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Shiboski recommends brushing with a mild fluoride toothpaste. Discussion The answer is d lingua villosa nigra also known as black hairy tongue. Open in a separate window. The histological diagnoses of all lesions were performed by an expert oral pathologist and the characteristics considered to diagnose OHL were the same as those described by Greenspan et al. Cultures may be considered to rule out superimposed bacterial or fungal infections associated with BHT[ 35 ]. Avcu N, Kanli A.

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Black hairy tongue syndrome

Patient education on proper oral hygiene and lifestyle modifications including smoking cessation and alcohol abstinence are vital to preventing reoccurrence. On the other hand, pronounced anatomical alteration in the filiform papillae may predispose the patient to trap foreign material and stimulate local microbial overgrowth that leads to typical color changes seen in patients with this condition. Acanthosis nigricans in the oral cavity manifests as multiple dark and demarcated papillary lesions on the dorsum and lateral region of the tongue with frequent labial involvement and may be associated with underlying malignancy[ 31 ]. Despite the reduced incidence, OHL was found to be the most refractory lesion in the antiretroviral therapy as although the number of occurrences decreased over the years, it was not gradual and constant as in the case of candidiasis and SK [ 14 ]. Visual inspection and thorough medical history establishes correct diagnosis, although microscopic examination, cultures of tongue swabs, and tongue biopsies may be of additional value in challenging cases.

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  1. Como nao entende se nos que falamos portugues entedemos quase tudo que lemos em espanhol?