Geographic Tongue what should be the management?

September 6, 2011 | By | Reply More

Geographic Tongue what should be the management?


  • erythema migrans lingue
  • benign migratory glossitis
  • benign migratory stomatitis
  • glossitis areata exfoliativa
  • glossitis areata migrans
  • lingua geographica
  • stomatitis areata migrans


Geographic tongue, or erythema migrans, is a relatively common benign condition, primarily affecting the tongue and rarely other oral mucosa sites.

Etiology The exact etiology remains unknown

  • Genes, stress, intemperance, excessive consumption of processed foods, deficiency of vitamins, hormonal changes and allergies are some of the major causes of geographical tongue problem.
  • allergies, eczema and asthma are considered to be the common causes of geographical tongue problem.
  • Hyper-tension, anxiety and stress also are supposed to contribute to a great extent in developing geographical tongue problem
  • People consuming the sugar based products and processed foods at large also are the most susceptible ones to the geographical tongue problem.

Clinical features

  • The geographical tongue is a genetic problem affecting men, women and children
  • But females are commonly affected Due to hormonal changes in their body
  • Clinically, the condition is characterized by multiple, well-demarcated, erythematous, depapillated patches, typically surrounded by a slightly elevated whitish border, and usually restricted to the dorsum of the tongue.
  • Characteristically, the lesions persist for a short time in one area, then disappear completely and reappear in another area.
  • It is generally a painless condition but occasionally there may be soreness or burning sensation specially for during hot and spicy foods.
  • The condition is usually asymptomatic, and often coexists with fissured tongue.
  • The diagnosis is made clinically.




 Differential diagnosis

  • Candidiasis
  • lichen planus
  • psoriasis
  • Reiter syndrome
  • syphilitic mucous patches


  • Do not have any specific medication
  • Reassurance of the patient.
  • Consume green leafy vegetables and have the diet rich in vitamin B may help
  • Zinc supplements are too effective
  • Chew the mint candy
  • Avoid scrapping tongue
  • Do not consume citric fruits like strawberries, tomatoes and pineapple
  • Avoid the spicy foods in order to prevent the burning sensation and pain of geographical tongue.

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Category: Dental, Oral Pathology

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