A scalloped tongue is the wavy or rippled indentations that appear along the sides of a person’s tongue. A scalloped tongue is also known as:

  • wavy tongue
  • pie crust tongue
  • crenated tongue
  • lingua indentata

The notches of a scalloped tongue are rarely painful. Any pain may be the result of the underlying condition that’s causing the ripples.

A scalloped tongue is rarely a sign of a very serious problem, such as cancer. However, that doesn’t mean a scalloped tongue is nothing to be worried about.


In most cases, a scalloped tongue occurs due to swelling or inflammation of the tongue. Tongue swelling is also called macroglossia. Each cause of macroglossia or swelling of the tongue results in other symptoms too. Knowing the different symptoms can help you understand what might be at the root of your tongue issues.

Genetic condition or birth defect

Some disorders or diseases you’re born with may lead to macroglossia and a scalloped tongue. These include:

  • Down syndrome
  • congenital hypothyroidism
  • Apert syndrome

Each of these conditions has unique symptoms.


This thyroid disorder is characterized by low levels of thyroid hormone. When thyroid hormone levels are low, you may experience the following symptoms in addition to tongue swelling and scalloped edges:

  • hair loss
  • tiredness
  • aches and cramps
  • bruising
  • low blood pressure


A buildup of proteins in organs characterizes this disease. The accumulation can occur in your organs and soft tissues, including your tongue. If it occurs in the tongue or mouth, you may experience swelling or inflammation. The large, swollen tongue can push against your teeth and create scalloped edges over time.


Dehydration can lead to swelling all over your body, including your tongue.


A variety of oral symptoms may originate from high levels of stress or anxiety. These include jaw pain, teeth grinding, and pressing your tongue against your teeth. Over a long period of time, pressing your tongue against your teeth can leave indentations.

Parafunctional habits

You can develop habits with your tongue or mouth that put you at risk for complications and side effects over the long term, including scalloped tongue. You may not realize you have some of these habits. It may take treatment and occupational therapy to be able to stop doing them.

Temporomandibular joint disorders (TMD or TMJ)

The hinge joint that connects your lower jaw to your skull can sometimes become painfully stuck or misaligned. When this happens, your tongue must work hard to hold your lower jaw in place. You may have to press your tongue against your teeth and lower mouth to create the necessary pressure. This can create a scalloped indentation pattern on the side of your tongue.

Sleep apnea

A scalloped tongue may be a sign of sleep apnea, due to difficulty breathing while you’re sleeping. You may subconsciously push your tongue down into your teeth to open the airway, which can lead to a scalloped tongue.


Homoeopathy today is a rapidly growing system and is being practiced all over the world. It strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When  is concerned there are many effective medicines available in Homoeopathy , but the selection depends upon the individuality of the patient , considering mental and physical symptoms

Few homoeopathic medicine can be thought of in the treatment of scalloped tongue are:                                   

Arsenic, chelidonium, mercurius, rhus tox., syphillinum, etc