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Black hairy tongue cured concurrently with respiratory infection MDedge 4. Black or hairy tongue A black or hairy tongue is oftentimes harmless. It can be caused by build up of bacteria due to poor oral hygiene, smoking, tobacco or some medications. Man's tongue turned green and hairy due to rare reaction to cigarettes The Mirror Black Hairy Tongue Verified Learning Thick, black 'hairs' coated a man's tongue. Here's why. Live Science
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