Hairy Tongue problems
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.
Predisposing factors are:
- poor oral hygiene,
- oxidizing mouthwashes,
- excessive smoking,
- radiation therapy,
- emotional stress
- probably caused by pigment-producing bacteria and fungi but not Candida albicans.
- 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.
- 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)