The photo above is a perfect example of what can happen when bacterial overgrowth occurs.  As the filiform papilla or “fibers” on the top surface of the tongue grow in length, they also stain very easily.  Dry mouth, smoking, the use of antacids or certain medications and poor hygiene are all predisposing factors.

This patient took a round of antibiotics and we believe this combined with dry mouth may have caused this temporary harmless condition.

A tongue scraper was demonstrated along with instructions for drinking adequate amounts of water daily and keeping up with great brushing and flossing.