Abstract

Introduction: Black hairy tongue occurs as a result of inability desquamation and hyperthrophy of filiforme papilla on the dorsum of the tongue which also cause as the creation of velvety plaques. Case Presentation: Four patients with black hairy tongue who were referred to our clinic with different complaints were presented as cases. Discussion: Although the etiopathogenesis of the black hairy louse is not completely known, many predisposing factors have been proposed. Prevention of triggering factors, the regulation of food and water, mechanical cleaning of the language is important in the treatment of black hairy tongue. Medical treatment includes antiseptic solutions, topical tretinoin. Conclusion: Family physicians should consider that in first-stage smokers patients may rarely develop black hairy language.

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