hi i m a future dentist in the third year - faculty of dentistry - egypt . one of my relatives (17 years old) suffering from tongue ulcer on the lateral aspect of the tongue, it was painful so i adviced her to use a mouth wash after brushing her teeth then i prescribed antibiotic ( flucloxacillin 500 mg ) + analgesic ( ibubrufen 400 mg ) a week ago . the ulcer is now enlarged & appears at the other side of the tongue & become painless ( onset : about amonth ago ) i suspect that it may be malignant ulcer & i want to know how to make a biopsy for this ulcer ? i need your help
Hi.there can be many cause of ulcers. Such as sharp tooth edge, vitamin deficiency, stress, medication, due to systemic diseases(such as tuberculous ulcer).as the age of patient is only 17 years, so the chances of malignancy is less, but if the lesion persist for a long time then incisional biopsy should be performed under local anesthesia. Go to your nearby oral surgeon and get proper check up done. Take multivitamins, and if any sharp edge is there it should be smoothened. Wish u good health