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Tongue

  • The tongue is a muscular organ primarily responsible for the sense of taste (gustation), as well as being crucial for speech, chewing, and swallowing.

  • It is composed of several structures that work together to detect and process tastes and perform its other functions.

Illustration of human tongue
Illustration of human tongue

Structure of the Tongue:

  • The tongue is a muscular organ in the mouth that plays a vital role in taste, speech, chewing, and swallowing.

  • It consists of several parts:

Structure of the Tongue
Structure of the Tongue

1. Muscles of the Tongue:

  • Intrinsic Muscles: Responsible for the tongue’s shape and movement (e.g., lengthening, shortening, curling, and flattening).

  • Extrinsic Muscles: Attach the tongue to surrounding structures (like the jawbone) and allow it to move in different directions (up, down, side-to-side).

2. Surface of the Ton:

  • Papillae: Tiny, raised structures on the surface of the tongue that contain taste buds. There are four types of papillae:

I. Fungiform Papillae: Located mainly at the front of the tongue and contain taste buds.

II. Circumvallate Papillae: Large papillae located at the back of the tongue in a V-shaped pattern, also containing taste buds.

III. Foliate Papillae: Found on the sides of the tongue and house taste buds.

IV. Filiform Papillae: These are the most numerous and do not contain taste buds; instead, they provide the tongue with texture and help in gripping food.

  • Taste Buds: Sensory receptors located on the papillae, responsible for detecting taste. There are about 2,000 to 8,000 taste buds on the tongue, and each taste bud contains specialized taste cells.

  • Lingual Tonsils: Located at the base of the tongue, they are part of the immune system and help protect the body from infections.

3. Other Structures:

  • Dorsum: The upper surface of the tongue.

  • Ventral Surface: The underside of the tongue, which is smooth and contains blood vessels.

  • Frenulum: A small fold of tissue that connects the underside of the tongue to the floor of the mouth.

Mechanism of Taste (Gustation):

1. Taste Stimulation:

  • When food or drink enters the mouth, it dissolves in saliva, allowing chemicals (tastants) to come into contact with the taste buds.

2. Activation of Taste Buds:

  • The taste buds contain specialized taste receptor cells, which respond to five primary taste sensations:

A. Sweet: Sugars and certain amino acids.

B. Salty: Sodium ions in foods.

C. Sour: Acids (such as citrus fruits).

D. Bitter: Compounds that are often toxic (like alkaloids in some plants).

E. Umami: Savory flavors, typically associated with glutamates (found in meats, cheese, and certain vegetables).

3. Signal Transmission:

  • Once the taste receptor cells are activated, they send electrical signals to the brain via three cranial nerves:

A. Facial Nerve (Cranial Nerve VII): Carries taste information from the front two-thirds of the tongue.

B. Glossopharyngeal Nerve (Cranial Nerve IX): Transmits taste sensations from the back one-third of the tongue.

C. Vagus Nerve (Cranial Nerve X): Provides taste information from areas like the throat and epiglottis.

4. Brain Processing:

  • The signals are sent to the brainstem and then relayed to the gustatory cortex in the brain, where they are interpreted as different tastes.

Diseases of the Tongue:

1. Glossitis:

  • Inflammation of the tongue, which can cause swelling, redness, and changes in texture.

  • It may result from infections, allergies, or nutritional deficiencies.

2. Geographic Tongue:

  • A condition characterized by irregular, smooth patches on the tongue's surface.

  • Though typically harmless, it can cause discomfort or sensitivity to certain foods.

3. Oral Thrush (Candidiasis):

  • A fungal infection of the tongue, commonly seen in people with weakened immune systems or after antibiotic use. It appears as white patches on the tongue.

4. Tongue Cancer:

  • A type of cancer that affects the tongue, often presenting as a persistent sore or lump on the tongue that doesn’t heal.

5. Black Hairy Tongue:

  • A harmless condition where the filiform papillae become elongated and discoloured, giving the tongue a black, hairy appearance.

  • It’s often caused by poor oral hygiene or smoking.

6. Burning Mouth Syndrome:

  • A condition where the tongue feels a burning sensation, often without an identifiable cause.

7. Taste Disorders:

  • These include:

A. Ageusia: Complete loss of taste.

B. Hypogeusia: Reduced ability to taste.

C. Dysgeusia: A distortion of the sense of taste, often resulting in a metallic or bitter taste

Functions of the Tongue:

1. Taste Sensation:

  • The tongue is the primary organ for the sense of taste, detecting the five basic taste sensations: sweet, salty, sour, bitter, and umami.

2. Speech:

  • The tongue plays a crucial role in articulation and phonation.

  • It works with other parts of the mouth (teeth, lips, palate) to form sounds and help produce words.

3. Chewing and Swallowing (Mastication and Deglutition):

  • The tongue helps move food around the mouth during chewing and mixes it with saliva.

  • It also pushes food toward the back of the throat for swallowing.

4. Cleansing:

  • The tongue helps in cleaning the mouth by moving food particles and preventing debris from getting stuck between the teeth.

5. Immune Response:

  • The lingual tonsils on the back of the tongue are part of the immune system, helping protect the body from infections by trapping and filtering pathogens.

6. Sensation:

  • The tongue has tactile receptors that help sense temperature and texture, allowing you to detect if food is too hot, too cold, or the texture is unusual.


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