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Black Hairy Tongue: Treatment
In the majority of cases, Black Hairy Tongue does not have to be treated at all. Black Hairy Tongue is a condition that will usually disappear by itself. Regular brushing of the teeth and scraping of the tongue will help to remove the excess bacteria and yeast. If you are a smoker, it is a good idea to quit, as even if this time the Black Hairy Tongue resolves by itself, it may come back if you are still practicing the same habits.

It is recommended to drink lots of water during the day to help rinse out the mouth. A diet with a higher level of roughage may also help to remove the excess microorganisms. Those on a soft diet are more likely to develop Black Hairy Tongue, as the soft food doesn’t have the same effect on removing debris in the mouth.
Sometimes medication may be needed to treat oral candidiasis, which may occur as a secondary infection. This could be in the form of tablets, drops or sprays. In severe cases of Black Hairy Tongue that is not resolving on its own, laser or electrosurgery can clip off the elongated papillae, but this is only as a last resort if all other methods have failed.
How Is Black Hairy Tongue Diagnosed?
Black Hairy Tongue is one of those disorders that can be diagnosed completely accurately simply by observing the appearance of the tongue. However, occasionally a small tissue biopsy may be taken just to confirm. Also, scrapings and samples may be taken to check exactly what bacteria or fungus is present so that the right medications can be prescribed.
Occasionally Black Hairy Tongue can be confused with another condition called hairy leukoplakia, despite the differences in appearance. Hairy leukoplakia occurs on the sides of the tongue and only occurs in those who have a weak immune system and is associated with an Epstein-Barr virus. Immunocompromise is almost always due to human immunodeficiency virus, but other medical conditions can weaken the immune system.
See Also: Oral Hygiene: Dental Care Mistakes You Could Be Making
Conclusion
Despite its unpleasant and perhaps frightening appearance, there is nothing to be seriously concerned about if you have Black Hairy Tongue. Black Hairy Tongue is completely benign and often resolves all by itself. If you do need treatment, the options are simple and short, as this is a temporary condition. If you concerned at all, please see your doctor or dentist.
- Photo courtesy of Elvert Barnes via Flickr: www.flickr.com/photos/perspective/82010904
- Photo courtesy of Jessicafm via Flickr: www.flickr.com/photos/jessicafm/72149137