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  • Writer's pictureDr Samintharaj Kumar

Plica Fimbriate of the Tongue

As a dental surgeon, I have encountered many patients with different oral health concerns, including plica fimbriata of the tongue. This condition is characterized by small, finger-like projections on the underside of the tongue that can become inflamed and painful. While conservative treatments are often successful, surgical options may also be considered.


When a patient presents with plica fimbriata, I perform a comprehensive oral examination, including the tongue and surrounding tissues. In some cases, the condition can be caused by an infection, injury, or irritation, which can be resolved with conservative treatments such as warm saltwater rinses and over-the-counter pain relievers. However, if the condition is persistent or causing significant discomfort, surgical options may be explored.


One such option is laser surgery. This is a minimally invasive procedure that uses a high-powered laser to remove the inflamed tissue. The procedure is quick, safe, and effective, with a relatively short recovery time. Laser surgery can also be used to remove other oral growths, such as oral fibromas or papillomas.


Another surgical option is excisional biopsy. In this procedure, the affected tissue is surgically removed, and a small piece is sent to a laboratory for testing to rule out any underlying medical conditions. This option is typically recommended for patients who have persistent or worsening symptoms or a higher risk of developing oral cancer.

In some cases, cryotherapy may be recommended. This is a procedure that uses liquid nitrogen to freeze and destroy the affected tissue. Cryotherapy is typically used for small lesions and is relatively quick and painless.


It is important to note that surgical options are typically reserved for more severe cases of plica fimbriata or cases where conservative treatments have been ineffective. Any surgical procedure carries some degree of risk, and it is important to discuss the benefits and potential risks with your dental surgeon before deciding on a course of treatment.

In conclusion, plica fimbriata is a common condition that can cause discomfort and irritation.


While conservative treatments are often successful, surgical options may be considered for persistent or severe cases. As a dental surgeon, I prioritize providing my patients with the best possible care and treatment, and surgical options can be an effective solution for those who need them. If you are experiencing any abnormality in your mouth or tongue, seek professional dental care to determine the best course of treatment for your individual needs.

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