Newer Classification System for Fissured Tongue: An Epidemiological Approach

Abstract

Introduction. Fissured tongue is a commonly encountered tongue disorder in dental practice. But there is a lack of data on different pattern, severity, and association of fissuring with various systemic disorders and other tongue anomalies. This study attempts to establish a classification system for fissured tongue and to know the correlation with the systemic health and other disorders of the tongue. Materials and Methods. A total of 1000 subjects between the age groups of 10 and 80 years were included in the study. Pattern of fissuring, allied systemic diseases, and related tongue anomalies were tabulated. Results. Out of 1000 subjects, 387 subjects presented with fissured tongue. Out of 387 subjects, hypertension was present in 57 cases, 18 subjects had diabetes, and 3 subjects had both hypertension and diabetes. Central longitudinal type was found to be the most common type of tongue fissuring. Conclusion. Fissured tongue has been found to be associated with certain systemic disease and further researches are required to know positive correlation. If a correlation exists, such disorders could be diagnosed earlier by identifying fissured tongue at an earlier age.

Investigation of the clinical features of geographic tongue: unveiling its relationship with oral psoriasis

“…Our results are above the normal averages, and this may be attributed to the advanced age of the patients and the diagnostic variations in the studies. Based on the newer classification system for FT proposed by Sudarshan et al ., our results show that the fissuring pattern predominantly observed was of the branching and diffused types, and these were mainly associated with severe lesions. We also observed that 94% of the lesions were severe in the PS group compared to 76% in the NPS group.…”

“…). FT was also classified according to the method proposed by Sudarshan et al ., which was based on the fissuring pattern of the tongue and the number of fissures (Figs and ). The study was approved by the Research Ethics Committee (19072613.3.0000.5243).…”

Investigation of the psychological factors associated with fissured tongue

“…The etiology and pathogenesis of FT remain obscure and controversial [1,5]. FT has been associated to nutrition deficiencies, systemic diseases and syndromes [1,2,22]. Most FT epidemiological studies show a mean prevalence of 1 to 11%, usually varying with age [1,23].…”

Coexistence of fusion and concrescence of primary teeth: in a child with Down syndrome

“…There was a presence of double teeth like appearance of teeth #61 and #62 suggestive of fusion of the teeth. Other intraoral findings included narrow and deep palate (Figure ) with tongue exhibiting moderate, central transverse type fissures and macroglossia (Figure ). Clinical crown of tooth #61 and/or tooth #62 was wider mesiodistally than its normal counterpart.…”