Fortunately, a black tongue is not usually a serious problem. The top of the human tongue is covered with small bumps called papillae which contain taste buds. These papillae can overgrow, elongate and give the tongue a furry appearance. This elongation comes from an abnormal accumulation of keratin, the primary protein found in hair and skin. Keratin normally covers and protects the top of the tongue cells and this protein constantly falls off while being remade.

          Black tongue can be caused by smoking, antibiotic overuse, oral radiation therapy, poor oral hygiene, strong mouthwashes and/or antacids. Dyes contained in some foods and drugs can color the tongue black, especially coffee. Patients with candidal infections on the tongue can have it. Candidal overgrowth is common when antibiotics are abused since the bacteria which keep candida in check are killed off. In rare cases, it could be an early sign of HIV infection. Other names are furry tongue, black hairy tongue, lingua nigra, melanoglossia, and nigrities linguae.

          Most of the time patients experience no pain or discomfort. Treatment of a black tongue should be designed address the cause. However, using a tongue scraper to clean the surface of the tongue along with brushing the tongue with baking soda often reduces or eliminates the dental problem. Since nutritional deficiencies may be contribute, eating a well balanced diet along with taking vitamin and mineral supplements is always a good idea.

            The dentists at the Atlanta Dental Group PC are dedicated to their patients' good health and well being. You are welcome to join our family of patients. If you have a black tongue and would like to consult with Atlanta Georgia Dentist, Dr. Mark Allan Padolsky, please make an appointment by calling 404-874-7428.