Abstract
Various normal and pathologic findings might occasionally be found on the tongue and might confuse some patients and clinician due to its atypical presentation. This case report aimed to present a case report of multiple oral findings related to variants of normal and pathological findings on the tongue: geographic tongue, fissured tongue, and central papillary atrophy. A 53-year-old male patient came to Universitas Indonesia Dental Hospital for a dental check-up. Objective examination in the tongue showed depapilated areas surrounded by keratinized lining in the ventral and lateral left and right area of the tongue, multiple fissures in all over the dorsum of the tongue, and an ovoid redness area in the middle of 2/3 posterior dorsum part of the tongue. All those findings were asymptomatic. Those clinical findings were diagnosed as geographic tongue, fissured tongue, and central papillary atrophy. This case presents unique multiple variants of normal and pathological findings in the tongue. It is important to an oral health professional to have knowledge and ability to determine normal anatomy, variants of normal and pathological lesions. Patients should be informed and educated about oral mucosa normal variations and related clinical findings so they would not develop unnecessary anxiety.
 Keywords: central papillary atrophy, fissured tongue, geographic tongue, normal variations
Highlights
Normal variations of oral healthy tissues are commonly found on the hard and soft palates, tongue, labial, as well as buccal mucosa
This study aims to present a case of a patient with multiple oral findings on the tongue including GT, FT, and central papillary atrophy (CPA) which are variants of normal and pathologic lesions
The patient was concerned about all three benign lesions on the tongue and was informed about oral cancer through social media and the peer group
Summary
Normal variations of oral healthy tissues are commonly found on the hard and soft palates, tongue, labial, as well as buccal mucosa. The locations are predictable for dentists, most people are not familiar with normal variations. The tongue is a visible organ that indicates certain systemic conditions, a variety of normal and pathologic lesions might incidentally be found on the tongue.[1,2,3]. People and clinicians sometimes misinterpret normal variations or abnormal lesions on the tongue because it might mimic oral cancer. The identification of normal anatomy and information about patients' conditions are very important.[4]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
