? It gets irritated when I drink sodas and what not. And I've been smoking a pak a day for about three years. In case that might be relevant. Thanks for the help
Show More
Show Less
Ask Your Own Dental Question
Answered in 19 minutes by:
3/18/2009
Julian Chen
Julian Chen, Dentist
Category: Dental
Satisfied Customers: 568
Experience: Practicing General Dentist since 2002
Verified
HiCustomer

Unfortunately, it is very difficult to diagnose soft tissue growths/lesions over the internet. You describe noticing a "bean size lump" on your lingual frenulum. However, the morphology of the frenulum can vary. I can easily testify that many of my patients present with similar bean-sized lumps, while others do not.

The more pressing matter is that you are having pain/sensitivity and by you mentioning lingual frenulum, I'm assuming specifically on that lump when you drink sodas. That is certainly not normal and warrants a closer look by your dentist.

Ulcers typically will have some redness in the middle surrounded by slightly raised tissue and are fairly well circumscribed. They are usually rather painful when touched. Again, without the opportunity to see it clinically, it is impossible for me to formulate a diagnosis.

You smoking a pack of cigarettes a day does put you at a much higher risk for developing oral cancer. And as such, I would strongly advise you to schedule an appointment with the dentist or oral surgeon for a comprehensive evaluation. In the event that what you describe is cancerous, the sooner you address it, the better off your prognosis will be. Oral cancers are quite manageable when caught early. They become deadly when patients continue to ignore them.

I had a patient 5 years ago that came into my office. He had been smoking since he was 17 (he was in his 50s). He presented with a golf ball-sized growth underneath his tongue and I asked why it took him this long to come see a dentist. His explanation was that he wasn't having any pain so he just ignored it. And the reason he even bothered coming in was because the floor of the mouth had ripped open and is finally causing him pain/irritation. The oral surgeons ended up removing 2/3 of his tongue, pulled out all his remaining teeth in anticipation of radiation therapy. But unfortunately, he loss his battle to cancer shortly.

I applaud you for having the awareness that your smoking habit gives us cause for concern. I hope that the irritation is nothing serious but I would also hope that you may consider quitting smoking after this experience.

Please see your dentist or oral surgeon ASAP for a comprehensive evaluation.

Regards,

Dr. Chen
Ask Your Own Dental Question
Customer reply replied 8 years ago

I just want to thank you so much Julian... Honestly under any other circumstance I would of been checked out months ago (due to the fact I'm quite the worrier when it comes to my health/ And yeah I know I smoke. haha) but I've been in Iraq living out in sector thus not having the time or the opportunity to really seek medical attention. And I guess the stress of combat was my excuse for smoking, not saying it was a good one. So yeah would it be possible for me to take a pic of it and send it to you? Or doesn't this program work like that? I'm going to get checked out but we just got back and things are chaotic and we're stationed at a new location so I don't know how to go about getting checked out. But I will head your voice and go in to the dentist/ doctor whenever I get the chance. But a little assurance would go a long ways for me. So if you would be willing to take a look at a pic that would be great. Otherwise thanks for your advice so far. Jordan

Hi Jordan,

Unfortunately, a photo won't help me too much as I won't have the opportunity to palpate the lump and see how you react. One important question that you may not even know the answer to is whether you've only noticed the lump due to the irritation under the tongue, and prior to that, you never really knew how your lingual frenulum looked like.

Is it possible that when you hold the cigarette in your mouth, you're holding it in a way where the filter end is located underneath the tongue? If that is the case, then all the chemicals are directed at that region and can cause the tissue to become irritated. Nicotine is known to be a vaso-constrictor, meaning its presence can cause the blood vessels that come in contact with it to shrink. The other carcinogens can cause mutations to the cells in the area. Prolonged exposure can actually result in the loss of blood supply to that small area, causing slight tissue necrosis and hardening of the skin. Also, if any of the carcinogens successfully alter some of the soft tissue cells, it can cause the cells to become dysplastic. It is certainly possible that the irritation you're feeling is simply just the early stages of epithelial dysplasia, which is precancerous. But the emphasis is on the "PRE". So if you stop smoking, your body should be able to recover shortly and normal, healthy tissue should be able to repopulate in time.

The only way to determine if something has gone awry is through a biopsy (incisional or excisional) and have an oral pathologist study the sample under a microscope.

I certainly do not intend on painting a bleak picture for you. However, if it is something of concern, you want to address it asap. I am under the impression that there might be a dentist or dental services provided on the base where you're stationed at. If so, perhaps you can schedule a check-up. In the meantime, if you can, stop smoking altogether and swap the habit for something a little less risky, gum chewing perhaps.

And lastly, I thank you for your service and sacrifice.

Regards,

Dr. Chen
Julian Chen
Julian Chen, Dentist
Category: Dental
Satisfied Customers: 568
Experience: Practicing General Dentist since 2002
Verified
Julian Chen and 87 other Dental Specialists are ready to help you
Ask your own question now
Ask Julian Chen Your Own Question
Julian Chen
Julian Chen
Julian Chen, Dentist
Category: Dental
Satisfied Customers: 568
568 Satisfied Customers
Experience: Practicing General Dentist since 2002

Julian Chen is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Mark Bornfeld, DDS

Mark Bornfeld, DDS

Dentist

5,762 satisfied customers

Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine

Dr. Alex

Dr. Alex

Dentist

1,607 satisfied customers

I am a General Dentist and founder of the American School of Dental Assisting

Dr. George McKee

Dr. George McKee

Dentist

1,392 satisfied customers

Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.

Dr. Girish

Dr. Girish

Dentist

788 satisfied customers

19 years of clinical experience in all phases of Dentistry.

Julian Chen

Julian Chen

Dentist

568 satisfied customers

Practicing General Dentist since 2002

Dr. Winterholler

Dr. Winterholler

Dentist

266 satisfied customers

4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class

Dr. Mitch

Dr. Mitch

Dentist

211 satisfied customers

DMD General Dentist Private Practice Over 20 yrs.

< Previous | Next >

Related Dental Questions
Question is for Dentist only please: Dentist's device
Question is for Dentist only please: Dentist's device inserted into the patient's mouth that will display, by the device, onto a computer screen the measurements necessary to make false teeth… read more
Dr. Cliff
Dr. Cliff
Private General Practice Dentist
Doctoral Degree
591 satisfied customers
I have a question regarding an exisisting dental implant -
I have a question regarding an exisisting dental implant - will the dentist that answers my question have experience with implants? … read more
Drew Moore DDS MS
Drew Moore DDS MS
Periodontist/Implantologist
Certificate of Military Education
74 satisfied customers
Dental Question: My lower jaw has a low pain right before
Dental Question: My lower jaw has a low pain right before the jaw turns up to connect to the skull. It a real low pain and will not seem to go away. I sllep with snoze mouth guard and just went to den… read more
Jasleen Bagga
Jasleen Bagga
Doctoral Degree
766 satisfied customers
I was just told that my daughter needs over $8000 in dental
I was just told that my daughter needs over $8000 in dental work to include route canals and she is a teenager. There is no obvious damage to the enamel but the dentist is telling me it is from the in… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
244 satisfied customers
Who is allowed to make narrative enteries into a dental
Who is allowed to make narrative enteries into a dental patients chart? Should the enteries include the treating dentists name?… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
244 satisfied customers
I wanted to get some dental advice as Im in bad dental pain.
Hi there,I wanted to get some dental advice as Im in bad dental pain. I had a scale clean 9-days ago. I am in a lot of pain probably last 4-days since then. I went back to my dentist and explained thi… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,601 satisfied customers
Need help writing a letter to an attorney about a dental
need help writing a letter to an attorney about a dental procedure can you help … read more
Dr Ray
Dr Ray
Retired Dentist
Doctoral Degree
22 satisfied customers
I have a tooth that's sensitive.. not necessarily painful,
I have a tooth that's sensitive.. not necessarily painful, but it doesn't feel loose,I bit down into something hard and its been irritated. My concern is... it's the tooth that's an anchor for my brid… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,791 satisfied customers
This is a dental question, but I cant reach my dentist .is
this is a dental question, but I cant reach my dentist .is there a place on the web to ask a dental question? 1st, I will ask you..I had root canal Monday, then I had a flareup Thursday...pain.I am ta… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,791 satisfied customers
I'm in terrible pain in my tooth no dental insurance and not
I'm in terrible pain in my tooth no dental insurance and not much money … read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,601 satisfied customers
My cat took my upper dental plate of 7 teeth and are lost
hi, my cat took my upper dental plate of 7 teeth and are lost what can I do to replace it, if the lab no longer has my impressions?… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,791 satisfied customers
I'm researching the desensitizer called Gluma. My dental
I'm researching the desensitizer called Gluma. My dental office is insisting that a drop of this stuff is mandatory in each of the cavities that they fill for me. So far, I'm seeing it as more of an o… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
244 satisfied customers
Can dental implants be cleaned manually or with lasers? No,
Can dental implants be cleaned manually or with lasers? … read more
Mark Bornfeld, DDS
Mark Bornfeld, DDS
Dentist
Doctoral Degree
5,762 satisfied customers
Had a digital dental impression done today! There was no bag
Had a digital dental impression done today ! There was no bag on wand that goes in mouth and tech did use special wipes all over it ! Scared that wasn't enough and I could have been exposed to hep b o… read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,076 satisfied customers
I asked a dental question yesterday, and the dentist is not
Hello, I asked a dental question yesterday, and the dentist is not online at the moment. I have health anxiety about a deep bite (overbite) that the lower teeth having contact with the upper gum line … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
244 satisfied customers
I want to ask a question about dental xray. My dentist did a
My dentist did a xray for one of my tooth and i was seating straight up and she didnt give mea apron … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,791 satisfied customers
I haven't been to a dentist in 15 years I have dental
I haven't been to a dentist in 15 years I have dental phobia … read more
Dr. Behere
Dr. Behere
Practicing Dental Surgeon
Master\u0027s Degree
2,843 satisfied customers
I'm having pain after a dental impression .my teeth were
I'm having pain after a dental impression .my teeth were sore immediately after . Now it's 2 weeks ago and my r upper gum is throbbing. I have pain in my ear and throat, and swelling in my face. I wen… read more
Dr. Hegland
Dr. Hegland
Dentist
DDS
322 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x