Burning mouth syndrome: differential diagnosis

Grushka, Miriam; Epstein, Joel B.; Gorsky, Meir

doi:10.1046/j.1529-8019.2002.01535.x

Cited by 25 publications

(40 citation statements)

References 13 publications

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“…The characterization of the burning symptom showed a pattern previously described in the literature in 100% of the patients evaluated, which shows reports of the symptom in the morning, worsening along the day, but rarely interfering with sleep 4,7,9 . This profile also varies according to the food ingested and emotional state.…”

Section: Discussionsupporting

confidence: 64%

“…BMS is an important clinical condition as it causes significant problems to the patient quality of life 4,11,20 . Due to the invisible clinical signs, the patient often feels discredited by families and health providers that do not know the BMS.…”

Section: Discussionmentioning

confidence: 99%

“…According to the current diagnostic criteria of the International Headache Society (IHS) de 2013 3 ; BMS features chronic pain, spontaneous burning, with visibly intact mucosa, in addition to presenting normal clinical, dental, laboratorial and systemic findings 4 . According to IHS, BMS is a distinct nosologic entity, characterized by burning episodes lasting at least four months 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Several factors mimic the BMS symptoms, such as non-adapted prosthesis, parafunctional factors, allergies, candida, diabetes, hypothyroidism, menopause, nutritional deficiencies (iron, folic acid, vitamin B and/or zinc), digestive disorders, Sjögren syndrome and other autoimmune diseases, antihistaminic drugs, antiepileptic, hypotensive and diuretics 3,4,6 . These must be investigated and excluded for the BMS diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…The use of drugs as tricyclic antidepressants, clonazepan (benzodiazepine), gabapentin and antiepileptic is common, targeting the control of the oral burning symptoms 4 . In an attempt to minimize the adverse effects, the use of topical clonazepan was evaluated, with reduction of 70% in the burning sensation 15 .…”

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics and therapeutic response in patients with Burning Mouth Syndrome: accompanying 2 years

Carvalho

Gallo

Sugaya

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A Síndrome de Ardência Bucal (SAB) é uma condição caracterizada pelo sintoma de ardência na mucosa oral na ausência de qualquer sinal clínico. Sua etiologia ainda é desconhecida e, até o momento, não dispõe de tratamento efetivo. Objetivo: Avaliar o perfil do paciente portador de SAB, as terapias instituídas e seus resultados em estudo retrospectivo. Material e método: Foram coletados os dados clínicos e terapêuticos dos prontuários de pacientes diagnosticados com SAB, no período de janeiro de 2013 a abril de 2015, no Ambulatório da Disciplina de Estomatologia Clínica da Faculdade de Odontologia da Universidade de São Paulo. Os critérios para o diagnóstico utilizados se basearam nos estabelecidos pela International Headache Society em 2013 e foram observadas as terapêuticas empregadas e seus resultados. Resultado: Doze pacientes foram diagnosticadas com SAB neste período, todas do sexo feminino, média de idade 61,18 anos, e a principal região acometida pelo sintoma de ardor foi o ápice de língua. O tempo de duração deste sintoma variou de 6 meses a 25 anos. As terapias utilizadas para o controle de sintomas da SAB foram capsaicina, clonazepan tópico, laserterapia e homeopatia. Dentre as terapias instituídas, a capsaicina apresentou efeito imediato na redução dos sintomas. Conclusão: O presente estudo demonstrou que os desafios que circundam a obtenção de um tratamento efetivo para a SAB são diversos e estão principalmente relacionados ao desconhecimento da etiopatogenia da doença. O perfil demográfico dos pacientes aqui estudados foi semelhante ao descrito na literatura disponível, entretanto, as variáveis representadas por sintomas secundários (história médica, níveis de ansiedade e depressão) podem constituir fatores modificadores da resposta terapêutica e da própria etiopatogenia da doença. Descritores: Síndrome da Ardência Bucal; tratamento; dor neuropática AbstractIntroduction: Burning Mouth Syndrome (BMS) is a condition characterized by burning symptom of the oral mucosa in the absence of clinical signs. Its etiology is still unknown and, and to date there is no effective treatment. Purpose: The aim of this study was to evaluate patients with BMS profile and the therapies results in a retrospective study. Material and method: Clinical and therapeutic data were collected from records of patients with BMS diagnosed between January 2013 to April 2015 at the Clinic of Stomatology Clinic, Faculdade de Odontologia of Universidade de São Paulo, according to the criteria established by the International Headache Society in 2013. The therapies used for BMS control were also evaluated. Result: Twelve patients were diagnosed with BMS at this period. All of them were women with a mean age of 61.18 years and the apex of the tongue was the most common affected site and the duration of the burning sensation ranged from 6 months to 25 years. Many therapies were prescribed for BMS control, such as topical capsaicin, topical clonazepan, low level laser therapy and homeopathy. Among the established therapie...

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical characteristics and therapeutic response in patients with Burning Mouth Syndrome: accompanying 2 years

Carvalho

Gallo

Sugaya

et al. 2017

Rev. odontol. UNESP

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Risk factors in burning mouth syndrome: a case–control study based on patient records

et al. 2010

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Burning mouth syndrome (BMS) is a multifactorial condition which is still poorly understood. The aim of this study was to evaluate a group of patients with BMS, as compared to a control group, and to describe related local and systemic factors. Records of patients referred to the Oral Pathology Service at the School of Dentistry over a period of 7 years were considered for the study, within which 32 patients with a diagnosis of BMS were found. A randomized group matched for age and gender was also evaluated for the study. Data were analyzed statistically using the SPSS 12.0 for Windows. Prevalence of BMS was 0.99% (32 BMS patients/3,243 records), considering that females were more commonly affected than were males and that the majority of the individuals were in their sixties. The univariate analysis performed comparing the two groups revealed statistical differences concerning the presence of gastrointestinal diseases (p = 0.003) and urogenital diseases (p = 0.012). The intake of H-2 receptor antagonist and proton pump inhibitor drugs (p = 0.015) also proved to be significant. Logistic regression analysis confirmed that gastrointestinal and urogenital problems were indeed risk factors that were solely associated with BMS. Although a diversity of related factors could be identified, gastrointestinal problems were the most prevalent, suggesting that the management of BMS patients requires attention and an appropriate approach to such disorders.

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The role of sensory input of the chorda tympani nerve and the number of fungiform papillae in burning mouth syndrome

Nasri-Heir

Gomes²,

Heir

et al. 2011

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

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Burning mouth syndrome: differential diagnosis

Cited by 25 publications

References 13 publications

Clinical characteristics and therapeutic response in patients with Burning Mouth Syndrome: accompanying 2 years

Clinical characteristics and therapeutic response in patients with Burning Mouth Syndrome: accompanying 2 years

Risk factors in burning mouth syndrome: a case–control study based on patient records

The role of sensory input of the chorda tympani nerve and the number of fungiform papillae in burning mouth syndrome

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