You know what?

The dentist looks not only at the teeth, but also at the tongue.

Tongue is a special part of the human body, the color of the tongue surface, the size of the tongue may reflect the health of people.

Glossitis is a general term of inflammation occurring on the tongue. It may be either primary or oral complications of systemic diseases, mainly including map tongue, furred tongue, hair tongue, median rhomboid tongue, atrophic tongue, etc. The typical symptoms are different.

Map tongue

Map tongue has mobility, the lesion site and the surrounding normal mucosa are clearly demarcated, the lesion location and shape are constantly changing, like moving in the back of the tongue, generally in the front 2/3 of the tongue, not across the zigzag groove.

Furrowed tongue

The groove tongue is shaped like gyrus, veins or branches, and the back of the tongue has different shapes, different arrangements, different depths and lengths, and different numbers of grooves.

The mucosa at the bottom of the ditch is continuous and complete, the filamentous papillae at the bottom of the ditch are absent, and the mucosa may be bright red due to atrophy.

Some furrows increase with age, and the tongue is usually fatter.

Hairy tongue

Hairy tongue is good in the middle of the front 2/3 of the back of the tongue, papillary proliferation is hair-like, the elderly can reach 1cm, can be turned to one side without reply.

The patient has obvious halitosis, and black hairy tongue is common in clinic.

Median rhomboglossitis

Middle rhomboid slossitis can have rhomboid erythema, after the middle of the back of the tongue 1/3, generally a rhomboid long axis before and after, the color is red.

Atrophic glossitis

Many reasons can cause atrophic glossitis, which is manifested as smooth red or pale tongue without tongue coating, burning sensation is obvious when entering hot food, spicy food, with or without dry mouth symptoms.

In severe cases, the tongue is thin and dry, and sometimes it can be difficult to swallow.

Patients may experience abnormalities or loss of taste.

Find how to treat glossitis?

The treatment of slossitis includes drug treatment, symptomatic treatment, surgical treatment, traditional Chinese medicine treatment and other treatments, and the specific program needs to be selected according to the causes of the occurrence of slossitis.

For atrophic glossitis caused by candida infection

Medication may be used

1. Sodium bicarbonate gargle:

Choose 3%-5% sodium bicarbonate gargle to control infection and keep your mouth clean.

Patients with furrowed tongue will arch the back of the tongue when gargling, remove the food in the furrow and make the furrow open to “soak” in the gargle, which plays a local cleaning and anti-inflammatory role.

2. Nystatin:

Delicious with nystatin three times daily.

Targeting vitamin trace element deficiency

The cause of atrophic slossitis can be treated

1, oral ferrous sulfate: mainly suitable for the treatment of anemia caused by iron deficiency patients.

2. Intramuscular injection of vitamin B12: For slossitis caused by pernicious anemia or total gastrectomy, life-long maintenance treatment with vitamin B12 is required.

3, oral niacin: for niacin deficiency caused by slossitis can be given niacin amide tablets.

Surgical treatment

1. Hairy tongue:

For the elderly with filamentous papillary hyperplasia, sterilizing scissors can be used for appropriate pruning.

2. Median rhomboid slossitis:

Median rhomboid slossitis of nodular type, base hardening, biopsy to determine whether malignant change, cryotherapy and laser treatment.

Other treatment

1. Psychological counseling:

Eliminate the fear of patients, if there is pain, allergic reaction, anxiety and other symptoms, local analgesics, antihistamines, anti-anxiety agents and hormones can be used.

2. Oral health education:

In order to prevent the accumulation of food debris and bacteria in the ditch and produce bad breath, you should brush the tongue gently with a soft brush before going to bed after a meal.

Give up drinking and smoking.

3. Remove irritants:

Sharpening sharp teeth, periodontal cleaning, etc.