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Black hairy tongue in a patient with amyotrophic lateral sclerosis
Black hairy tongue (BHT) is a condition characterized by the elongation of filiform papillae associated with a marked discoloration, from yellowish-brown to black, and a thick lingual coating. BHT is usually observed in the elderly and in patients with limited self-sufficiency, as a consequence of p...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784070/ https://www.ncbi.nlm.nih.gov/pubmed/27011938 http://dx.doi.org/10.4103/2231-0762.175408 |
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author | Erriu, Matteo Pili, Francesca Maria Giovanna Denotti, Gloria Garau, Valentino |
author_facet | Erriu, Matteo Pili, Francesca Maria Giovanna Denotti, Gloria Garau, Valentino |
author_sort | Erriu, Matteo |
collection | PubMed |
description | Black hairy tongue (BHT) is a condition characterized by the elongation of filiform papillae associated with a marked discoloration, from yellowish-brown to black, and a thick lingual coating. BHT is usually observed in the elderly and in patients with limited self-sufficiency, as a consequence of poor oral hygiene. In this perspective, the patients affected by amyotrophic lateral sclerosis (ALS) represent a high-risk category for the occurrence of BHT. The fast and inexorable loss of their self-sufficiency due to progressive muscle atrophy as well as the impropriate education of healthcare assistants have demonstrated to have significant reflection on the maintenance of an adequate standard of oral hygiene. This paper firstly described a case of BHT in a patient affected by ALS. A case of BHT in a patient (Caucasic, male, 63 years old) affected by ALS was described. The primary goal of the work was to teach and motivate the patient to the use of the tongue cleaner in association with the local application of chlorexidine 0.20%. Furthermore, in order to support the patient with accurate domiciliary oral hygiene, a proper training for his health-care assistant was provided. The maintenance of the oral health of ALS patient is fundamental to prevent systemic complications that could jeopardize the already fragile physical balance of these patients. The dedicated monitoring by a dentist or a dental hygienist would seem essential in order to achieve this objective. |
format | Online Article Text |
id | pubmed-4784070 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47840702016-03-23 Black hairy tongue in a patient with amyotrophic lateral sclerosis Erriu, Matteo Pili, Francesca Maria Giovanna Denotti, Gloria Garau, Valentino J Int Soc Prev Community Dent Case Report Black hairy tongue (BHT) is a condition characterized by the elongation of filiform papillae associated with a marked discoloration, from yellowish-brown to black, and a thick lingual coating. BHT is usually observed in the elderly and in patients with limited self-sufficiency, as a consequence of poor oral hygiene. In this perspective, the patients affected by amyotrophic lateral sclerosis (ALS) represent a high-risk category for the occurrence of BHT. The fast and inexorable loss of their self-sufficiency due to progressive muscle atrophy as well as the impropriate education of healthcare assistants have demonstrated to have significant reflection on the maintenance of an adequate standard of oral hygiene. This paper firstly described a case of BHT in a patient affected by ALS. A case of BHT in a patient (Caucasic, male, 63 years old) affected by ALS was described. The primary goal of the work was to teach and motivate the patient to the use of the tongue cleaner in association with the local application of chlorexidine 0.20%. Furthermore, in order to support the patient with accurate domiciliary oral hygiene, a proper training for his health-care assistant was provided. The maintenance of the oral health of ALS patient is fundamental to prevent systemic complications that could jeopardize the already fragile physical balance of these patients. The dedicated monitoring by a dentist or a dental hygienist would seem essential in order to achieve this objective. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4784070/ /pubmed/27011938 http://dx.doi.org/10.4103/2231-0762.175408 Text en Copyright: © Journal of International Society of Preventive and Community Dentistry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Erriu, Matteo Pili, Francesca Maria Giovanna Denotti, Gloria Garau, Valentino Black hairy tongue in a patient with amyotrophic lateral sclerosis |
title | Black hairy tongue in a patient with amyotrophic lateral sclerosis |
title_full | Black hairy tongue in a patient with amyotrophic lateral sclerosis |
title_fullStr | Black hairy tongue in a patient with amyotrophic lateral sclerosis |
title_full_unstemmed | Black hairy tongue in a patient with amyotrophic lateral sclerosis |
title_short | Black hairy tongue in a patient with amyotrophic lateral sclerosis |
title_sort | black hairy tongue in a patient with amyotrophic lateral sclerosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784070/ https://www.ncbi.nlm.nih.gov/pubmed/27011938 http://dx.doi.org/10.4103/2231-0762.175408 |
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