Objective: Identification of patients (pts) with Burning Mouth Syndrome (BMS) is still a debated issue among scientists/clinicians. The purpose of this survey was to analyze a large group of pts with oral mucosa pain, in order to highlight possible characteristic(s) which could be of value for simplifying identification and, thus, management of BMS pts. Methods: Clinical records of pts who had attended a visit for their oral mucosa complaints at the Department of Periodontology [University of Bologna, Italy], Dr. Scala Dental Office [Brescia, Italy], and the Department of Oral Medicine [University of Milano, Italy], were retrospectively evaluated. Pts who had reported oral mucosa chronic pain without lesions [IASP definition], were included into the study. Details about pain and other symptoms [xerostomia and/or dysgeusia], psychological profile, presence of local/systemic disorders, etc., were carefully analyzed and compare. Pts whose records did not show one/more of the investigated clinical traits were recalled and interviewed for such details. Exclusion criteria was the impossibility to achieve all explored information from a subject. Data were presented and discussed according to previously published criteria [Scala et al, 2003]. Results: Study group was composed of 140 subjects [22M-118F, range=38-82yrs]. Most recurrent/relevant pain details were: on-set [100% spontaneous]; localization [100% bilateral]; overall duration [99,30% continuing for at least 4-6 months]; behavior during feeding [99,05% it didn't worsen, but often relieved]; occurrence [96,40% everyday]; quality [94,24% burning]; behavior before sleeping [71,96% it didn't interfere]. Rational combination of analyzed data defined a specific clinical profile of disease. Conclusions: Our results suggest that BMS is a well-defined “nosological entity” characterized by a specific spectrum of oral complaints. This study draws attention to: (1) recurrent clinical features/criteria, which should be considered gold standards for a rational identification/classification of BMS pts; (2) the impact that rational approaches may have on management of these pts.
A. SCALA, L. CHECCHI, I. MARINI, G.E. COLANGELO, R. MARINO, F. SPADARI (2006). Clinical profile of Burning Mouth Syndrome: a retrospective multi-centric survey. JOURNAL OF DENTAL RESEARCH, 85 (Spec Iss B).
Clinical profile of Burning Mouth Syndrome: a retrospective multi-centric survey
SCALA, ANTONIO;CHECCHI, LUIGI;MARINI, IDA;
2006
Abstract
Objective: Identification of patients (pts) with Burning Mouth Syndrome (BMS) is still a debated issue among scientists/clinicians. The purpose of this survey was to analyze a large group of pts with oral mucosa pain, in order to highlight possible characteristic(s) which could be of value for simplifying identification and, thus, management of BMS pts. Methods: Clinical records of pts who had attended a visit for their oral mucosa complaints at the Department of Periodontology [University of Bologna, Italy], Dr. Scala Dental Office [Brescia, Italy], and the Department of Oral Medicine [University of Milano, Italy], were retrospectively evaluated. Pts who had reported oral mucosa chronic pain without lesions [IASP definition], were included into the study. Details about pain and other symptoms [xerostomia and/or dysgeusia], psychological profile, presence of local/systemic disorders, etc., were carefully analyzed and compare. Pts whose records did not show one/more of the investigated clinical traits were recalled and interviewed for such details. Exclusion criteria was the impossibility to achieve all explored information from a subject. Data were presented and discussed according to previously published criteria [Scala et al, 2003]. Results: Study group was composed of 140 subjects [22M-118F, range=38-82yrs]. Most recurrent/relevant pain details were: on-set [100% spontaneous]; localization [100% bilateral]; overall duration [99,30% continuing for at least 4-6 months]; behavior during feeding [99,05% it didn't worsen, but often relieved]; occurrence [96,40% everyday]; quality [94,24% burning]; behavior before sleeping [71,96% it didn't interfere]. Rational combination of analyzed data defined a specific clinical profile of disease. Conclusions: Our results suggest that BMS is a well-defined “nosological entity” characterized by a specific spectrum of oral complaints. This study draws attention to: (1) recurrent clinical features/criteria, which should be considered gold standards for a rational identification/classification of BMS pts; (2) the impact that rational approaches may have on management of these pts.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
