Hairy Tongue problems

September 6, 2011 | By | Reply More

Hairy Tongue problems

Definition

Hairy tongue is a relatively common disorder that is due to marked accumulation of keratin on the filiform papillae of the tongue, resulting in a hair like pattern. The filaments may be up to half a centimetre long and pale brown to black in colour.

Etiology

Unknown.

Predisposing factors are:

  • poor oral hygiene,
  • oxidizing mouthwashes,
  • antibiotics,
  • excessive smoking,
  • radiation therapy,
  • emotional stress
  • probably caused by pigment-producing bacteria and fungi but not Candida albicans.

 Clinical features

  • Clinically, it is characterized by an asymptomatic
  • elongation of the filiform papillae of the dorsum of the tongue,
  • Sometimes extending over several millimeters.
  • The color may range from whitish to brown or black.
  • The diagnosis is made clinically.

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Treatment

  • Elimination of predisposing factors,
  • persuade the patient to scrape off the hyperplastic papillae and vigorously cleanse the dorsum of the tongue with a firm toothbrush.
  • local use of keratolytic agents (trichloroacetic acid, podophyllin)

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Category: Dental, Oral Pathology

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