From the Research
Fissured tongue is a benign condition that typically requires no treatment, as it is generally harmless and does not impact morbidity, mortality, or quality of life. According to the most recent and highest quality study available, fissured tongue is one of the most common tongue conditions, occurring in 15.5% of the US population, and does not require treatment 1. Regular gentle brushing of the tongue with a soft toothbrush and maintaining good oral hygiene can help prevent food particles from getting trapped in the fissures, which might otherwise cause irritation or bad breath. Rinsing with warm salt water (1/2 teaspoon salt in 8 ounces of water) after meals can also help keep the grooves clean.
Some key points to consider when managing fissured tongue include:
- The condition is often a genetic trait present from birth, but can sometimes be associated with certain conditions like geographic tongue, psoriasis, or Sjögren's syndrome 2.
- The fissures typically deepen with age but rarely cause symptoms.
- If symptoms such as pain, burning sensations, or changes in the tongue's appearance occur, it is essential to consult a healthcare provider to rule out other conditions.
- Most people with fissured tongue remain asymptomatic throughout life, and the condition does not typically progress to anything serious.
It is also important to note that while fissured tongue is generally harmless, it can be associated with certain systemic diseases, such as hypertension and diabetes, as found in a study published in the Journal of tropical medicine 3. However, the most recent and highest quality study available does not support the need for treatment of fissured tongue itself, but rather emphasizes the importance of maintaining good oral hygiene and monitoring for any changes in symptoms or appearance.