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There are usually multiple grooves/furrows 2–6 mm in depth present. Sometimes there is a large central furrow, with smaller fissures branching perpendicularly. Other patterns may show a mostly dorsolateral position of the fissures (i.e. sideways running grooves on the tongue's upper surface). Some patients may experience burning or soreness.
Fissured tongue often occurs simultaneously with geographic tongue, [1] and some consider fissured tongue to be an end stage of geographic tongue. [9] In the past, some research suggested that geographic tongue was associated with diabetes, seborrheic dermatitis and atopy, however newer research does not corroborate these findings. [12]
Fissured tongue (grooves in the tongue). [2] Enlargement of the mucous membrane of the mouth, which may be associated with cobblestoning and mucosal tags (similar lesions often occur on the intestinal mucosa in Crohn disease). [2] Enlargement of the perioral and periorbital soft tissues (the tissues of the face around the mouth and the eyes).
The International Association for the Study of Pain defines burning mouth syndrome as "a distinctive nosological entity characterized by unremitting oral burning or similar pain in the absence of detectable mucosal changes" [1] and "burning pain in the tongue or other oral mucous membranes", [8] and the International Headache Society defines it ...
Poor diet can cause malnutrition and nutritional deficiencies. Deficiency of iron, B vitamins and folic acid are common causes for atrophic glossitis. Black hairy tongue - some factors thought to cause black hairy tongue are environmental, such as eating a soft diet, poor oral hygiene, smoking and antibiotic use.
Iron-deficiency anemia is mainly caused by blood loss, such as may occur during menses or gastrointestinal hemorrhage.This often results in a depapilled, atrophic glossitis, giving the tongue a bald and shiny appearance, along with pallor (paleness) of the lips and other mucous membranes a tendency towards recurrent oral ulceration, [6] and cheilosis (swelling of the lips). [7]
The tongue may stick to the palate, [7] causing a clicking noise during speech, or the lips may stick together. [1] Gloves or a dental mirror may stick to the tissues. [9] Fissured tongue with atrophy of the filiform papillae and a lobulated, erythematous appearance of the tongue. [1] [9] Saliva cannot be "milked" (expressed) from the parotid ...
Median rhomboid glossitis is a condition characterized by an area of redness and loss of lingual papillae on the central dorsum of the tongue, sometimes including lesions of the tongue and palate. It is seen in patients using inhaled steroids and smokers, and is usually a kind of chronic atrophic oral candidiasis , but hematinic deficiency and ...