Normal tongue with tongue papillae keratinized layer not shedding the formation of small white spots usually do not need special treatment, if the candidiasis caused by small white spots need to use medication. 1. Normal tongue papillae. Normal back of the tongue has a dense arrangement of tongue papillae, the surface of the tongue papillae have not shedding of the keratinized layer and food soft dirt together form the back of the tongue, the tongue is a dense arrangement of small white dots, generally do not need special treatment, when cleaning the oral cavity using the bristles to clean the back of the tongue can be. 2. Oral candidiasis. Oral candida infection can appear in the oral mucosa with small white dots, can be wiped away, accompanied by pain, the surrounding mucosa red, swollen and congested, candida infection treatment is generally used when the treatment of mycotoxin tablets or gargling sodium bicarbonate solution. White dots on the tongue if accompanied by pain and discomfort, or the sudden appearance of the proposal to the hospital in time to deal with the examination, the use of medication need to comply with the doctor’s instructions.