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The elongated filiform papillae can then collect debris, bacteria, fungus, or other foreign materials.1 In an extensive literature review of reported cases of drug-induced BHT, 82% of the cases were caused by antibiotics ( Figure 37-2 ).1 Dry mouth (xerostomia) from medications, tobacco, and radiation therapy can lead to BHT.1 Risk Factors See reference 1.

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