The relationship between the clinical features of idiopathic burning mouth syndrome and self-perceived quality of life

Abstract

In this descriptive study, we investigated the relationship between the clinical characteristics of idiopathic burning mouth syndrome (iBMS) and the quality of life. Eighteen iBMS patients were interviewed about their experience with pain, oral-associated complaints, cognitive status, and selfperceived quality of life using the French versions of the Hospital Anxiety and Depression Scale (HADS) and the Global Oral Health Assessment Index (GOHAI). The Spearman coefficient was used to analyze correlations. The level of significance was fixed at P < 0.05. The majority of patients described the association of oral burning sensations with other oral complaints, including dry mouth (77.8%), tactile abnormalities (66.7%), thermal abnormalities (44.5%), and taste disturbances (38.9%). HADanxiety scores were higher than 10 in 38.8% of iBMS patients and HAD-depression scores were higher than 10 in 33.3% of patients. A significant correlation was found between the number of associated complaints and HAD-depression scores. The mean GOHAI-add score was 37.9 ± 9.6 (mean ± SD), and 94.5% of iBMS patients had a score lower than 50. GOHAI-add scores strongly correlated with pain intensity, which was calculated using a visual analog scale and duration of pain. Our findings indicate a strong correlation between iBMS-related pain and self-perceived oral health-related quality of life. In addition, a correlation was observed between iBMS-associated oral complaints and cognitive status. (J Oral Sci 58, 475-481, 2016)

Assessment of oral health‐related quality of life, measured by OHIP‐14 and GOHAI, and psychological profiling in burning mouth syndrome: A case‐control clinical study

“…The GOHAI global score, although it is different between the patients and controls, does not change after treatment and, in contrast with previous studies conducted by Braud and Boucher, does not depend on the intensity of the pain, as is shown by the dependence analysis.…”

“…and Boucher,13 does not depend on the intensity of the pain, as is shown by the dependence analysis.After analysing the responses to the two questionnaires, we can highlight that the OHIP-14 scale is more precisely focused on the impact of pain on the patient's psychological and behavioural traits,while the GOHAI scale explores the functional limitations in relation to pain. The treatment, alleviating pain and enhancing psychological and behavioural traits, can improve the subjective perception of oral health although physical dysfunction persists.…”

“…Previous studies have shown that patients with BMS have a decreased OHRQoL . In the study by López‐Jornet et al, out of 60 patients with BMS, the authors revealed lower scores for both the SF‐36 and OHIP‐49 questionnaires in patients compared to controls.…”

“…For each answer, a score is assigned ranging from 0 to 5 (from ‘never’ to ‘always’ for questions 3,5 and 7 and vice versa for the others), with the resulting total score varying between 12 and 60 (20 for the evaluation of physical functions, 25 for psychological functions and 15 for discomfort/pain). A high score indicates a good perception of one's oral health (scores from 51 to 56), and, vice versa, a low score (a score of 50 or less) is usually found in patients who have few teeth, wear removable dentures and suffer from pain …”

Taste function assessed by electrogustometry in burning mouth syndrome: a case–control study

“…Besides persistent pain, subjective altered taste perception may also be reported by patients suffering from iBMS. Gustatory complaints including bitter or metallic phantom tastes and dysgeusia may concern more than half of iBMS patients (Grushka, ; Grushka and Sessle, ) and have been suggested to have a negative influence on oral health‐related quality of life of iBMS patients (Braud and Boucher, ). Taste dysfunction including impaired taste perception (Formaker and Frank, ; Nagler and Hershkovich, ; Eliav et al , ; Just et al , ; Siviero et al , ; Nasri‐Heir et al , ; Imura et al , ) may finally affect more than one‐third of iBMS patients (Formaker et al , ) and could depend on the onset of the burning sensation (Nasri‐Heir et al , ).…”