Diode Laser Surgery as a Conservative Management of Hairy Tongue Lesion Resistance to Treatment

Hairy tongue is a furry appearance on the dorsum surface of the tongue with variable colors. This lesion is due to defective shedding of filiform papillae. Various treatments are proposed for this condition like keratolytic agents, surgical procedure with a scalpel, or laser application. In this case study, we reported successful treatment of hairy tongue with a diode laser. The diode laser with wavelength 810 nm, power of 4 watts, a pulse width of 20 milliseconds, and an interval of 20 milliseconds by a 400-micron optical fiber was selected for treatment of this lesion. There was no bleeding during this minimally invasive surgery, and the patient experienced a low level of pain. Loss of taste function was completely resolved. Based on the result of this study, a diode laser can be a good alternative for minimally invasive surgical treatment of hairy tongue.

The tongue of the red panda (Ailurus fulgens fulgens Cuvier, 1825)—a stereoscopy, light microscopy and ultrastructural analysis

In the light of recent molecular studies, there are two phylogenetic species of the red panda (Ailurus fulgens): Ailurus fulgens fulgens and Ailurus fulgens styani. The red panda belongs to the endangered species living in the wild only in Asia and is included in the CITES list. Although the biology and diet of this species has been extensively described, the histological structure of the tongue and lingual glands has not yet been characterized in detail in relation to the lifestyle of this mammal under specific conditions and as a basis for comparative anatomical studies of the biodiversity of endemic species. Study samples were collected from two adult males of Ailurus fulgens f. held in Wrocław Zoological Garden. Both tongues were examined macroscopically; moreover, samples with lingual papillae for light microscopy and scanning electron microscopy (SEM) were collected from the apex, body and root of the tongue. Both tongues of the Ailurus fulgens f. males were approximately 9 cm long. The dorsal lingual surface was covered with mechanical and gustatory lingual papillae. Filiform papillae were observed on the apex and the body of the tongue, while small conical papillae were observed on the root of the tongue. An elongated, 1–1.5 cm long cylinder-shaped lyssa was observed in the ventral part of the apex. Moreover, most numerous and largest round in shape fungiform papillae were observed on the apex and on the border of the body and root of the tongue, located directly rostrally to 12–13 round and oval in shape vallate papillae. The SEM study showed that filiform papillae on the apex had several long secondary processes, while filiform papillae on the body of the tongue were taller and their secondary papillae were shorter than the equivalent structures on the apex of the tongue. The SEM study showed numerous taste pores on the surface of the fungiform papilla, while irregular surface of the vallate papillae, however some of them had smoother surface. Mixed glands (comprised of mucous acini and serous acini) were present within the vallum (within the connective tissue core) of the vallate papilla. Beneath the papillae more serous glands were observed, while the posterior lingual glands in the caudal part of the root of the tongue were mucoserous (mucous units were prevalent). A characteristic feature of the tongue of Ailurus fulgens f. was the presence of lyssa, which is comparable to other representatives of Carnivora, but the number of vallate papillae was individually variable. The lack of strongly developed mechanical conical papillae probably may be related to the type of plant food that is particularly dominant in red panda. Further differences between Ailurus fulgens f. and Ailurus fulgens s. cannot be excluded. The results of these studies may be useful especially for veterinarians specializing in working with exotic animals and people dealing with wildlife conservation.

STRUCTURAL AND FUNCTIONAL CHANGES IN TONGUE TISSUES UNDER PER OS ADMINISTRATION OF HIGH DOSES OF LEAD ACETATE

The main purpose of this study was to evaluate the structural transformation in rats’ tongue tissue after oral administration of lead salts. Under the conditions of acute experiment during 5 days Wistar rats were orally administered the lead acetate solution in the amount of 24 mg per day. Histological studies were carried out at OSMU upon the completion of the experiment. Effect of toxic doses of lead results in symptoms of both hyperkeratosis and destruction of tongue tissue. It is assumed that the oxidative stress and tissue irritation, induced by lead intoxication, causes pathological changes in the shape, height and number of filiform papillae of the tongue. This results in hyperkeratosis, hydropic degradation of the epithelium and in the presence of an inflammatory infiltrate in the connective tissue.

Biological Aspects of the Tongue and Oropharyngeal Cavity of the Eurasian Collared Dove (Streptopelia decaocto, Columbiformes, Columbidae): Anatomical, Histochemical, and Ultrastructure Study

We characterized the morphological and anatomical adaptations of the lingual microstructures of the Eurasian collared dove and discussed their implications for its dietary niche. We analyzed tongues of nine S. decaocto using histological, histochemical, stereomicroscopic, and scanning electron microscopic techniques. Our findings showed that the tongue is relatively short with a tapered apex that carries a terminal lingual nail. However, the lingual body has median scales and is bordered laterally by filiform papillae. Further, the tongue body bears a distinctive papillary crest. The tongue root is nonpapillate and infiltered with orifices of the posterior salivary glands. The bulky laryngeal mound has a circular glottic fissure, carrying a single row of papillae at the rear edge. Concurrently, our histological and histochemical findings demonstrate that the tongue has taste buds, anterior and posterior salivary glands, along with an elongated entoglossum that extends from lingual apex to root. Besides, ovoid and globular mucous glands displayed intense alcianophilic reactions. More substantially, the palate is made up of three palatine ridges with a caudal choanal cleft that was bounded by two rows of palatine papillae. Our data indicate multiple and novel structural variations for the lingual and palatal sculptures coopted for their feeding style.

Clinical case of oral gastrointestinal disorder manifestations

Very often in his practice, the dentist encounters diseases such as recurrent aphthous stomatitis and desquamative glossitis. The incidence of these diseases can vary from 5% to 50% depending on the population studied, diagnostic criteria and environmental factors. These diseases are closely related to diseases of the gastrointestinal tract and may be their first manifestations, which is an urgent problem and requires the joint work of specialists in various fields: dentists and gastroenterologists. Recurrent aphthous stomatitis is characterized by the appearance of aphthae on the oral mucosa and a prolonged course with periodic exacerbations of the process from 1 time in 2 years to an almost continuous course of the disease. Desquamative changes in the tongue appear as smooth, shiny spots of bright red color, surrounded by a gray-white rim of filiform papillae. Two clinical cases are presented, reflecting the need for joint work of doctors of different specialties (dentist, gastroenterologist) for the timely diagnosis and treatment of diseases of the gastrointestinal tract.

Histological and Morphometrical Study of the Filiform Papillae in the Domestic Rabbit (Oryctolagus cuniculus)

The domestic rabbit is often preferred as an experimental model in diverse research and especially those regarding pathologies of the oral cavity, both in human and veterinary medicine. From five domestic mixed breed rabbits, fragments were harvested from the three regions of the tongue: apex, body and root, for histological investigations. The samples were processed by embedding in paraffin, sectioned at a thickness of 5 µm and stained with Goldner’s trichrome method. The histological examination highlighted the presence of the filiform papillae on the entire dorsal surface of the tongue, with morphological particular carachteristics for each portion. The dimension of the filiform papillae of the rabbit’s tongue differs both regarding the length as well as the thickness and density. The shortest filiform papillae were found on the tip of the tongue, then the length increases progressively, reaching the maximum level on the middle portion and decreases in the last portion. The density also differs, in in the three compartments examined, being the highest in the anterior part and the lowest in the posterior part. The thickness of the filiform papillae is inversely proportional to their density. The thickness of the papillae is smaller where the density is higher and highest where the density is lowest. The upper surface of the filiform papillae is variably keratinized depending on the lingual segment. The papillae with the highest level of keratinization are arranged in the body part of the tongue, and those at the tip and root are slightly lower.

A Chemical-Mechanical Tongue Cleaning Method: An Approach to Control Halitosis and to Remove the Invisible Tongue Biofilm, A Possible Cause of Persistent Taste Disorder

Tongue coating or tongue biofilm is the main and most common cause of halitosis, as shown by numerous studies. There are four types of lingual papillae, three of which contain taste buds (vallate, fungiform, and foliate papillae). The filiform papillae are the most numerous and although they do not have taste cells, they surround the fungiform papillae and are in contact with the vallate and foliate papillae, which have taste buds. The anatomy of a single filiform papilla shows that it is not a simple bud coming out of the surface of the tongue, but a group of individual filaments in within the tongue biofilm can accumulate. In case of shear forces exerted on the papillae (i.e., the use of a tongue scraping), the sturdy papillae bend slightly and protect the then embedded biofilm remaining in the interstitial volume. Tongue coating may thus physically limit tastants’ access to taste pores and thus prevents their binding to taste receptors. A chemical-mechanical tongue cleaning technique (DC technique) can reach this biofilm with a better efficiency than the traditional methods to clean the tongue, such as the use of a tongue scraper or a toothbrush. DC technique removed 67,5% more coating than the tongue scraper and 148% more than the toothbrush. Further research should compare these methods concerning taste disorders.

Somatosensory innervation of healthy human oral tissues

The oral somatosensory system relays essential information about mechanical stimuli to enable oral functions such as feeding and speech. The neurochemical and anatomical diversity of sensory neurons across oral cavity sites have not been systematically compared. To address this gap, we analyzed healthy human tongue and hard palate innervation. Biopsies were collected from 12 volunteers and underwent multiplex fluorescent immunohistochemistry (≥2 specimens per marker/structure). Afferents were analyzed for markers of neurons (βIII tubulin), myelinated afferents (neurofilament heavy, NFH), and Merkel cells and taste cells (keratin 20, K20). Hard-palate innervation included Meissner’s corpuscles, glomerular endings, Merkel cell-neurite complexes, and free nerve endings. The organization of these somatosensory endings is reminiscent of fingertips, suggesting that the hard palate is equipped with a rich repertoire of sensory neurons for pressure sensing and spatial localization of mechanical inputs, which are essential for speech production and feeding. Likewise, the tongue is innervated by afferents that impart it with exquisite acuity and detection of moving stimuli that support flavor construction and speech. Filiform papillae contain end bulbs of Krause, as well as endings that have not been previously reported, including subepithelial neuronal densities, and NFH+ neurons innervating basal epithelium. Fungiform papillae had Meissner’s corpuscles and densities of NFH+ intraepithelial neurons surrounding taste buds. The differing compositions of sensory endings within filiform and fungiform papillae suggest that these structures have distinct roles in mechanosensation. Collectively, this study has identified previously undescribed afferent endings in human oral tissues and provides an anatomical framework for understanding oral mechanosensory functions.

Elucidation of a lingual detection mechanism for high-viscosity solutions in humans

While perception of high-viscosity solutions (η>1000cP) is speculated to be linked to filiform papillae deformation, this has not been demonstrated psychophysically. Presently, just-noticeable-viscosity-difference thresholds were determined using the forced-choice staircase...

Microstructure of the Surface of the Tongue and Histochemical Study of the Lingual Glands of the Lowland Tapir (Tapirus terrestris Linnaeus, 1758) (Perissodactyla: Tapiridae)

Although the anatomy of the gastrointestinal tract has been characterized in the lowland tapir (Tapirus terrestris), the exact anatomy of its tongue has not been studied. Samples of the lingual papillae and lingual glands were collected from the tongue of an adult female lowland tapir. The microscopic analysis of the structure of the lingual papillae and the histochemical analysis of the secretion of the lingual glands were analyzed. The tongue of the tapir is divided into the apex, body with a distinct lingual prominence, and the root. Its ventral surface is smooth. The most numerous of the mechanical papillae were the filiform papillae, while numerous conical papillae with a sharp apex or more rounded papillae were present in the root of the tongue. There were also nine vallate papillae and pair of foliate papillae. The foliate papillae contained several folds parted by 12–14 grooves. The mucous secretion produced by the lingual glands was more obvious than the serous secretion. The features of the dorsal surface of the tongue as well as the shape and number of the lingual papillae on the surface of the tongue of the examined female tapir differ compared to Equidae or Rhinocerotidae, the other two representatives of Perissodactyla. However, further study is necessary for the synapomorpy of the tapir’s tongue.