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Some of the less common causes of Tongue mass may include: 1  Congenital lipomatoid mass. 2  Recurrent oral herpes simplex virus infection. 3  Haemangioma. Lingual thyroid.  Thyroglossal duct 1  cyst. Pleomorphic adenoma.
This makes the tongue look hairy. Debris, bacteria or other organisms can collect on the papillae and result in discoloration. The cause of black hairy tongue can't always be determined. However, potential causes include: 1  Changes in the normal bacteria or yeast content of the mouth following antibiotic use. 2  Poor oral hygiene. 3  Dry mouth (xerostomia).