Incidence of Tongue Disorders Among Middle School Students

Abstract

The tongue is essential for a wide variety of bodily processes, including tasting, swallowing, talking, and keeping teeth healthy. Therefore, tongue abnormalities can have serious consequences for an individual's well-being. The purpose of this research was to determine how prevalent common tongue malformations were among school-aged children in Ramadi city, Anbar governorate, Iraq. One thousand five hundred students from medium schools were chosen at random and split into three age groups. There were 500 pupils in each of the three groups, evenly split between males and females. Tongue issues were evaluated using a disposable mirror to retract the lips and cheeks, natural lighting, and privacy. The information was examined with SPSS version 22's chi-square test for significance. Fissured tongue, tongue knot, and coated tongue were determined to be the most prevalent tongue anomalies (7.7%, 11%, and 6.66% prevalence, respectively). There was no correlation between age or gender and the presence of tongue abnormalities. The findings show that promoting good tooth hygiene and avoiding environmental triggers for symptoms might be beneficial. Acidic or spicy foods and the abrasives in some dental hygiene products are two potential culprits.

Keywords:

Tongue anomalies, Median Rhomboid Glossitis, Tongue Disorders, Middle School Students

References

Heit T, Tablizo BJ, Salud M, Mo F, Kang M, Tablizo MA and et.al. Craniofacial Sleep Medicine: The Important Role of Dental Providers in Detecting and Treating Sleep Disordered Breathing in Children. Children (Basel). 2022 Jul 15;9(7):1057. doi: 10.3390/children9071057. PMID: 35884041; PMCID: PMC9323037.

Varadan M, Chopra A, Sanghavi AD, Sivaraman K, Gupta K. Etiology and clinical recommendations to manage the complications following lingual frenectomy: A critical review. J Stomatol Oral Maxillofac Surg. 2019 Dec;120(6):549-553. doi: 10.1016/j.jormas.2019.06.003. Epub 2019 Jun 27. PMID: 31255827.

Sakr, M.F. Congenital Anomalies. In: Tongue Lesions. Springer, Cham.(2022.(pp. 33-60). https://doi.org/10.1007/978-3-031-08198-9_5

Meng P, Du W, Xu L, Liu T, Cao J, Chen Q, Xiao R. Lactobacillus treatment as adjuvant for geographic tongue and fissured tongue with gastritis: case report. Ann Transl Med. 2023 Feb 28;11(4):186. doi: 10.21037/atm-23-203. PMID: 36923092; PMCID: PMC10009561.

Bali H, Adhikari S, Upadhyaya C, Poudel P, Adhikari BR, Pandit S and et.al. Fissured Tongue among Patients Visiting the Department of Oral Medicine and Radiology in a Tertiary Care Centre. JNMA J Nepal Med Assoc. 2023 Oct 1;61(266):762-764. doi: 10.31729/jnma.8287. PMID: 38289784; PMCID: PMC10579778.

Jayasuriya NS, Tilakaratne WM. Irregular Red Patches on the Dorsum of the Tongue: Benign Migratory Glossitis. In: Tilakaratne, W.M., Kallarakkal, T.G. (eds) Clinicopathological Correlation of Oral Diseases. Springer, Cham.(2023).https://doi.org/10.1007/978-3-031-24408-7_31

Ilankizhai RJ, Manjari Chaudhary, Madhu laxmi M. Prevalence Of Benign Migratory Glossitis In Patients Visiting A Private Dental College In Chennai. Int J Dentistry OralSci, 2021, vol 8(8):4080-4084. doi: http://dx.doi.org/10.19070/2377-8075-21000833

Dietrich E, Grimaux X, Martin L, Samimi M. Etiological diagnosis of macroglossia: Systematic review and diagnostic algorithm. Ann Dermatol Venereol. 2022 Dec;149(4):228-237. doi: 10.1016/j.annder.2022.03.011. Epub 2022 Oct 11. PMID: 36229262.

Chesterman J, Gray D, Mannion C, Beddis H. The acquired anterior open bite: possible aetiologies and management strategies. Dental Update. 2023, Vol. 50, No. 1, Published Online:20 Jan https://doi.org/10.12968/denu.2023.50.1.19

Sridharan K, Rokkam VR. Macroglossia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560545

Sadeghi S, Azaïs M, Ghannoum J. Actinomycosis Presenting as Macroglossia: Case Report and Review of Literature. Head Neck Pathol. 2019 Sep;13(3):327-330. doi: 10.1007/s12105-018-0966-7. Epub 2018 Sep 22. PMID: 30244331; PMCID: PMC6684727.

Wang J, Yang X, Hao S, Wang Y. The effect of ankyloglossia and tongue-tie division on speech articulation: A systematic review. Int J Paediatr Dent. 2022 Mar;32(2):144-156. doi: 10.1111/ipd.12802. Epub 2021 May 22. PMID: 33964037.

Solis-Pazmino P, Kim GS, Lincango-Naranjo E, Prokop L, Ponce OJ, Truong MT. Major complications after tongue-tie release: A case report and systematic review. Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110356. doi: 10.1016/j.ijporl.2020.110356. Epub 2020 Sep 1. PMID: 32927351.

Shindo T. Median rhomboid glossitis caused by tongue-brushing. Cleve Clin J Med. 2023 Jan 3;90(1):15-16. doi: 10.3949/ccjm.90a.21111. PMID: 36596596.

Li H, Sun J, Wang X, Shi J. Oral microbial diversity analysis among atrophic glossitis patients and healthy individuals. J Oral Microbiol. 2021 Oct 7;13(1):1984063. doi: 10.1080/20002297.2021.1984063. PMID: 34676060; PMCID: PMC8526005.

Aziz Y, Rademacher WMH, Hielema A, Wishaw SBP, van Diermen DE, de Lange J, and et.al. Oral adverse effects: drug-induced tongue disorders. Oral Dis. 2021 Sep;27(6):1528-1541. doi: 10.1111/odi.13680. Epub 2020 Nov 3. PMID: 33052611; PMCID: PMC8451755.

Shreyas N, Patel U, Falguni P, Chauhan G, Vandana S, Srivastava H. Prevalence of Oral Anomalies in Schoolchildren Between the Age Group of 5 and 14 Years of Vadodara District. Advances in Human Biology. 2021, vol 11 no (1): p 79-83, | DOI: 10.4103/2321-8568.299675

Hill RR, Lee CS, Pados BF. The prevalence of ankyloglossia in children aged <1 year: a systematic review and meta-analysis. Pediatr Res. 2021 Aug;90(2):259-266. doi: 10.1038/s41390-020-01239-y. Epub 2020 Nov 13. PMID: 33188284.

Ehsan H, Azimi S, Yosufi A, Yousufi R. The Prevalence and Significance of Fissured Tongue in Kabul City Among Dental Patients. Clin Cosmet Investig Dent. 2023 Feb 23; 15:21-29. doi: 10.2147/CCIDE.S391498. PMID: 36860622; PMCID: PMC9969861.

Elmezwghi A, Elsagali A, Ftis W, Salma SMO and El-kakalli N. Prevalence association of fissured tongue with the most common medical conditions in a sample of Libyan population: A cross-sectional study. International Journal of Applied Dental Sciences. 2021, vol 7 no (2): 147-154, DOI: https://doi.org/10.22271/oral.2021.v7.i2c.1201

Oshiro A, Zaitsu T, Ueno M, Kawaguchi Y. Characterization of oral bacteria in the tongue coating of patients with halitosis using 16S rRNA analysis. Acta Odontol Scand. 2020 Oct;78(7):541-546. doi: 10.1080/00016357.2020.1754459. Epub 2020 Apr 21. PMID: 32315210.

Poudyal S, Acharya L, Yadav K, Pradhan A, Chaulagain R. STATUS OF TONGUE COATING AND PERCEIVED HALITOSIS AMONG THE PATIENTS SEEKING ORAL TREATMENT. JCMC. 2023, vol 13 no. (2):3-7.DOI: https://doi.org/10.54530/jcmc.1331

Rachmawati, D. An Analysis of Predisposition Factors of Coated Tongue in Diponegoro National Hospital . Journal of Oral Health Care. 2022, vol. 10 no.(1): 39–48. https://doi.org/10.29238/ohc.v10i1.1638

Assaf DDC, Knorst JK, Busanello-Stella AR, Ferrazzo VA, Berwig LC, Ardenghi TM, and et .al. Association between malocclusion, tongue position and speech distortion in mixed-dentition schoolchildren: an epidemiological study. J Appl Oral Sci. 2021 Aug 16;29:e20201005. doi: 10.1590/1678-7757-2020-1005. PMID: 34406316; PMCID: PMC8373205.

Pereira RDPL, de Oliveira JMD, Pauletto P, Munhoz EA, Silva Guerra EN, Massignan C, and et. al. Worldwide prevalence of geographic tongue in adults: A systematic review and meta-analysis. Oral Dis. 2023 Nov;29(8):3091-3100. doi: 10.1111/odi.14397. Epub 2022 Nov 2. PMID: 36208129.

Pourchot D, Chiaverini C, Bourrat E, Barbarot S, Vabres P, Hubiche T and et.al Tongue psoriasis: Clinical aspects and analysis of epidemiological associations in 313 children, with a systematic literature review. Ann Dermatol Venereol. 2018 Oct;145(10):578-586. doi: 10.1016/j.annder.2018.04.003. PMID: 29773283.

Gupta P, Gupta N, Gupta R, Arora V, Mehta N. The prevalence of oro-dental anomalies among 14-17 years students in Panchkula District Haryana, India. Journal of Dentistry and Oral Hygiene. 2015, 7(4), 44-47. /https://doi.org/10.5897/JDOH2015.0145

Patil S, Kaswan S, Rahman F, Doni B. Prevalence of tongue lesions in the Indian population. J Clin Exp Dent. 2013 Jul 1;5(3):e128-32. doi: 10.4317/jced.51102. PMID: 24455067; PMCID: PMC3892253.

Aljawfi K. Frequency of Tongue Anomalies among Yemeni Children in Dental Clinics. Yemeni Journal for Medical Sciences.2013, Vol.7No.1 . https://doi.org/10.20428/yjms.v7i1.34

Dietrich E, Grimaux X, Martin L, Samimi M. Etiological diagnosis of macroglossia: Systematic review and diagnostic algorithm. Ann Dermatol Venereol. 2022 Dec;149(4):228-237. doi: 10.1016/j.annder.2022.03.011. Epub 2022 Oct 11. PMID: 36229262.

Vörös-Balog T, Vincze N, Bánóczy J. Prevalence of tongue lesions in Hungarian children. Oral Dis. 2003 Mar;9(2):84-7. doi: 10.1034/j.1601-0825.2003.00783.x. PMID: 12657034.

Chen GY, Tang ZQ, Bao ZX. Vitamin B12 deficiency may play an etiological role in atrophic glossitis and its grading: A clinical case-control study. BMC Oral Health. 2022 Oct 28;22(1):456. doi: 10.1186/s12903-022-02464-z. PMID: 36307840; PMCID: PMC9617421.

Demir N, Doğan M, Koç A, Kaba S, Bulan K, Ozkol HU and et. al . Dermatological findings of vitamin B12 deficiency and resolving time of these symptoms. Cutan Ocul Toxicol. 2014 Mar;33(1):70-3. doi: 10.3109/15569527.2013.861477. Epub 2013 Dec 4. PMID: 24303868.