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  • Medha Gupta

Is your white tongue a matter of concern ?

Updated: Mar 10, 2023

by Dr Medha Gupta

Publication URL: https://www.boldsky.com/health/oral-care/is-your-white-tongue-a-matter-of-concern-141668.html




Is your white tongue a matter of concern ?


Introduction:


The tongue is the mightiest weapon in the mouth. It takes up a third of the oral cavity. In spite of that, it is highly underrated and receives no special care. It is a large mass of muscle that aids in speaking, eating, swallowing, and, most importantly, tasting the delectable treats. The tongue frequently undergoes texture and color changes that may indicate a specific underlying disease.


The following are some typical tongue pathologies and their observable changes:


  1. Macroglossia-large tongue

  2. A sore, shiny, and smooth midline red patch is known as median rhomboid glossitis.

  3. Geographic tongue-glossy red patches are randomly arranged, and its raised whitish borders have a map-like appearance.

  4. Fissured tongue-deep grooves with discoloration

  5. White, slick lesions known as leukoplakia

  6. Linea alba is a condition where the cheeks and sides of the tongue have thick white lines.

  7. Lichen planus—white patches with reddish sore points and a net-like appearance.

  8. Oral hairy leukoplakia-white hairy patches

  9. Thick white or red growths or ulcers are indicative of squamous cell carcinoma.

  10. Candidiasis-whitish patches of fungal growth


A lot of names! I understand. But did you notice a pattern among the majority?


The answer is a white lesion. Your tongue's white spot might be trying to tell you something.



The white tongue is most frequently brought on by:


  1. The coated tongue can have varying concentrations of bacteria, food particles, dead skin cells, and different types of white blood cells from the surrounding tissues.


  • The coating can have a thickness of a few to several millimeters.

  • Typically, it is rough and whitish.

  • It emits an unpleasant odor.

  • Poor oral hygiene and ongoing digestive problems are frequent causes of the white coating.


  1. Leukoplakia is a premalignant lesion that increases the risk of developing oral cancer. It can show up as a white tongue patch, in the cheeks, or on the gums.

  • Chewing tobacco or betel nuts is the main cause of it.

  • Dry mouth, a slight burning sensation, and chewing difficulties are its hallmarks.


  1. Tongue canidiasis manifests as white deposits that resemble curdled milk. Deposits can be scrapped.

  • It develops as a result of a condition that weakens your body's immunity.

  • The condition can be easily treated with an oral course of anti-fungals and local ointment application.


  1. Squamous cell carcinoma is a type of cancer that typically affects the mouth, head, and neck. It can manifest as white or red lesions, ulcers, growths, or non-healing extraction sockets.

  • This type of oral cancer can be brought on by chewing tobacco, smoking, or lingering infections.

  • The severity level determines the treatment strategy. Surgery, radiotherapy, and chemotherapy are recommended as needed.



Let's learn how to maintain a healthy tongue as a conclusion.

  • Rinse your mouth thoroughly after every meal.

  • Utilize tongue scrapers or cleaners by starting at the back of the tongue and working your way forward. Next, wash away the debris that has accumulated, and repeat several times.

  • A few toothbrushes come equipped with a tongue cleaner on the back of the head.

  • Oil pulling

  • Rinses in a little warm water and salt.

  • A balanced diet and enough water intake

  • Stress reduction

References:

  1. Danser MM, Gómez SM, Van der Weijden GA. Tongue coating and tongue brushing: a literature review. International journal of dental hygiene. 2003 Aug;1(3):151-8.

  2. Webb JL, Burns RE, Brown HM, LeRoy BE, Kosarek CE. Squamous cell carcinoma. Compendium (Yardley, PA). 2009 Mar 1;31(3):E9-.

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