Burning mouth syndrome: etiology

Revista Brasileira de Otorrinolaringologia

Guerra, Marja Michelin¹  USP¹  Rapoport, Priscila Bogar¹  Sanjar, Fernanda Alves¹  Moretti, Giovana¹  Moricz, Renata Dutra de¹  Faculdade de Medicina do ABC¹  Cerchiari, Dafne Patrícia¹ 

关键词: mouth;    pain;    glossodynia;    xerostomy.;   

DOI  :  10.1590/S0034-72992006000300021

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

The Burning Month Syndrome (BMS) is an oral mucosa pain - with or without inflammatory signs - without any specific lesion. It is mostly observed in women aged 40-60 years. This pain feels like a moderate/severe burning, and it occurs more frequently on the tongue, but it may also be felt at the gingiva, lips and jugal mucosa. It may worsen during the day, during stress and fatigue, when the patient speaks too much, or through eating of spicy/hot foods. The burning can be diminished with cold food, work and leisure. The goal of this review article is to consider possible BMS etiologies and join them in 4 groups to be better studied: local, systemic, emotional and idiopathic causes of pain. Knowing the different diagnoses of this syndrome, we can establish a protocol to manage these patients. Within the local pain group, we must investigate dental, allergic and infectious causes. Concerning systemic causes we need to look for connective tissue diseases, endocrine disorders, neurological diseases, nutritional deficits and salivary glands alterations that result in xerostomia. BMS etiology may be of difficult diagnosis, many times showing more than one cause for oral pain. A detailed interview, general physical examination, oral cavity and oropharynx inspection, and lab exams are essential to avoid a try and error treatment for these patients.

【 授权许可】

Unknown