What to Ask Your Dentist Before Treating Scalloped Tongue

Most people, when their tongue is irritated, can’t seem to keep from rubbing it against the teeth to make it feel better (sort of like scratching an itch); however, this usually makes things worse. Over-the-counter medications such as OraBase or Zilactin can be applied. These materials act like a bandage and help to protect the ulcerated surface of the fungiform papilla. 

Lie bumps are not contagious and the discomfort is relatively minor. Typically these lesions heal within a few days with no treatment. If they do not, then you should be seen by an oral pathologist. 

When it comes to make that decision these questions should be asked:

1) Airway Breathing – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
2) Tongue Posture – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
3) Maxillary to Mandibular Alignment – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
4) Head, Neck and Cervical Posture -will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
5) DentoFacial/ Esthetics – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
6) Psycho/Emotional Stability – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
7) Structural Strength and Quality of Physiologic Rest – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
8 ) Temporomandibular Joints – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
9) Focus, Concentration, Learning, Working Abilities – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?
10) Autonomic (Parasympathetic/Sympathetic) System – will extraction or not extracting of teeth help add to optimal function/stability or bring physical impairment/dysfunction?

Perhaps the discussion should also focus not on whether to extract or not to extract, or whether nature can or cannot accommodate 32, 28 or 24 units of teeth, but on whether (whatever combination of teeth) the diagnosis and treatment method will be enhancing the function and health of the ortho patient or would the diagnosis and treatment further physiologic impairment.

I don’t believe nature’s design is in support of impairment of anyone.