My Teeth Are Cutting My Tongue: Causes and What to Do

Having your teeth cut your tongue can be an uncomfortable and irritating sensation. This common issue, ranging from a minor annoyance to significant pain, can lead to cuts, sores, and inflammation. Such injuries can impact daily activities like eating and speaking, prompting a search for solutions to alleviate the irritation and prevent recurrence.

Common Reasons for Tongue Irritation

Several factors can contribute to teeth cutting the tongue, often stemming from dental irregularities or oral habits. Sharp edges on teeth, resulting from a chip, fracture, or natural variations, can easily abrade or cut the tongue during normal movements or chewing.

Misaligned or crowded teeth, a condition known as malocclusion, can also lead to chronic tongue irritation as the tongue rubs against uneven surfaces. Habits like teeth grinding (bruxism) or clenching can create jagged tooth edges, increasing the risk of cuts. Additionally, sharp or ill-fitting dental restorations, such as fillings, crowns, or braces, can injure the tongue. Even dry mouth, which reduces protective salivary flow, can make the tongue more susceptible to friction and injury.

Immediate Steps for Relief

When your tongue is cut by a tooth, several immediate measures can help alleviate discomfort and promote initial healing. Rinsing your mouth with a warm salt water solution (about half a teaspoon of salt in a cup of warm water) can help reduce inflammation and clean the wound. This rinse can be performed several times a day. Applying a cold compress or sucking on ice chips can also numb the area and reduce swelling.

Over-the-counter oral pain relief gels or pain relievers like acetaminophen or ibuprofen can provide temporary relief. To prevent further irritation, avoid acidic, spicy, or hard foods that might aggravate the cut. These steps are designed for temporary relief and initial care, not as a permanent solution.

When to Consult a Dentist

While minor tongue cuts often heal on their own, certain signs indicate the need for professional dental attention. Consult a dentist if the pain persists despite home care, or if the cut does not show signs of healing within a few days. Signs of infection, such as increased redness, swelling, pus, or fever, warrant an immediate visit.

Difficulty eating or speaking due to the injury is another indicator that professional help is needed. Additionally, if the cut is deep, gaping, or bleeds excessively for more than 10 minutes, seek prompt dental evaluation. A dentist can accurately diagnose the underlying cause and prevent potential complications.

Dental Treatments and Preventative Measures

Addressing the root cause of tongue irritation often requires professional dental intervention and preventative measures. A dentist may smooth sharp edges of teeth through enameloplasty, or repair chipped or broken teeth to eliminate abrasive surfaces. Adjusting or replacing ill-fitting dental restorations can also resolve ongoing irritation. For misaligned teeth, orthodontic treatment might be recommended to correct the bite and create a more harmonious oral environment.

Preventative measures are essential for long-term relief. Wearing a custom night guard can protect the tongue from injury if teeth grinding (bruxism) is the cause. Managing dry mouth is also important, as adequate saliva helps lubricate oral tissues. Maintaining good oral hygiene, including regular brushing and flossing, contributes to overall oral health. In cases of infection, antibiotics may be prescribed, and deep cuts might require stitches to ensure proper healing.