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A normal, healthy tongue is pale red or pink with a thin white coating. The tongue should have spirit, but it should not tremble or quiver. It should have a shape which is not too swollen or flabby, with no cracks, and be slightly moist. [1]
All sides of the tongue are assessed. To inspect the dorsal side (top) of the tongue, a patient sticks out their tongue. A healthy dorsal tongue is symmetrical, pink, moist, slightly rough from the papillae, possibly with a thin, whitish coating. The sides of the tongue are inspected with a gloved hand holding a piece of gauze.
Where the condition involves the tongue, there is an erythematous enlargement with furrows, crenation and loss of the normal dorsal tongue coating. [7] Causes
Tongue coating - food debris, desquamated epithelial cells and bacteria often form a visible tongue coating. [7] This coating has been identified as a major contributing factor in bad breath ( halitosis ), [ 7 ] which can be managed by brushing the tongue gently with a toothbrush or using special oral hygiene instruments such as tongue scrapers ...
Distinct strawberry tongue with "parched" lips as seen in a young child with Kawasaki disease. Strawberry tongue, or raspberry tongue, [25] is glossitis which manifests with hyperplastic (enlarged) fungiform papillae, giving the appearance of a strawberry. White strawberry tongue is where there is a white coating on the tongue through which the ...
Crenated tongue is usually asymptomatic and harmless. [3] It is not a disease as such, but usually results from habits where the tongue is pressed against the lingual surfaces (the side facing the tongue) of the dental arches, or from any cause of macroglossia (enlarged tongue), [3] which in itself has many causes such as Down syndrome.
Normal appearance of the tongue, showing a degree of visible white coating and normal irregular surface on the posterior dorsum. The most common location for mouth-related halitosis is the tongue. [10] Tongue bacteria produce malodourous compounds and fatty acids, and account for 80 to 90% of all cases of mouth-related bad breath. [11]
The tongue is an important accessory organ in the digestive system. The tongue is used for crushing food against the hard palate, during mastication and manipulation of food for softening prior to swallowing. The epithelium on the tongue's upper, or dorsal surface is keratinised. Consequently, the tongue can grind against the hard palate ...
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