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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 is seen in Melkersson–Rosenthal syndrome (along with facial nerve paralysis and granulomatous cheilitis).It is also seen in most patients with Down syndrome, in association with geographic tongue, in patients with oral manifestations of psoriasis, and in healthy individuals.
Melkersson–Rosenthal syndrome is a rare neurological disorder characterized by recurring facial paralysis, swelling of the face and lips (usually the upper lip: cheilitis granulomatosis) and the development of folds and furrows in the tongue (fissured tongue). [2]: 799 Onset is in childhood or early adolescence.
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 ...
Geographic tongue. Migratory stomatitis is a condition that involves the tongue and other oral mucosa. The common migratory glossitis (geographic tongue) affects the anterior two thirds of the dorsal and lateral tongue mucosa of 1% to 2.5% of the population, with one report of up to 12.7% of the population. The tongue is often fissured ...
The sides of the tongue are inspected with a gloved hand holding a piece of gauze. The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth.
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).
Parafunctional activity, e.g. nocturnal bruxism or a tongue thrusting habit. Restriction of the tongue by poorly constructed dentures. Geographic tongue. [13] Oral candidiasis. [13] Herpetic infection (herpes simplex virus). [19] Fissured tongue. [1] Lichen planus. [1] Allergies and contact sensitivities to foods, metals, and other substances ...