Oral and Tongue Injuries
Oral lacerations, in general, and lacerations of the tongue can occur in a wide variety of ways. Often, lacerations occur to these structures from the impact of the soft tissue on the teeth (or braces). Fortunately, smaller cuts, and those that do not gape open, heal well without surgical intervention. Larger lacerations that are sutured (closed with stitches) will heal faster and have a lower complication rate (secondary infection). Evaluation of oral lacerations will include close attention to the integrity of the teeth. A search for chipped or loose teeth is essential, as these injuries must be managed differently (see dental injury). X-rays need to be taken in cases of suspected tooth or jaw fractures. Many times, tongue lacerations do not require sutural closure, unless they are quite long, gaping, or have completely penetrated the tongue. Treatment is based on the size and location of the laceration. Some larger tongue or oral lacerations require surgical repair (stitches). Bleeding should be controlled with the application of ice (or gauze) to the injury. SELF-CARE should include diluted salt water gargles, several times a day. This may be substituted with an antiseptic mouthwash (e.g. Listerine, Cepacol) or one-half strength peroxide solution. A thick white substance will accumulate on the
wounds as they heal. This is of no concern. Watch for any SIGNS OF INFECTION: swelling, increased pain, fever, pus-like discharge, or neck swelling. Preventative oral antibiotics may be indicated in some cases. Tetanus status must be up to date (within 5 years).
Hope this article will provide you informaiton about oral and tongue injuries.
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