Tongue Cracks: Causes, Healing, and Dental Care Tips - Dentistry

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Issues with the tongue?


Last week, I woke up to find one or two cracks on my tongue, and today it has developed into more cracks as shown in the linked photo.
Brushing my tongue accidentally causes bleeding from the cracks...
It's quite bothersome.
Is there a way for fissured tongue to heal, or will it persist once it appears?

Meiyou neirong, 30~39 year old female. Ask Date: 2018/11/18

Dr. Lin Jiayong reply Dentistry


Hello: It is necessary to rule out any adverse lifestyle habits, systemic diseases, and family medical history.
Additionally, some tests should be conducted to confirm whether recovery is possible.
It is recommended to visit a hospital and consult with the oral and maxillofacial surgery department or the oral diagnosis department for a more thorough examination.
Thank you!

Reply Date: 2018/11/18

More Info


Tongue cracks, also known as fissured tongue, can be a source of discomfort and concern for many individuals. This condition is characterized by grooves or fissures on the surface of the tongue, and while it may appear alarming, it is generally benign. Understanding the causes, potential healing processes, and dental care tips can help manage this condition effectively.


Causes of Fissured Tongue
Fissured tongue can arise from various factors, including:
1. Genetics: Some individuals may have a hereditary predisposition to develop a fissured tongue. If family members have similar conditions, it may be a genetic trait.

2. Dehydration: Insufficient hydration can lead to dryness in the mouth and tongue, potentially exacerbating fissures.

3. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, particularly B vitamins, iron, and folic acid, can contribute to the development of fissured tongue.

4. Underlying Health Conditions: Certain health conditions, such as geographic tongue, psoriasis, or autoimmune diseases, can manifest as fissured tongue.

5. Irritation: Frequent irritation from rough foods, dental appliances, or aggressive brushing can lead to cracks forming on the tongue.


Healing and Management
While fissured tongue is often a chronic condition, there are several strategies to manage and promote healing:
1. Maintain Oral Hygiene: Regular brushing of the tongue with a soft-bristled toothbrush can help remove debris and bacteria that may accumulate in the fissures. However, be gentle to avoid causing bleeding or further irritation.

2. Stay Hydrated: Drinking plenty of water can help keep the mouth moist and may reduce the severity of the fissures.

3. Nutritional Support: Ensure a balanced diet rich in vitamins and minerals. If you suspect a deficiency, consider consulting a healthcare provider for appropriate supplementation.

4. Avoid Irritants: Steer clear of spicy, acidic, or abrasive foods that may irritate the tongue. Additionally, avoid tobacco and alcohol, which can exacerbate dryness and irritation.

5. Use a Mouth Rinse: An alcohol-free mouth rinse can help maintain oral hygiene without causing additional dryness. Look for products that contain soothing ingredients like aloe vera or chamomile.

6. Consult a Dentist or Doctor: If the condition persists or worsens, it’s essential to seek professional advice. A dentist can evaluate your oral health and determine if any underlying conditions need to be addressed.


Dental Care Tips
1. Regular Dental Check-ups: Regular visits to the dentist can help monitor your oral health and catch any potential issues early.

2. Gentle Brushing Techniques: Use a soft-bristled toothbrush and avoid aggressive brushing, especially on the tongue.

3. Use a Tongue Scraper: A tongue scraper can help clean the surface of the tongue without causing irritation to the fissures.

4. Monitor Symptoms: Keep track of any changes in your tongue or overall oral health. If you notice increased pain, swelling, or signs of infection, seek medical attention promptly.


Conclusion
Fissured tongue is a common condition that can be managed with proper care and attention. While it may not completely disappear, many individuals find that with appropriate oral hygiene practices and lifestyle adjustments, they can minimize discomfort and maintain a healthy mouth. If you have concerns about your tongue or experience significant pain or bleeding, it is always best to consult with a healthcare professional for personalized advice and treatment options.

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