Crenated Tongue
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Crenated Tongue
Crenated tongue is a descriptive term for the appearance of the tongue when there are indentations along the lateral borders (the sides), as the result of compression of the tongue against the adjacent teeth. The oral mucosa in the area of crenation is usually of normal color, but there may be erythema (redness) if exposed to a high degree of friction or pressure. Crenated tongue is usually asymptomatic and harmless. It is not a disease as such, but usually results from habits where the tongue is pressed against the lingual surfaces (the side facing the tongue) of the dental arches, or from any cause of macroglossia (enlarged tongue), which in itself has many causes such as Down syndrome. Where crenation is caused by parafunctional habits, there may also be associated bruxism, linea alba, or morsicatio buccarum. Society and culture In traditional Chinese medicine Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicin ...
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Macroglossia
Macroglossia is the medical term for an unusually large tongue. Severe enlargement of the tongue can cause cosmetic and functional difficulties in speaking, eating, swallowing and sleeping. Macroglossia is uncommon, and usually occurs in children. There are many causes. Treatment depends upon the exact cause. Signs and symptoms Although it may be asymptomatic, symptoms usually are more likely to be present and more severe with larger tongue enlargements. Signs and symptoms include: * Dyspnea - difficult, noisy breathing, obstructive sleep apnea or airway obstruction * Dysphagia - difficulty swallowing and eating * Dysphonia - disrupted speech, possibly manifest as lisping * Sialorrhea - drooling * Angular cheilitis - sores at the corners of the mouth * Crenated tongue - indentations on the lateral borders of the tongue caused by pressure from teeth ("pie crust tongue") * Open bite malocclusion - a type of malocclusion of the teeth * Mandibular prognathism - enlarged mandible * M ...
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ENT Surgery
Otorhinolaryngology ( , abbreviated ORL and also known as otolaryngology, otolaryngology–head and neck surgery (ORL–H&N or OHNS), or ear, nose, and throat (ENT)) is a surgical subspeciality within medicine that deals with the surgical and medical management of conditions of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists, otolaryngologists, head and neck surgeons, or ENT surgeons or physicians. Patients seek treatment from an otorhinolaryngologist for diseases of the ear, nose, throat, base of the skull, head, and neck. These commonly include functional diseases that affect the senses and activities of eating, drinking, speaking, breathing, swallowing, and hearing. In addition, ENT surgery encompasses the surgical management of cancers and benign tumors and reconstruction of the head and neck as well as plastic surgery of the face and neck. Etymology The term is a combination of New Latin combining forms ('' oto-'' + '' rhino ...
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Tongue
The tongue is a muscular organ in the mouth of a typical tetrapod. It manipulates food for mastication and swallowing as part of the digestive process, and is the primary organ of taste. The tongue's upper surface (dorsum) is covered by taste buds housed in numerous lingual papillae. It is sensitive and kept moist by saliva and is richly supplied with nerves and blood vessels. The tongue also serves as a natural means of cleaning the teeth. A major function of the tongue is the enabling of speech in humans and vocalization in other animals. The human tongue is divided into two parts, an oral part at the front and a pharyngeal part at the back. The left and right sides are also separated along most of its length by a vertical section of fibrous tissue (the lingual septum) that results in a groove, the median sulcus, on the tongue's surface. There are two groups of muscles of the tongue. The four intrinsic muscles alter the shape of the tongue and are not attached to bone. ...
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Lateral (anatomy)
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of ana ...
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Erythema
Erythema (from the Greek , meaning red) is redness of the skin or mucous membranes, caused by hyperemia (increased blood flow) in superficial capillaries. It occurs with any skin injury, infection, or inflammation. Examples of erythema not associated with pathology include nervous blushes. Types * Erythema ab igne * Erythema chronicum migrans * Erythema induratum * Erythema infectiosum (or fifth disease) * Erythema marginatum * Erythema migrans * Erythema multiforme (EM) * Erythema nodosum * Erythema toxicum * Erythema elevatum diutinum * Erythema gyratum repens * Keratolytic winter erythema * Palmar erythema Causes It can be caused by infection, massage, electrical treatment, acne medication, allergies, exercise, solar radiation ( sunburn), photosensitization, acute radiation syndrome, mercury toxicity, blister agents, niacin administration, or waxing and tweezing of the hairs—any of which can cause the capillaries to dilate, resulting in redness. Erythema is a ...
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Dental Arch
The dental arches are the two arches (crescent arrangements) of teeth, one on each jaw, that together constitute the dentition. In humans and many other species; the superior (maxillary or upper) dental arch is a little larger than the inferior (mandibular or lower) arch, so that in the normal condition the teeth in the maxilla (upper jaw) slightly overlap those of the mandible (lower jaw) both in front and at the sides. The way that the jaws, and thus the dental arches, approach each other when the mouth closes, which is called the occlusion, determines the occlusal relationship of opposing teeth, and it is subject to malocclusion (such as crossbite) if facial or dental development was imperfect. Because the upper central incisors are wider than the lower ones, the other teeth in the upper arch are arrayed somewhat distally, and the two sets do not quite correspond to each other when the mouth is closed: thus the upper canine tooth rests partly on the lower canine and pa ...
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Macroglossia
Macroglossia is the medical term for an unusually large tongue. Severe enlargement of the tongue can cause cosmetic and functional difficulties in speaking, eating, swallowing and sleeping. Macroglossia is uncommon, and usually occurs in children. There are many causes. Treatment depends upon the exact cause. Signs and symptoms Although it may be asymptomatic, symptoms usually are more likely to be present and more severe with larger tongue enlargements. Signs and symptoms include: * Dyspnea - difficult, noisy breathing, obstructive sleep apnea or airway obstruction * Dysphagia - difficulty swallowing and eating * Dysphonia - disrupted speech, possibly manifest as lisping * Sialorrhea - drooling * Angular cheilitis - sores at the corners of the mouth * Crenated tongue - indentations on the lateral borders of the tongue caused by pressure from teeth ("pie crust tongue") * Open bite malocclusion - a type of malocclusion of the teeth * Mandibular prognathism - enlarged mandible * M ...
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Down Syndrome
Down syndrome or Down's syndrome, also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is usually associated with physical growth delays, mild to moderate intellectual disability, and characteristic facial features. The average IQ of a young adult with Down syndrome is 50, equivalent to the mental ability of an eight- or nine-year-old child, but this can vary widely. The parents of the affected individual are usually genetically normal. The probability increases from less than 0.1% in 20-year-old mothers to 3% in those of age 45. The extra chromosome is believed to occur by chance, with no known behavioral activity or environmental factor that changes the probability. Down syndrome can be identified during pregnancy by prenatal screening followed by diagnostic testing or after birth by direct observation and genetic testing. Since the introduction of screening, Down syndrome pregnancies are often abor ...
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Parafunctional Habit
A para-functional habit or parafunctional habit is the habitual exercise of a body part in a way that is other than the most common use of that body part. In dentistry, orthodontics, and oral and maxillofacial pathology, the body part in question is usually the mouth, tongue, or jaw. Oral para-functional habits may include bruxism (tooth-clenching, grinding, or both), tongue tension (" tongue thrusting"), fingernail biting, pencil or pen chewing, mouth breathing, and any other habitual use of the mouth unrelated to eating, drinking, or speaking. Crenated tongue is when scalloping develops on the lateral margins of the tongue as a result of habitual forcing of the tongue against the teeth. Contrary to common belief, functional activities such as chewing are not the main cause of tooth wear. Parafunctional habits are the most destructive forces for several reasons. Whereas teeth rarely come into contact during normal chewing, grinding of teeth may occur 1-4 hours in a 24-hour p ...
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Bruxism
Bruxism is excessive teeth grinding or jaw clenching. It is an oral parafunctional activity; i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; reports of prevalence range from 8% to 31% in the general population. Several symptoms are commonly associated with bruxism, including aching jaw muscles, headaches, hypersensitive teeth, tooth wear, and damage to dental restorations (e.g. crowns and fillings). Symptoms may be minimal, without patient awareness of the condition. If nothing is done, after a while many teeth start wearing down until the whole tooth is gone. There are two main types of bruxism: one occurs during sleep (nocturnal bruxism) and one during wakefulness (awake bruxism). Dental damage may be similar in both types, but the symptoms of sleep bruxism tend to be worse on waking and improve during the course of the day, and the symptoms of awake bruxism may not be present at all on waking, and then worsen over the day. T ...
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Linea Alba (cheek)
The linea alba (Latin for ''white line''), in dentistry, is a horizontal streak on the buccal mucosa (inner surface of the cheek), level with the occlusion (biting plane). It usually extends from the commissure to the posterior teeth, and can extend to the inner lip mucosa and corners of the mouth. The linea alba is a common finding and most likely associated with pressure, frictional irritation, or sucking trauma from the facial surfaces of the teeth. It may be mistaken for a lesion requiring treatment and may be found in individuals who chew tobacco. Clinical considerations *The linea alba is usually present bilaterally *It is restricted to dentulous areas (i.e., in areas where there are missing teeth the line will be absent - unless a denture is worn) *It presents an asymptomatic, linear elevation, with a whitish colour, at the level of the occlusal line of the teeth Treatment Treatment is not required. See also * Crenated tongue * Morsicatio buccarum * Linea alba (abdomen) ...
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Morsicatio Buccarum
Morsicatio buccarum is a condition characterized by chronic irritation or injury to the buccal mucosa (the lining of the inside of the cheek within the mouth), caused by repetitive chewing, biting or nibbling. Signs and symptoms The lesions are located on the mucosa, usually bilaterally in the central part of the anterior buccal mucosa and along the level of the occlusal plane (the level at which the upper and lower teeth meet). Sometimes the tongue or the labial mucosa (the inside lining of the lips) is affected by a similarly produced lesion, termed morsicatio linguarum and morsicatio labiorum respectively. There may be a coexistent linea alba, which corresponds to the occlusal plane, or crenated tongue. The lesions are white with thickening and shredding of mucosa commonly combined with intervening zones of erythema (redness) or ulceration. The surface is irregular, and people may occasionally have loose sections of mucosa that comes away. Causes The cause is chronic parafun ...
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