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5 Factors that increase the risk of developing black hairy tongue Poor oral hygiene Smoking or chewing tobacco, alcohol, illicit drugs Certain medications 6 : antibiotics (like tetracycline), psychiatric medications (especially ones that cause xerostomia), and chemotherapeutic agents Mouthrinses 7 : chlorhexidine gluconate and other oxidizing mouthrinses Systemic illness 8 : immunocompromised patients such as those with AIDS, advanced cancer, graft-versus-host disease, amyotrophic lateral sclerosis, chronic xerostomia, or who have received recent radiation therapy to the head or neck COVID-19 Black hairy tongue should be differentiated from fake black tongue (pseudoblack hairy tongue), which can occur when the tongue becomes stained from coffee/tea, food coloring, or medications that contain bismuth subsalicylate (Pepto-Bismol) Treatment for black hairy tongue Aside from looking scary, black hairy tongue is benign

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can also adjust the airflow under the bottom, that helps adjust the amount of smoke

The CMS measure of healthcare expenditure is industry-based, and classifies most expenditure by healthcare provider organizations as healthcare related