Swollen white tongue with wavy scalloped edges, also known as macroglossia, featuring lie bumps along the surface, often linked to medical causes
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7 Treatment Tips for a Scalloped Tongue (Causes & Fixes)

Have you ever opened your mouth and looked in the mirror just to notice some ridges on the sides of your tongue? This condition, known as a scalloped tongue, is a bit concerning. It is more common than you might think, and you can treat it with simple measures.

Let’s discuss everything about a scalloped tongue to increase your knowledge about this condition. 

What Is a Scalloped Tongue?

A scalloped tongue, sometimes called a crenated tongue, is marked by wavy indentation patterns on the tongue’s edges. Usually, the tongue rubbing against your teeth over a long period causes these ridges.

It might seem alarming. But let us assure you that a scalloped tongue is typically harmless. However, in some cases, it can point to health concerns such as thyroid issues, vitamin deficiencies, or hormonal imbalances.

What Causes a Scalloped Tongue?

Close-up of a scalloped, wavy tongue, highlighting potential medical causes such as sleep apnea, stress, or nutritional deficiencies.

Let’s look at the possible causes of why you might get a scalloped tongue: 

1. Tongue Swelling (Macroglossia)

An enlarged tongue often presses against the teeth, creating wavy edges. This swelling can occur due to allergies, infections, or health issues like hypothyroidism.

2. Sleep Disorders

Conditions like sleep apnea may cause people to clench their jaws or push their tongues against their teeth while sleeping. It may lead to scalloping.

3. Thyroid Problems

An underactive thyroid (hypothyroidism) is a common cause of a scalloped tongue. Research suggests that a lot of people with hypothyroidism experience changes in their tongue, including swelling and ridges.

4. Hormonal Imbalances

Imbalances in hormones, especially those controlled by the thyroid or adrenal glands, can lead to tongue changes, including scalloping.

5. Nutritional Deficiencies

Deficiencies in vital nutrients like vitamin B12, iron, or magnesium can change the tongue’s texture and appearance.

6. Stress and Anxiety

Chronic stress can cause habits like clenching your teeth or pressing your tongue against them. It can result in scalloped edges over time.

7. Dental Issues

Poorly fitting dentures, braces, or missing teeth can create uneven pressure on the tongue, leading to scalloping.

Is a Scalloped Tongue Normal?

Generally speaking, a scalloped tongue does not pose that much of an issue. However, it’s best that you stay aware of the additional symptoms. 

It’s better to see a dentist if you have tongue pain, swelling, discolouration, or other changes. 

Read More: Best Natural Antibiotics for Tooth and Gum Infection

Scalloped Tongue and Cancer: Should You Worry?

A scalloped tongue is rarely associated with cancer, but it’s worth noting that changes in your mouth can sometimes point to serious issues like oral cancer.

If you go through symptoms like bleeding, difficulty swallowing, or sores that don’t heal, go see a doctor immediately.  

Scalloped Tongue and Thyroid Problems

A scalloped tongue is commonly linked to thyroid dysfunction, especially hypothyroidism. If you have other symptoms, such as fatigue, weight gain, dry skin, or hair thinning, your thyroid could be the underlying cause. 

A simple blood test can confirm this; treatment often involves thyroid medication.

Scalloped Tongue and COVID-19

Although COVID-19 has been known to cause many oral symptoms, a scalloped tongue is not directly related to the virus

However, pandemic-related stress or other health conditions triggered during this period might lead to tongue changes.

How to Treat a Scalloped Tongue?

The good news? You can treat a scalloped tongue by managing its root cause. Let’s discuss what can you do about it:

1. Treat the Underlying Cause

Finding the cause of the scalloped tongue and taking appropriate action is the first step:

  • Thyroid Problems: If hypothyroidism is the cause, your doctor might prescribe medication like levothyroxine to regulate your thyroid hormones.
  • Vitamin Deficiencies: An iron, vitamin B12, and magnesium-rich diet or supplements are helpful in bringing back the right amounts of these nutrients.
  • Sleep Apnea: CPAP machines and other sleep aids can help lower tongue pressure during the night.

2. Improve Oral Hygiene

Taking care of your mouth can prevent infections and reduce discomfort.Use an antimicrobial mouthwash, floss every day, and brush your teeth twice a day to maintain good dental hygiene.

3. Manage Stress and Anxiety

Since stress is a common factor, practicing relaxation techniques can make a big difference. Consider:

  • Meditation
  • Yoga
  • Breathing Exercises

These practices can help you reduce tongue clenching, especially at night.

4. Fix Dental Issues

Poorly fitting dental appliances can create unnecessary pressure on the tongue. Visiting your dentist to adjust or replace braces, dentures, or crowns can get rid of the problem.

5. Use Anti-Inflammatory Remedies

If tongue swelling is an issue, anti-inflammatory treatments can help. Your doctor may recommend over-the-counter medications or natural remedies like ice packs to reduce swelling.

6. Chug Your Water

Drink lots of water throughout the day because dehydration can worsen tongue swelling.

7. Consider Tongue Therapy

Exercises to strengthen and reposition the tongue may help reduce pressure on the teeth and prevent scalloping.

Does a Scalloped Tongue Go Away?

Yes, a scalloped tongue can improve or even completely go away once the underlying issue is addressed. 

If a vitamin shortage is the cause, for example, taking supplements can cure the disease in a few weeks. In the same way, noticeable changes can result from tackling a thyroid issue or managing stress.

People Also Ask

1. What is a scalloped tongue a symptom of?

It may be a sign of stress, nutritional shortages, hypothyroidism, or sleep apnea.

2. What does a thyroid tongue look like?

A thyroid tongue is often swollen and has ridges along the sides. It may also appear pale or enlarged.

3. What hormone imbalance causes a scalloped tongue?

Hormones related to the thyroid and adrenal glands are often responsible.

4. How to get rid of a scalloped tongue?

Address the root cause, improve oral hygiene, manage stress, and consult your doctor for treatments.

Take Action Today for Your Tongue!

Noticed a scalloped tongue? Don’t panic. Start by consulting a doctor to understand the root cause. Treatment is available, whether it’s a simple vitamin deficiency or a more complex condition like hypothyroidism.Need expert help?
Visit Arizona Pediatric Dentistry for professional advice and care. A healthy tongue is just one step toward a healthier you.

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