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{"id":353,"date":"2022-04-12T06:25:38","date_gmt":"2022-04-12T06:25:38","guid":{"rendered":"https:\/\/invislondon.co.uk\/?p=353"},"modified":"2022-06-07T09:24:56","modified_gmt":"2022-06-07T09:24:56","slug":"what-is-scalloped-tongue-symptoms-causes-diagnosis-treatment","status":"publish","type":"post","link":"https:\/\/invislondon.co.uk\/oral-health\/what-is-scalloped-tongue-symptoms-causes-diagnosis-treatment\/","title":{"rendered":"What is Scalloped Tongue? Symptoms, Causes, Diagnosis, Treatment"},"content":{"rendered":"

If your tongue has developed rippled or wavy indentations on the outermost sides, it could be a scalloped tongue<\/a>. Although it is rarely painful<\/a> or a sign of an underlying medical condition<\/a>, it could affect normal oral functionalities. It is known by other names as pie-crust tongue, crenated tongue, rippled tongue, or lingua indentata. Knowing symptoms and possible causes of the scalloped tongue will help you prevent the occurrence and seek medical intervention<\/a> in time.<\/p>\n

What Causes Scalloped Tongue?<\/h3>\n

The most common cause of indentation in the side of the tongue, directly next to the adjacent teeth, is the swelling or inflammation of the tongue<\/a>. The immediate cause of tongue swelling, also called macroglossia<\/a>, could be some underlying conditions. But swelling of the tongue could compress it against the teeth, thus creating rippled or scalloped tongue. So, knowing related symptoms could help you understand the root cause and consult your oral care<\/a> specialist accordingly. Some of the common causes of tongue swelling<\/a> and resulting scalloped tongues include:<\/p>\n

Bad Activities<\/h4>\n

Activities like cheek sucking, teeth picking, teeth grinding are considered bad oral activities, also called parafunctional activities<\/a>. It is one of the most common causes of the scalloped tongue. Oral care professionals link parafunctional activities with poor dental alignment, sleep disorder, stress, systematic disorders, or trauma. Your dentist or oral care professional might recommend occupational therapy to stop bad habits along with inflammation control medication<\/a>.<\/p>\n

Allergic Reaction, Infection, or Injury<\/h4>\n

If you are allergic to certain food items, like peanut butter, your immune system might cause inflammation, thus scalloped tongue. The swelling could be due to injury and infection. An oral care specialist will examine your condition and prescribe medication accordingly to help you heal quickly.<\/p>\n

Genetic Condition<\/h4>\n

Tongue swelling or macroglossia could be due to genetic factors. Genetic disorders like down syndrome, hyperthyroidism, or Apert syndrome could cause tongue swelling and lead to the scalloped tongue.<\/p>\n

Infiltrative Conditions<\/h4>\n

If you have long-term inflammation conditions or infiltrative conditions that result in an abnormal buildup of tissues<\/a> it could affect your tongue as well. Some of those conditions which could cause scalloped tongue are tuberculosis, hypothyroidism, sarcoidosis, amyloidosis, lipoid proteinosis, and angioedema.<\/p>\n

Hypothyroidism<\/h4>\n

The change in thyroid level is natural, but when it falls below normal it could lead to hypothyroidism. Some of the common symptoms are hair loss, fatigue, muscular pain, low blood pressure, along with a scalloped tongue. Hypothyroidism could trigger the deposition of protein in your organs, including the tongue. The swelled tongue will lead to indentations along the side of the tongue.<\/p>\n

Dehydration<\/h4>\n

If your water intake is below average or some conditions are causing dehydration, your tongue would swell. Excessive swelling will compress against teeth, thus creating indentations along the edges.<\/p>\n

Nutritional Deficiencies<\/h4>\n

The proper functioning of organs needs an optimum supply of nutrients. If your diet is not nutritionally balanced, especially Vitamin B, then it could lead to tongue enlargement and scalloped tongue. Nutrition experts recommend optimum intake of vitamin B-12, riboflavin, niacin, and iron to prevent tongue swelling.<\/p>\n

High Stress and Anxiety<\/h4>\n

Although it is not directly linked, mental health professionals correlate symptoms like teeth grinding, jaw pain<\/a>, tongue pressing to high stress, anxiety, and phobia<\/a>. All these symptoms could be linked to tongue swelling and infection, thus leading to the development of a scalloped tongue.<\/p>\n

Temporomandibular Joint Disorders<\/h4>\n

If the joint connecting the lower jaw to the skull, called the temporomandibular joint<\/a>, is not in proper alignment, your tongue will have to put extra effort into holding the lower jaw in the right place. Your tongue will press the teeth and lower mouth to open it, so it might lead to the development of a scalloped tongue.<\/p>\n

Sleeping Disorder<\/h4>\n

If you have difficulty breathing while sleeping due to one reason or the other, your tongue will automatically push teeth to allow easy breathing. If it is not treated in time, it could cause indentation along the edges of the tongue.<\/p>\n

Smoking<\/h4>\n

Smoking cigarettes starts destroying the mucosal tissues, thus increasing the risk of tongue swelling and inflammation. Besides, smoking causes dry mouth<\/a> and saliva imbalance making things worse. If you are not quitting early, it could lead to the development of a scalloped tongue.<\/p>\n

A scalloped tongue does not cause major symptoms, but if it is accompanied by a sore throat<\/a> or any other underlying medical condition; you might experience symptoms like pain<\/a>, soreness, redness, along indentations. It is better to consult your dentist so that he could recommend some additional tests to find the underlying cause and recommend suitable treatments accordingly.<\/p>\n

Diagnosis of Scalloped Tongue<\/h3>\n

The effectiveness of treatment depends on the diagnosis. Meaning, accurate diagnosis will let your doctor know about the possible underlying cause of scalloped tongue. He will recommend suitable treatment and medications accordingly to control symptoms. Although some conditions like genetic factors cannot be treated, tongue swelling could be minimized with proper treatment.<\/p>\n

The diagnosis begins with physical examination and some discussion related to habits, medications, oral hygiene practices, family history, and any recent traumatic experience. In most cases symptoms, history is enough to start treatment, but your doctor might recommend some tests to know about possible nutrition deficiency and thyroid level. In some cases, the doctor might recommend a biopsy to check protein level to start underlying condition-specific suitable treatments.<\/p>\n

Treatments for Scalloped Tongue<\/h3>\n

Oral space, comprising the dental system, tongue<\/a>, and throat, is highly complex and interrelated. If you are noticing the development of a scalloped tongue you should consult your dentist to get it examined. Your dentist might recommend some anti-inflammatory medication to control tongue swelling. However, the efficacy of the treatment and chances of recurrence depends on whether the underlying medical condition<\/a> is targeted or not. For genetic, infiltrative, or inflammatory conditions, your dentist might refer you to a specialist surgeon to restore the shape of your tongue.<\/p>\n

In some cases, orthodontic procedures might help in creating space for the tongue. If you have the habit of grinding, a mouth guard could be of help in controlling indentation along the edges of the tongue.<\/p>\n

If the scalloped tongue is due to thyroid deficiency, your doctor might prescribe medications to restore hormonal balance. As the thyroid level becomes normal, your tongue swelling will start reducing slowly.<\/p>\n

Some additional medication might be prescribed to ease discomfort<\/a>.
\nIf the possible cause of scalloped tongue is dehydration, your doctor will tell you about optimum water intake based on your body mass and age. Ideally, you should drink plenty of water and eat a balanced diet to reduce swelling or inflammation.<\/p>\n

For anxiety or stress-related symptoms, your mental health specialist will recommend suitable anti-anxiety or anti-depression medications to treat the condition. Your specialist will suggest to you some therapies to manage underlying issues causing indentations on the tongue.<\/p>\n

If bad habits, like grinding, cheek sucking, or teeth picking, are causing indentations on your tongue then your oral health will suggest ways to get rid of such habits. For TMD-related symptoms, your dentist will recommend orthodontic treatments<\/a> so that optimum space could be created for the tongue.<\/p>\n

If the possible cause of scalloped tongue is cancer or tuberculosis; your doctor will recommend specific medications to treat underlying conditions and inflammation.
\nIn most cases, the scalloped tongue is not a matter of concern. But if it is affecting your oral functions, you should book an appointment with your dentist to know about the possible cause and start the treatment accordingly. If you cannot visit the dentist any time soon, you can try some of the
home remedies<\/a> to control tongue swelling and inflammation.<\/p>\n

Home Remedies for Scalloped Tongue<\/h4>\n

In addition to those treatments, some home remedies can help ease swelling and reduce possible pain<\/a> or irritation. These include:<\/p>\n