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Dentist Warns of the Five Key Signs of “Concerning” Oral Condition

A dentist has raised concerns over the unusual but typically harmless condition known as black hairy tongue (BHT), highlighting the importance of recognizing the warning signs. According to Dr. Andrej Bozic, an oral surgeon at Dentum, BHT is a startling condition characterized by a dark, hair-like appearance on the tongue’s surface. While its appearance can be alarming, it is generally a benign issue that can be managed effectively with proper care.

“Black hairy tongue can be concerning, but it’s important to understand the signs, causes, and treatments,” Dr. Bozic explained, as reported by Gloucestershire Live. “With the right information, this condition can be managed effectively.”

What Causes Black Hairy Tongue?

The peculiar appearance of black hairy tongue is caused by the elongation of tiny projections on the tongue called papillae. These papillae can become stained by food, bacteria, or other substances, leading to the distinctive dark coloration. Dr. Bozic emphasized that despite its daunting look, BHT is usually short-lived and does not pose serious health risks.


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BHT affects up to 13% of individuals at some point, with certain risk factors increasing the likelihood of developing the condition. These include age, smoking, and poor dental hygiene practices. Dr. Bozic noted that poor oral hygiene is often the primary culprit, as inadequate brushing allows dead skin cells to accumulate on the papillae, causing discolouration.

Tobacco use is another significant factor. “The tar and nicotine in tobacco stain the papillae,” Dr. Bozic explained, adding that diet also plays a role, especially if it lacks fibrous foods that help clean the tongue. Dark-coloured beverages and certain medications can further exacerbate the issue.

Recognizing the Signs of Black Hairy Tongue

Dr. Bozic outlined the key signs that may indicate the presence of black hairy tongue:

  1. Colour Change: The most noticeable symptom is a change in the tongue’s colour, ranging from brown or yellow to black. This change usually affects the central area of the tongue.
  2. Furry Texture: The tongue’s surface may develop a rough, hairy texture as the papillae grow up to 15 times their normal length.
  3. Bad Breath: The build-up of bacteria and food particles can lead to halitosis or bad breath.
  4. Altered Taste: Some individuals may experience an altered sense of taste, including a metallic flavour.
  5. Gagging Sensation: The elongated papillae can cause discomfort or a gagging sensation during eating or swallowing.

Prevention and Treatment

Dr. Bozic recommends that those affected by black hairy tongue focus on improving their oral hygiene practices. “Brushing your teeth and tongue twice daily with a soft-bristled toothbrush or using a tongue scraper is crucial,” he advised. Additionally, quitting smoking and making simple changes to one’s daily routine, such as eating more fibre, drinking plenty of water, and using antibacterial mouthwash, can significantly reduce the risk of developing BHT.

Regular dental visits are also essential for monitoring oral health and catching any potential problems early. Dr. Bozic cautioned that in rare cases, BHT could indicate an underlying medical condition. He advised anyone experiencing persistent BHT, pain, halitosis, or swallowing difficulties to seek professional medical advice.

For further details, visit Express.co.uk, where this information was originally reported.

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