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  • 1. GLOSSITISInflammation of the TongueMay be PRIMARY or SECONDARY
  • 2. Causes
    Glossitis may occur as a primary condition
    • Causes may include:
    – Bacterial / Viral Infections
    – Mechanical Irritation from
    teeth,denturesetc.
    – Tobacco, Hot Food, Alcohol
    – Allergy to toothpaste, mouthwash, etc.
  • 3. Causes of secondary Glossitis
    Iron Deficiency Anemia
    • Pernicious Anemia
    • Vitamin B Deficiency
    • Oral Lichen Planus
    • Syphilis
    • Aphthous Ulcers
  • 4. Symptoms
    Tongue Swelling
    • Tongue becomes smooth and looses
    papillae (finger-like projections on surface)
    • Color change
    – Usually dark red, like uncooked beef.
    – Pale if pernicious anemia.
    – Fiery red if Vitamin B deficiency.
  • 5. Symptoms Continued
    Sore and tender tongue
    Difficulty swallowing, chewing & talking
    DIAGNOSIS
    Diagnosis is usually achieved by
    Examination of the clinical features
    Blood tests may be required to diagnose
    underlying systemic disease
  • 6.
  • 7. Treatment
    Aim of treatment is to reduce inflammation
    • Good oral hygiene is essential
    • Steroids may be used to reduce the
    inflammation. An oral suspension of
    Prednisolone may be used in mild cases
    to prevent the side effects associated with
    systemic steroids.
    • Systemic Steroids used in severe cases
  • 8. Antibiotics, Antifungal medications may be
    prescribed for treatment of infection
    Treatment of underlying anemia or
    nutritional deficiencies may be required
    Avoid irritants such as tobacco, hot, spicy
    food and alcohol
  • 9. Prognosis and Complications
    Resolution is usually complete and rapid
    COMPLICATIONS MAY INCLUDE
    Discomfort
    Airway Obstruction
    Dysphagia
    Dysphonia