The aim of the study was to assess the prevalence of tongue lesions in
a district population, in Budapest, called regularly for X-ray lung e
xaminations. Oral examinations of 7820 individuals were performed, 42%
were over 60 yr of age, 42.9% were men and 57.1% women. Tongue altera
tions were found in 18.52% of the examined individuals, more frequentl
y in women than in men. Lingua fissurata has been diagnosed in 8.8%, g
eographic tongue in 3.0% of the examined subjects. Atrophic lesions of
the tongue were found in 6.37%, among them 5.42% central papillary at
rophy (median rhomboid glossitis): 0.35% of the total sample. Manifest
clinical symptoms of oral Candidiasis were found in 2.15% of the tota
l sample, and in 4.28% of patients with tongue lesions. The occurrence
of oral leukoplakia and lichen in patients with tongue lesions was re
spectively 0.47 and 0.07%. The prevalence of tongue alterations was co
nsistent with the literary data, the oral screening attached to the X-
ray lung examinations proved to be useful in detecting changes of the
oral mucosa.