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Dermatologic Clinic: Plaque on Tongue Clinical Advisor Black HAIRY TONGUE Possible predisposing factors in this 62 yr old male were; Excessive alcohol intake Tobacco abuse Previous head neck radiotherapy Poor oral hygiene #oralpathology #oralmedicine #oraldiagnosis 4. Black or hairy tongue A black or hairy tongue is oftentimes harmless. It can be caused by build up of bacteria due to poor oral hygiene, smoking, tobacco or some medications. Black hairy tongue syndrome PMC A Man Presented to Doctors in India a Black, Hairy Tongue: Report Business Insider
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