Transient Lingual Papillitis - Wikipedia

Medical condition

Transient lingual papillitis
Other names	Fungiform papillary glossitis,[1] Eruptive lingual papillitis,[2] Lie bumps),[2]

Transient lingual papillitis (TLP) is a medical term for painful, hypertrophic, red, and white lingual papillae on the tongue.[3] TLP is also called lie bumps and fungiform papillary glossitis. This condition has four types: classic form, transient u-shaped lingual papillitis, papulokeratotic variant, and eruptive lingual papillitis.[4] TLP can occur in early childhood and can come back from time to time due to various causes that include stress, spicy foods, poor oral hygiene, and dental work.[5] TLP can be diagnosed at the dentist's office, and treatments are provided only to help manage or decrease the symptoms. This condition normally lasts 1-2 days, but depending on the type it can last up to 15 days.[4] In folklore, it was said if someone was caught telling a lie, a bump was formed on their tongue and if there were a lot of bumps, then it made that person a compulsive liar.[5]

Cause

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Transient lingual papillitis can affect males and females as early as 8 years of age.[6] In many cases, the cause is unknown. Some dental professionals believe the inflammation is due to chronic irritation from teeth, fillings, or dental appliances.[7] Body changes, stress, poor nutrition, smoking, and alcohol use may also be initiating factors.[7]

Diagnosis

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Transient lingual papillitis is generally diagnosed based on patient presentation, meaning where it is located in the mouth and how big the bump is.[8] The visual presentation can also accompany various signs and symptoms such as difficulty eating, having a "strawberry tongue", increased saliva production, and a burning or tingling sensation.[9] The dentist will go over the patient's medical history and ask what type of foods have been recently eaten and determine what kind of toothpaste and mouthwash have been recently used, as these factors can help to determine why TLP occurred. Depending on how severe the tongue looks, and how long the pain has been persisting, the dentist will take a tongue biopsy to see if any underlying bacteria or viruses are causing TLP.[10]

Types

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Classic form

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This type has one or two reddish or white bumps near or on the tip of the tongue. This condition can last from a few hours to 2 days, and it usually resolves without treatment.[11]

Papulokeratotic variant

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This type is non-painful and presents with white bumps all over the tongue. This condition can reoccur frequently.[11] There is no established cause as to why the variant reoccurs, however, environmental factors such as stress can upsurge the frequency of this variant.[10]

Transient U-shaped lingual papillitis

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It is suggested that this type can occur from having SARS-CoV-2, oxygen therapy, or poor oral hygiene care. These bumps will occur on the dorsal and anterior part of the tongue and come with tongue swelling.[11]

Eruptive lingual papillitis

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This type may be contagious and is very painful with red and white bumps all over the tongue. This condition can last up to 15 days and may be associated with swollen lymph nodes and a fever. This is more prevalent in children than adults.[11][12]

Treatments

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While there is no pinpoint cure to treat this condition, some items can decrease the pain such as antiseptic mouthwash and saltwater mouth rinses. Corticosteroids or topical steroids, coating medication, and antihistamines could also help alleviate the pain when it first starts.[13] It is advised to practice oral hygiene, especially with children, and to avoid hot and spicy foods to avoid irritations on your tongue and the possibility of TLP reoccurrence.[14]

References

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1. ^ Marks, R.; Scarff, C.E.; Yap, L.M.; Verlinden, V.; Jolley, D.; Campbell, J. (October 2005). "Fungiform papillary glossitis: atopic disease in the mouth?". British Journal of Dermatology. 153 (100, 000, 000, 000): 740–745. doi:10.1111/j.1365-2133.2005.06577.x. PMID 16181454.
2. ^ a b Roux, O.; Lacour, J.P.; Paediatricians of the Region Var-Cote D'Azur (February 2004). "Eruptive lingual papillitis with household transmission: a prospective clinical study". British Journal of Dermatology. 150 (2): 299. doi:10.1111/j.1365-2133.2004.05703.x. PMID 14996101.
3. ^ Roux, O.; Lacour, J. P.; Paediatricians of the Region var-Côte d'azur (2004-02-02). "Eruptive lingual papillitis with household transmission: a prospective clinical study". The British Journal of Dermatology. 150 (2): 299–303. doi:10.1111/j.1365-2133.2004.05703.x. ISSN 0007-0963. PMID 14996101.
4. ^ a b "Lie bumps: Symptoms, causes, and treatment". www.medicalnewstoday.com. 2017-12-10. Retrieved 2024-11-23.
5. ^ a b "Transient Lingual Papillitis (Lie Bumps)". Cleveland Clinic. 2023-11-06. Retrieved 2024-11-22.
6. ^ Kalogirou, Em; Tosios, Ki; Nikitakis, Ng; Kamperos, G; Sklavounou, A (2016). "Transient lingual papillitis: A retrospective study of 11 cases and review of the literature" (PDF). Journal of Clinical and Experimental Dentistry: 0. doi:10.4317/jced.53283. PMC 5268094. PMID 28149482.
7. ^ a b "Transient Lingual Papillitis: Location, Symptoms And Treatment". www.colgate.com. Retrieved 2024-11-23.
8. ^ Kalogirou, Em; Tosios, Ki; Nikitakis, Ng; Kamperos, G; Sklavounou, A (2016). "Transient lingual papillitis: A retrospective study of 11 cases and review of the literature" (PDF). Journal of Clinical and Experimental Dentistry: 0. doi:10.4317/jced.53283. PMC 5268094. PMID 28149482.
9. ^ Flaitz, C. M.; Chavarria, C. (2001). "Painful tongue lesions associated with a food allergy". Pediatric Dentistry. 23 (6): 506–507. ISSN 0164-1263. PMID 11800452.
10. ^ a b "Transient lingual papillitis". DermNet®. 2023-10-26. Retrieved 2024-11-23.
11. ^ a b c d "Lie bumps: Symptoms, causes, and treatment". www.medicalnewstoday.com. 2017-12-10. Retrieved 2024-11-23.
12. ^ "Transient lingual papillitis". DermNet®. 2023-10-26. Retrieved 2024-11-23.
13. ^ Halwani, Manal Ahmed (2021-09-15). "Non-painful severe variant form of eruptive lingual papillitis: A case report and literature review". Dermatology Reports. 13 (2). doi:10.4081/dr.2021.9020. ISSN 2036-7406. PMC 8451071. PMID 34659672.
14. ^ Brannon, Robert B; Flaitz, Catherine M (2003-08-08). "Transient lingual papillitis: a papulokeratotic variant". Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 96 (2): 187–191. doi:10.1016/S1079-2104(03)00298-1.

v t e Oral and maxillofacial pathology
Lips Cheilitis Actinic Angular Plasma cell Cleft lip Congenital lip pit Eclabium Herpes labialis Macrocheilia Microcheilia Nasolabial cyst Sun poisoning Trumpeter's wart
Tongue Ankyloglossia Black hairy tongue Caviar tongue Crenated tongue Cunnilingus tongue Fissured tongue Foliate papillitis Glossitis Geographic tongue Median rhomboid glossitis Transient lingual papillitis Glossoptosis Hypoglossia Lingual thyroid Macroglossia Microglossia Rhabdomyoma
Palate Bednar's aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus
Oral mucosa – Lining of mouth Amalgam tattoo Angina bullosa haemorrhagica Behçet's disease Bohn's nodules Burning mouth syndrome Candidiasis Condyloma acuminatum Darier's disease Epulis fissuratum Erythema multiforme Erythroplakia Fibroma Giant-cell Focal epithelial hyperplasia Fordyce spots Hairy leukoplakia Hand, foot and mouth disease Hereditary benign intraepithelial dyskeratosis Herpangina Herpes zoster Intraoral dental sinus Irritation fibroma Leukoedema Leukoplakia Lichen planus Linea alba Lupus erythematosus Melanocytic nevus Melanocytic oral lesion Molluscum contagiosum Morsicatio buccarum Oral cancer Benign: Squamous cell papilloma Keratoacanthoma Malignant: Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker's melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga–Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus
Teeth (pulp, dentin, enamel) Amelogenesis imperfecta Ankylosis Anodontia Caries Early childhood caries Concrescence Failure of eruption of teeth Dens evaginatus Talon cusp Dentin dysplasia Dentin hypersensitivity Dentinogenesis imperfecta Dilaceration Discoloration Ectopic enamel Enamel hypocalcification Enamel hypoplasia Turner's hypoplasia Enamel pearl Fluorosis Fusion Gemination Hyperdontia Hypodontia Maxillary lateral incisor agenesis Impaction Wisdom tooth impaction Macrodontia Meth mouth Microdontia Odontogenic tumors Keratocystic odontogenic tumour Odontoma Dens in dente Open contact Premature eruption Neonatal teeth Pulp calcification Pulp stone Pulp canal obliteration Pulp necrosis Pulp polyp Pulpitis Regional odontodysplasia Resorption Shovel-shaped incisors Supernumerary root Taurodontism Trauma Avulsion Cracked tooth syndrome Vertical root fracture Occlusal Tooth loss Edentulism Tooth wear Abrasion Abfraction Acid erosion Attrition
Periodontium (gingiva, periodontal ligament, cementum, alveolus) – Gums and tooth-supporting structures Cementicle Cementoblastoma Gigantiform Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival fibromatosis Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething
Periapical, mandibular and maxillary hard tissues – Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: periapical Dentigerous Buccal bifurcation Lateral periodontal Globulomaxillary Calcifying odontogenic Glandular odontogenic Non-odontogenic: Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget's disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis
Temporomandibular joints, muscles of mastication and malocclusions – Jaw joints, chewing muscles and bite abnormalities Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction Condylar hypoplasia Condylar hyperplasia
Salivary glands Benign lymphoepithelial lesion Ectopic salivary gland tissue Frey's syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: Acinic cell carcinoma Adenocarcinoma Adenoid cystic carcinoma Carcinoma ex pleomorphic adenoma Lymphoma Mucoepidermoid carcinoma Sclerosing polycystic adenosis Sialadenitis Parotitis Chronic sclerosing sialadenitis Sialectasis Sialocele Sialodochitis Sialosis Sialolithiasis Sjögren's syndrome
Stomatognathic system – Teeth, jaws, tongue and associated soft tissues Bruxism Mouth breathing Sleep apnea Catathrenia Central hypoventilation syndrome Obesity hypoventilation syndrome Obstructive sleep apnea Periodic breathing Snoring
Orofacial soft tissues – Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig's angina Macrostomia Melkersson–Rosenthal syndrome Microstomia Noma Oral Crohn's disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans
Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease

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