Dr. Bhargav Reddy Gutha
Orthodontist
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I was not brushing my teeth regularly, and I felt two small hard movable lumps at the base or floor of my mouth where the tongue meets the front two teeth. I do not drink or smoke. Am I at risk of oral cancer? The small lumps are not painful unless pressed very hard with the tongue. I was not following a very regular brushing schedule and had poor oral hygiene. I have type-1 diabetes and am currently on Insulin therapy.
Hello,
Welcome to icliniq.com.
Upon review, these were the findings:
a) Two swellings with respect to lower left and right central incisors.
b) Poor oral hygiene.
The provisional diagnosis could be pyogenic granuloma or chronic generalized gingivitis. It could also be a ranula.
Elaborately these are to be done for the findings:
1) The swellings might be inflamed, as you said, due to improper brushing habits and poor oral hygiene. They could be pyogenic granuloma lesions with respect to the two lower incisors on the lingual aspect. As you have type-1 diabetes, this too could lead to more time for healing and infection.
2) There is an intense deposition of plaque, calculus, and materia alba.
You should use a mouth wash twice daily for a week, use anti-inflammatory medications and antibiotics if required, get scaling done and follow oral hygiene instructions. If lesions do not subside, an excisional biopsy is advised.
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Orthodontist
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