Michael J. Neary DDS, PC

Article  

Travelling with an Atlas

It can be startling to look in the mirror at your tongue and realize it looks like Route 66. Don't be alarmed, you might have a condition called "geographic tongue."Image

Geographic tongue is not caused by infection; it isn't cancerous, and it doesn't cause any health problems. It is a harmless event that occurs when your tongue sheds random patches of those tiny fingers called papillae that cover your tongue.

There is a wide variation in the nude patches' appearance, from bright red blistery blotches to pale pink blotches outlined by a light yellow or whitish border.

Events come and go on their own schedule. An event might last a few hours, days or months. Within minutes, the patches can change locations on your tongue.Image

Geographic tongue affects people of all ages and rarely causes pain; however, it sometimes can be discomforting.

We're not sure what causes geographic tongue, but we tend to see it patients who—

  1. are extremely stressed,
  2. experience hormonal changes,
  3. have allergies or psoriasis,
  4. have family with the same condition,
  5. use oral care products that contain alcohol, drink alcoholic beverages or
  6. use steroids.

There is no known cure or treatment, but to relieve discomfort, sometimes over-the-counter pain-relievers can be beneficial as well as a special mouth rinse that contains a topical anesthetic. You might try avoiding hot, spicy foods and tobacco products or toothpaste that contains heavy flavoring or a whitening agent.

When you notice anything different in your mouth, please call and make an appointment. A simple oral exam is all we need to diagnose geographic tongue so that we can rule out a more serious condition. Then, you can travel with an atlas, not your road map tongue.