Transient Lingual Papillitis (TLP) is an inflammatory condition that is also widely called lie bumps or a liar’s tongue. This inflammatory condition affects the papillae (Papillae are small bumps on the tongue that give it its rough texture and help you taste and grip food) on the tongue.  

 

So, Transient Lingual papillitis could cause small, red and slightly painful bumps on the tip of the tongue along with some disturbing symptoms when they become inflamed with papillae. But you need not worry about lie bumps as these disturbing symptoms usually go away within a few days, and also, it is not a serious condition. We have explained more about these treatable conditions in this blog post.

 

What are the symptoms of transient lingual papillitis?

 

The symptoms of transient lingual papillitis vary based on the type of TLP condition that you are affected by. But some of the common symptoms of transient lingual papillitis include,

 

  • Presence of inflamed, swollen, or irritated papillae on the tongue.
  • Small red or white bumps on the tip or back of the tongue.
  • Burning sensation.

 

This inflammation is a common symptom of TLP. A study proves that most of the affected individuals have general TLP, and 9 out of 11 were symptomatic. But the severity, causes and how long it lasts vary based on the type of TLP condition you are affected by. We have explained that below.

 

Types of Transient Lingual Papillitis

  1. Localized Transient Lingual Papillitis
  2. Eruptive Lingual Papillitis (Pediatric TLP)
  3. Papulokeratotic Transient Lingual Papillitis
  4. U-Shaped Transient Lingual Papillitis

 

Localized Transient Lingual Papillitis

Localized TLP is the most common type. It occurs when one or more papillae become inflamed from the same area, either side or tip of the tongue. These inflamed papillae appear as small, red, or white bumps that may feel tender or sore.

 

Symptoms of localized TLP

  • Pain and discomfort during eating or talking, particularly when consuming spicy or acidic foods.
  • Sensitivity to hot foods.
  • A burning, tingling, or itching tongue.

Symptoms of localized transient lingual papillitis typically last 1-2 days and resolve on their own without medical intervention. 

 

Causes of localized TLP

The exact cause of localized TLP is not known. However, some possibilities are that it is often triggered by mechanical irritation, such as biting the tongue or consuming rough-textured foods or hot foods.

 

Eruptive Lingual Papillitis (Pediatric TLP)

This form of TLP is primarily seen in children but can also appear in adults. It is sometimes contagious, likely due to viral infections. Eruptive Lingual Papillitis may appear in red, white, or yellow bumps on the tip and sides of the tongue.

 

Symptoms of Eruptive Lingual Papillitis

  • Fever
  • Swollen lymph nodes
  • Irritability in children
  • Pain during eating
  • Excessive saliva

Symptoms of eruptive lingual papillitis can last for up to a week and may require medical evaluation if they persist. 

 

Causes of Eruptive Lingual Papillitis

The exact cause of eruptive lingual papillitis is unknown. But some possible causes are 

  • Viral infections
  • Poor hygiene and close contact with infected individuals.

 

Papulokeratotic Transient Lingual Papillitis

Papulokeratotic TLP is a rarer form that causes multiple yellow or white-colored painless bumps all over the tongue. This type is different from all other types as it lasts long and does not cause any pain or discomfort. 

 

Symptoms of Papulokeratotic Transient Lingual Papillitis

Unlike other types of TLP, this form is generally asymptomatic and painless.  Though the bumps may feel rough to the touch. 

 

Cause of Papulokeratotic Transient Lingual Papillitis

The exact cause of papulokeratotic transient lingual papillitis is unknown. However, it is often linked to chronic irritation, such as repeated tongue friction or dietary factors.

 

U-Shaped Transient Lingual Papillitis

U-shaped TLP is a rarer presentation where the inflammation forms a noticeable pattern along the tongue’s edges resembling a “U” shape. It causes a swollen tongue known as macroglossia. It is also one of the covid 19 symptoms.

 

Symptoms of U-shaped transient Lingual Papillitis

  • Swollen papillae along the sides of the tongue
  • Increased sensitivity to hot, spicy, or acidic foods. 
  • The affected areas may feel tender or rough.

U-shaped transient lingual papillitis typically lasts for a few days to a week.

 

Causes of U-Shaped Transient Lingual Papillitis

The exact cause of U-shaped transient lingual papillitis is unknown, But some possible triggers include dietary irritants, allergic reactions, or persistent friction from dental appliances or sharp teeth.

 

Who is more likely to be affected by TLP

Anyone can be affected by TLP. However, some studies prove that some groups are more likely to be affected. They are,

 

  • People assigned female at birth
  • Individuals with a family history of TLP
  • People with allergies to certain foods.

 

Diagnosis and Treatment of Transient Lingual Papillitis

Diagnosis

 

Transient Lingual Papillitis (TLP) is usually diagnosed based on clinical examination and patient-reported symptoms. A dentist will inspect the tongue for characteristic signs, such as inflamed, swollen, or irritated papillae. In most cases, no additional tests are required as TLP is self-limiting and poses no long-term risks.

 

Treatment

Treatment for TLP focuses on relieving the symptoms as the condition typically resolves on its own within a few days to a week. Some of the treatment methods done to make the TLP asymptomatic are,

 

Home Care

  1. Good Oral Hygiene: Brushing and flossing regularly, combined with using a mild antiseptic mouthwash, helps prevent secondary infections. 
  2. Avoiding Irritants: Refrain from consuming spicy, acidic, or hot foods and beverages that can exacerbate discomfort. 
  3. Cold Compress: Applying a cold or ice pack wrapped in a clean cloth to the affected area can reduce swelling and numb pain. 
  4. Saltwater Rinse: Gargling with warm salt water soothes irritation and promotes healing.

 

Over-the-Counter Remedies

  1. Topical Anesthetics: Products containing benzocaine or lidocaine can numb the area, providing temporary pain relief. 
  2. Anti-inflammatory Gels: The application of oral gels or ointments can help reduce swelling. 
  3. Pain Relievers: Non-prescription painkillers like ibuprofen or acetaminophen may alleviate discomfort.

 

When to See a Doctor

In most cases, visiting the dentist is not required for TLP. But it is needed when,

  • Symptoms persist for more than a week. 
  • The bumps are recurrent or worsen over time. 
  • Accompanying symptoms like fever, swollen lymph nodes, or severe pain occur.

 

Takeaway

Lie bumps or transient lingual papillitis is a nonrisky condition that goes away on its own without any medical intervention. Home remedies can be used to get rid of painful or disturbing symptoms of TLP. But consulting the dentist is necessary if you notice any changes in your tongue and that does not go away after two weeks. Contact Surya Dental Care Specialists for consultation, diagnosis, and treatment of transient lingual papillitis.