National Dental Assisting Examining Board (NDAEB) Practice Exam

Which of the following is a key characteristic of geographic tongue?

1. Presence of white patches

2. Change in patterns on the tongue surface

3. Swollen gum tissues

4. Painful lesions

The correct answer is: Change in patterns on the tongue surface

Geographic tongue, also known as benign migratory glossitis, is characterized by a distinctive pattern change on the surface of the tongue. The condition involves irregular, smooth, red patches on the dorsal surface of the tongue, which can appear to migrate over time, giving it a "geographic" appearance. These changes occur due to the loss of papillae in certain areas of the tongue, resulting in the characteristic appearance of red patches surrounded by white borders. While other conditions may involve white patches, swollen gums, or painful lesions, these are not defining characteristics of geographic tongue. The hallmark of this condition is its dynamic, shifting pattern, which is primarily what distinguishes it from other oral lesions or conditions affecting the tongue. Understanding this characteristic is crucial for proper identification and reassurance for patients, as geographic tongue is considered non-serious and often does not require treatment.