Evaluation of salivary function in patients with burning mouth syndrome

Lee, Y C; Hong, Il Ki; Na, S Y; Eun, Young‐Gyu

doi:10.1111/odi.12270

Cited by 41 publications

(52 citation statements)

References 32 publications

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“…Although many BMS patients complain the feeling of dry mouth, most of the studies have shown that the salivary flow rate in BMS patients is the same as in controls (Hershkovich and Nagler, 2004;Granot and Nagler, 2005;de Moura et al, 2007). However, recently, in contrast to Boras et al (2010), Lee et al (2015) and Poon et al (2014) reported decreased unstimulated salivary flow rates in primary BMS patients compared to those of healthy controls, however, without any differences in stimulated salivary flow rates.…”

Section: Hyposalivation and Xerostomiamentioning

confidence: 95%

Pathophysiology of primary burning mouth syndrome with special focus on taste dysfunction: a review

et al. 2015

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Primary burning mouth syndrome (BMS) is a chronic oral condition characterized by burning pain often accompanied with taste dysfunction and xerostomia. The most compelling evidence concerning BMS pathophysiology comes from studies on the somatosensory system using neurophysiologic or psychophysical methods such as blink reflex, thermal quantitative sensory testing, as well as functional brain imaging. They have provided convincing evidence for neuropathic involvement at several levels of the somatosensory system in BMS pain pathophysiology. The number of taste function studies trying to substantiate the subjective taste disturbances or studies on salivary factors in BMS is much more limited, and most of them suffer from definitional and methodological problems. This review aims to critically evaluate the existing literature on the pathophysiology of BMS, paying special attention to the correctness of case selection and the methodology used in published studies, and to summarize the current state of knowledge. Based on the recognition of several gaps in the current understanding of the pathophysiology of BMS especially as regards taste and pain system interactions, the review ends with future scenarios for research in this area.

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Section: Hyposalivation and Xerostomiamentioning

confidence: 95%

Pathophysiology of primary burning mouth syndrome with special focus on taste dysfunction: a review

et al. 2015

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“…The attempt to treat xerostomia with urea 10% topically failed to improve saliva flow and taste, olfactory, and somesthetic thresholds 40 . Unstimulated saliva flow rates were shown to drop significantly only in BMS patients [41][42][43] , though scintillography of salivary glands did not evince any functional loss in either healthy or hyposalivation patients 41 .…”

Section: Saliva Changesmentioning

confidence: 88%

Burning Mouth Syndrome –Latest update

Tomattis¹,

Munerato²

2016

Int J Dentistry Res

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Introduction: Burning mouth syndrome (BMS) is characterized by a recurrent daily burning sensation with no evidence lesions in the oral mucosa. It is accompanied by subjective dry mouth and dysgeusia. The tongue is the most commonly affected site, but the condition also affects other sites in the mouth. Its etiopathogeny is multifactorial and its diagnosis is made by exclusion. Objective: This article reviews the literature about the epidemiology, etiopathogeny, and diagnosis of BMS in the past 15 years. Articles were selected from PubMed/MEDLINE, and included clinical assays, case reports, and reviews. We found 509 articles, and only 136 were chosen. The key words were: burning mouth syndrome (BMS), review, etiopathogeny, diagnosis. Conclusions: BMS remains an important diagnostic challenge, though the disease is considered a neuropathy characterized by damage to trigeminal peripheral nervous fibers, which triggers central sensitization. In addition to BMS and secondary BMS, it seems relevant to include complicated BMS, in which symptoms persist despite the elimination of local and systemic causes. BMS should be investigated by a transdisciplinary team that will take into account all aspects active in the mental and physical dimensions of the condition, in the most detailed way. Therefore, QST, imaging investigations, various evaluation scales of mental health and of the impact of BMS on quality of life as well as the investigation of sleep disorders and changes in circadian rhythm could be useful tools in the development of treatment strategies based on findings and observing the characteristics of each BMS patient in light of specifics of diagnosis.

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“…For many individuals, however, this dryness is perceived rather than actual 146–148 . Interestingly, some studies show that unstimulated salivary flow is decreased in BMS patients, while stimulated flow is normal 149–151 . As a corollary to these studies, patients with BMS do not have a higher caries index than healthy controls, suggesting that most of these individuals maintain salivary flow that is adequate for caries prevention 10 .…”

Section: Burning Mouth Syndrome (Bms)mentioning

confidence: 99%

“…True unstimulated and stimulated salivary hypofunction is consistent with the diagnosis of SS 2 , while evidence of normal flow in individuals who report subjective feelings of xerostomia is more consistent with BMS 146–148 . However, it is important to be cognizant of the fact that these findings are not absolute; a minority of SS patients do not lose salivary flow and reduced unstimulated flow may be observed in BMS patients 2, 149–151 . As a corollary to salivary production, patients should be questioned regarding their history of dental restorations and missing teeth, with particular emphasis on recent caries.…”

Section: Key Features To Distinguish Ss From Bmsmentioning

confidence: 99%

Is it Sjögren's syndrome or burning mouth syndrome? Distinct pathoses with similar oral symptoms

Aljanobi

Sabharwal

Krishnakumar

et al. 2017

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Sjögren’s Syndrome (SS) and Burning Mouth Syndrome (BMS) typically present in post-menopausal women. Although these conditions have significantly different etiopathogeneses, patients with SS or BMS often present with analogous oral complaints. The similarities between the two conditions have led to considerable confusion on the part of medical and dental practitioners, and those with BMS or SS often wait years to receive a diagnosis. Therefore, it is imperative for clinicians to understand the characteristic subjective and objective features of each disease and how these can be used to distinguish them. This review will discuss the proposed etiology, clinical manifestations, histopathology, diagnostic criteria, and patient management of SS and BMS. We also identify key differences between the two pathoses that aid in establishing the correct diagnosis. Recognition of the defining features of each condition will lead to reduced time to diagnosis and improved patient management for these poorly understood conditions.

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Evaluation of salivary function in patients with burning mouth syndrome

Cited by 41 publications

References 32 publications

Pathophysiology of primary burning mouth syndrome with special focus on taste dysfunction: a review

Pathophysiology of primary burning mouth syndrome with special focus on taste dysfunction: a review

Burning Mouth Syndrome –Latest update

Is it Sjögren's syndrome or burning mouth syndrome? Distinct pathoses with similar oral symptoms

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