Pathology · single question

First-line treatment for hairy tongue is:

  1. Essential oils / improved oral hygiene
  2. Antiviral therapy
  3. Antifungal therapy
  4. Antibiotic therapy
Show answer and explanation

Correct answer: A. Essential oils / improved oral hygiene

  • A. Correct. Hairy tongue (black hairy tongue) is treated by eliminating contributing factors (antibiotics, tobacco, poor hygiene) and improving oral hygiene — gentle tongue brushing and use of essential oil-based mouthwashes. No medication is typically needed.
  • B. Antivirals are not indicated; hairy tongue is not a viral infection.
  • C. Antifungals would only be needed if concurrent oral candidiasis is present.
  • D. Antibiotics may actually cause or worsen hairy tongue by disrupting oral flora.

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