Q. Can poor oral hygiene lead to the formation of lumps on the floor of the mouth?

Answered by
Dr. Bhargav Reddy Gutha
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 28, 2022 and last reviewed on: Jun 30, 2022

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.



Welcome to

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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