Is your white tongue a matter of concern ?
- Medha Gupta
- Jul 27, 2022
- 2 min read
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:
Macroglossia-large tongue
A sore, shiny, and smooth midline red patch is known as median rhomboid glossitis.
Geographic tongue-glossy red patches are randomly arranged, and its raised whitish borders have a map-like appearance.
Fissured tongue-deep grooves with discoloration
White, slick lesions known as leukoplakia
Linea alba is a condition where the cheeks and sides of the tongue have thick white lines.
Lichen planus—white patches with reddish sore points and a net-like appearance.
Oral hairy leukoplakia-white hairy patches
Thick white or red growths or ulcers are indicative of squamous cell carcinoma.
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:
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.
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.
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.
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:
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.
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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