RESUMO
The term "Burning Mouth Syndrome (BMS)" is being used much more often than "Glossodynia", complicating diagnostic and treatment tactic choice. The aim of the study was to determine the difference between "Glossodynia" and "BMS" considering absence or presence of intraoral metal prosthetic devices and burning sensation in the mouth. To establish the frequency of glossodynia and BMS 2355 patient records were analyzed admitting consultation for oral diseases for the last 10 years. Clinically we examined 408 patients aged 40 to 70. The research results showed that 17% of patients complained of "burning mouth": 10.2% of them had these symptoms due to oral mucosa diseases; 58.0% had glossodynia, 27.4% had discomfort because of intolerance to metal prosthodontic materials and 4.4% had combined pathology. Glossodynia and intolerance to metal prosthodontic materials had much in common in terms of clinical features, but the last one may be specified by changes in saliva composition. BMS thus proved to be the common definition corresponding to various diseases of oral mucosa and intolerance to intraoral metal appliances, while glossoldynia is a distinct neurogenic disease which is difficult to treat and requires comprehensive approach involving neurologist and physician.
Assuntos
Síndrome da Ardência Bucal/diagnóstico , Síndrome da Ardência Bucal/psicologia , Glossalgia/diagnóstico , Saliva/química , Adulto , Idoso , Síndrome da Ardência Bucal/classificação , Diagnóstico Diferencial , Feminino , Glossalgia/classificação , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Glossalgia/etiologia , Glossite Migratória Benigna/etiologia , Diagnóstico Diferencial , Glossalgia/classificação , Glossalgia/diagnóstico , Glossalgia/terapia , Glossite Migratória Benigna/classificação , Glossite Migratória Benigna/diagnóstico , Glossite Migratória Benigna/terapia , Humanos , Assistência de Longa Duração , Ensaios Clínicos Controlados Aleatórios como Assunto , Recidiva , Fatores de Risco , Resultado do TratamentoRESUMO
Glossopyrosis (Glossodynie, Burning mouth syndrome) is not a independent diagnosis it is only a symptom of a lot clinical pictures. Local diseases like glossitis, allergies and tumors of the tongue are best known from ENT-doctors. But there are also gastrointestinal, immunologic, neurologic, psychiatric and dermatologic diseases cause glossopyrosis. Glossopyrosis may be the first symptom of HIV infection, Diabetes or a depression long before manifestation of the full clinical picture. Also dental materials and drugs are iatrogenic factors for glossopyrosis. The multifarious differential diagnosis were described and discussed.
