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23 years
I have a white layer on my tongue since i was child now i would like to know how to solve it cz when i brush my tongue it will hide a little bit and then if i eat or drink again the same any solution?
Jan 28, 2015
2nd opinion

Dr. Zakia Dimassi Pediatrics
White tongue is composed of a layer of debris, bacteria and dead cells on the tongue that makes it look white. White tongue occurs when there is inflammation of the finger-like projections (papillae) on the surface of the tongue. The white coating is due to accumulation debris, bacteria and dead cells in between the inflamed papillae.
Causes of inflammation include:
• Dehydration
• Dry mouth
• Excessive alcohol use
• Fever
• Smoking
Avoiding the triggers, when possible, will help reduce a white coated tongue. Regular and rigorous oral hygiene (daily tooth brushing and gentle tongue cleansing plus dental flossing) is a pillar in maintaining a healthy oral environment.
Visit your dentist for a more thorough evaluation.

Other possible yet less likely causes include:
• Leukoplakia: Leukoplakia is a common condition that results in a painless white patch in the mouth, which sometimes appears on the tongue. The presence of this white patch is due to the deposition of too many cells being produced from the lining of the mouth, in addition to a protein called keratin. Leukoplakia can appear from tongue irritation and is linked to excessive alcohol consumption and smoking. This condition is not considered serious but in few cases it may develop into a malignancy, often many years or even decades after it first appears. In order to distinguish between a simple case of coated tongue or leukoplakia, you need to consult your dentist. Regular check up by the dentist is also necessary to ensure that any leukoplakia is not increasing in size or changing, or that new areas of leukoplakia are not developing. 
• Oral lichen planus: this is a long-term condition whereby disorder of the local immune system in the mouth leads to the formation of white lacy streaks and white patches in the mouth, including on the tongue. Mild cases are usually without symptoms, though some burning sensation and discomfort, painful red gums and sore patches in the lining of the mouth are reported. The exact cause of oral lichen planus is unknown. It is not hereditary notcontagious. Mild cases do not require treatment. More severe cases can be managed with an antiseptic mouthwash plus steroid sprays or steroid tablets dissolved in water to make a mouth rinse. 
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