Tongue Problems (cont.)
Donna S. Bautista, DDS
Dr. Donna S. Bautista, DDS, completed her undergraduate studies at the University of California, San Diego with a bachelor of arts in biochemistry and cell biology. During her time at UC San Diego, she was involved in basic research including studying processes related to DNA transcription in the field of molecular biology. Upon graduation, she went on to attend dental school at the University of California, San Francisco. In addition to her formal dental training, she provided dental care for underserved communities in the Bay Area through clinics and health fairs. She also worked toward mentoring high school students interested in the field of dentistry.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Tongue facts
- What are common tongue problems?
- What causes tongue problems?
- What are the risk factors for tongue problems?
- White tongue
- Red tongue
- Black tongue
- Increased size or tongue swelling
- Growths on the tongue
- Abnormalities of the tongue surface
- Tongue pain
- Altered sensation of the tongue
- Taste problems
- Problems with tongue movement
- What are tongue problems in infants and children?
- What are tongue problems in pregnancy?
- What specialists treat tongue problems?
- How do health-care professionals diagnose tongue problems?
- Are there home remedies for tongue problems?
- What are the treatments for tongue problems?
- Is it possible to prevent tongue problems?
- What is the prognosis for tongue problems?
- Find a local Doctor in your town
Altered sensation of the tongue
Paresthesia is an abnormal or altered sensation. Paresthesia of the tongue can occur with damage to the lingual nerve, the nerve of sensation for the tongue. The most common cause of lingual nerve damage occurs during wisdom teeth extractions where the nerve is very close to the tooth being extracted. The nerve damage is usually noticed well after the procedure and symptoms include altered, decreased, or complete loss of sensation. Pain, taste, touch, perception of temperature and perception of relative position and movement (proprioception) may be involved. The sensation of "pin and needles" similar to being numb during a dental procedure may persist. Usually, treatment involves waiting for the nerve to self-repair itself in a period of six months to a year. If there is no improvement, surgery may be an option to repair the injured nerve.
Dysgeusia is the term used to describe the distortion of the sense of taste. Common causes of dysgeusia include medications, cancer therapy, dry mouth, gum disease, and the common cold or flu. Cancer therapy that involves chemotherapy and radiation to the head and neck area can greatly affect taste. Radiation therapy can damage taste buds and salivary glands. Decreased flow of saliva causes a dry mouth and further compounds the problem. Cigarette smoking also can affect taste. If dysgeusia is due to a temporary condition, it should resolve once the cause is removed. Damage to taste buds through radiation therapy may require time for healing to occur. Taste may slowly return and greatly depends on the amount of damage from radiation therapy. Artificial saliva and zinc supplementation may help in restoring taste for some individuals. A lack of taste sensation (ageusia) is rare.
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