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Pathology · single question

What is the treatment for hairy tongue?

  1. Essential oils oral rinse only
  2. Antifungals and eliminate contributing factors
  3. Systemic corticosteroids
  4. Surgical laser ablation
Show answer and explanation

Correct answer: B. Antifungals and eliminate contributing factors

  • A. Incorrect. Essential oils alone are not established evidence-based treatment for hairy tongue.
  • B. CORRECT. Treatment of hairy tongue involves antifungal agents if Candida is present, AND eliminating contributing factors: tobacco cessation, discontinuing broad-spectrum antibiotics if possible, improved oral hygiene (tongue brushing), adequate hydration, and reducing coffee/tea intake.
  • C. Incorrect. Corticosteroids are used for immune-mediated inflammatory conditions, not hairy tongue.
  • D. Incorrect. Laser is not a standard primary treatment for hairy tongue.

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