Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Clinical Characteristics and Distribution of the Tongue-Related Diagnoses of Patients with Tongue Symptoms

  • Park, Jae-Man (Department of Dentistry, Graduate School, Chosun University) ;
  • Kim, Ji Hoo (Department of Oral Medicine, Chosun University Dental Hopital) ;
  • Park, Hyun-Jeong (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Ahn, Jong-Mo (Department of Oral Medicine, School of Dentistry, Chosun University)
  • Received : 2022.07.21
  • Accepted : 2022.09.05
  • Published : 2022.09.30
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Abstract

Purpose: This study was conducted to analyze the clinical characteristics and distribution of the tongue-related diagnoses in patients with tongue symptoms. Methods: The subjects were patients who visited Chosun University Dental Hospital with tongue symptoms from January 1, 2021, to December 31, 2021. We analyzed 491 patients (139 males and 352 females) with tongue-related diagnostic code names in the Korean Standard Classification of Disease (KCD) in the Electronic Medical Record (Dentopinformation Technology Co., Seoul, Korea). Results: On analyzing the diagnoses of tongue diseases using the KCD, glossopyrosis (44.8%) and painful tongue (15.2%) showed high rates. Of the 491 patients, 139 (28.3%) were males and 352 (71.7%) were females, and the average age was 58.1 years. As for systemic diseases, there were many patients with diseases of the circulatory system (27.0%) and endocrine, nutritional, and metabolic diseases (13.7%). Tongue symptoms were discomfort in 58 patients, pain in 329 patients, paresthesia in 10 patients, burning sensations in 222 patients, dysgeusia in 25 patients, dryness in 110 patients, fissures in 57 patients, and other symptoms in 72 patients. Areas with tongue symptoms were the anterior area in 102 patients, the lateral area in 140 patients, the posterior area in 12 patients, the dorsal area in 140 patients, the ventral area in 42 patients, and which area in 126 patients overall. Patients with burning mouth syndrome and oral candidiasis had significantly more tongue symptoms. Conclusions: Patients with tongue symptoms exhibited a variety of tongue diseases. Tongue symptoms were more common in women over 50 years of age and were frequently seen in patients with burning mouth syndrome and oral candidiasis.

Keywords

Acknowledgement

This study was supported by research funding from Chosun University Dental Hospital in 2022.

References

  1. du Toit DF. The tongue: structure and function relevant to disease and oral health. SADJ 2003;58:375-376, 380-383.
  2. Lee SW, Kim JY, Jung SC, et al. Oral diagnosis. 4th ed. Seoul: Gomunsa; 1990. pp. 325-345.
  3. Mangold AR, Torgerson RR, Rogers RS 3rd. Diseases of the tongue. Clin Dermatol 2016;34:458-469. https://doi.org/10.1016/j.clindermatol.2016.02.018
  4. Powell FC. Glossodynia and other disorders of the tongue. Dermatol Clin 1987;5:687-693. https://doi.org/10.1016/s0733-8635(18)30712-5
  5. Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician 2010;81:627-634.
  6. Choi JK, Hur YK. Taste detection thresholds in burning mouth syndrome. J Oral Med Pain 2004;29:127-133.
  7. Byrd JA, Bruce AJ, Rogers RS 3rd. Glossitis and other tongue disorders. Dermatol Clin 2003;21:123-134. https://doi.org/10.1016/S0733-8635(02)00057-8
  8. Sundararajan D, Noonan V, Gallagher G. Coated tongue. J Mass Dent Soc 2016;65:39.
  9. Gaddey HL. Oral manifestations of systemic disease. Gen Dent 2017;65:23-29.
  10. Voros-Balog T, Dombi C, Vincze N, Banoczy J. [Epidemiologic survey of tongue lesions and analysis of the etiologic factors involved]. Fogorv Sz 1999;92:157-163. Hungarian.
  11. Ko MY, Jang YS, Heo JY, Ahn YW. A study on the taste of burning mouth syndrome patients. J Oral Med Pain 2006;31:275-281.
  12. Lim HD, Kang JK, Lee YM. A review of etiopathogenesis of burning mouth syndrome. J Oral Med Pain 2010;35:41-47.
  13. Korean Academy of Orofacial Pain and Oral Medicine. Diagnosis and treatment of oral soft tissue disease. Seoul: Shinhung International; 2010. pp. 13-137.
  14. Kim JH, Ahn JM. Clinical characteristics of patients with oral candidiasis. J Oral Med Pain 2021;46:33-40. https://doi.org/10.14476/JOMP.2021.46.2.33
  15. Millsop JW, Fazel N. Oral candidiasis. Clin Dermatol 2016;34:487-494. https://doi.org/10.1016/j.clindermatol.2016.02.022
  16. Sharon V, Fazel N. Oral candidiasis and angular cheilitis. Dermatol Ther 2010;23:230-242. https://doi.org/10.1111/j.1529-8019.2010.01320.x
  17. Sakaguchi H. [Treatment and prevention of oral candidiasis in elderly patients]. Med Mycol J 2017;58:J43-J49. Japanese. https://doi.org/10.3314/mmj.17.004
  18. Minhas S, Sajjad A, Kashif M, Taj F, Waddani HA, Khurshid Z. Oral ulcers presentation in systemic diseases: an update. Open Access Maced J Med Sci 2019;7:3341-3347. https://doi.org/10.3889/oamjms.2019.689
  19. Bagan J, Sarrion G, Jimenez Y. Oral cancer: clinical features. Oral Oncol 2010;46:414-417. https://doi.org/10.1016/j.oraloncology.2010.03.009
  20. Ghoshal S, Mallick I, Panda N, Sharma SC. Carcinoma of the buccal mucosa: analysis of clinical presentation, outcome and prognostic factors. Oral Oncol 2006;42:533-539. https://doi.org/10.1016/j.oraloncology.2005.10.005
  21. Ajay GN, Laxmikanth C, Prashanth SK. Tuberculous ulcer of tongue with oral complications of oral antituberculosis therapy. Indian J Dent Res 2006;17:87-90. https://doi.org/10.4103/0970-9290.29884
  22. Ramoni S, Cusini M, Gaiani F, Crosti C. Syphilitic chancres of the mouth: three cases. Acta Derm Venereol 2009;89:648-649. https://doi.org/10.2340/00015555-0709
  23. Liang MW, Neoh CY. Oral aphthosis: management gaps and recent advances. Ann Acad Med Singap 2012;41:463-470. https://doi.org/10.47102/annals-acadmedsg.V41N10p463
  24. Di Stasio D, Guida A, Salerno C, et al. Oral lichen planus: a narrative review. Front Biosci (Elite Ed) 2014;6:370-376. https://doi.org/10.2741/e712
  25. Porter SR, Leao JC. Review article: oral ulcers and its relevance to systemic disorders. Aliment Pharmacol Ther 2005;21:295-306. https://doi.org/10.1111/j.1365-2036.2005.02333.x
  26. Pereira MS, Munerato MC. Oral manifestations of inflammatory bowel diseases: two case reports. Clin Med Res 2016;14:46-52. https://doi.org/10.3121/cmr.2015.1307
  27. Mortazavi H, Safi Y, Baharvand M, Rahmani S. Diagnostic features of common oral ulcerative lesions: an updated decision tree. Int J Dent 2016;2016:7278925. https://doi.org/10.1155/2016/7278925
  28. Valerio RA, de Queiroz AM, Romualdo PC, Brentegani LG, de Paula-Silva FW. Mucocele and fibroma: treatment and clinical features for differential diagnosis. Braz Dent J 2013;24:537-541. https://doi.org/10.1590/0103-6440201301838
  29. Seerangaiyan K, Juch F, Winkel EG. Tongue coating: its characteristics and role in intra-oral halitosis and general health-a review. J Breath Res 2018;12:034001. https://doi.org/10.1088/1752-7163/aaa3a1
  30. Dudko A, Kurnatowska AJ, Kurnatowski P. Prevalence of fungi in cases of geographical and fissured tongue. Ann Parasitol 2013;59:113-117.