구강작열감질환에 관한 고찰 및 의료분쟁 증례보고 |
허윤경1, 정재광2, 최재갑3 |
1경북대학교 치의학전문대학원 구강내과학교실 2경북대학교 치의학전문대학원 구강내과학교실 3경북대학교 치의학전문대학원 구강내과학교실 |
A Review of Burning Mouth Disorders |
Yun-Kyung Hur1, Jae-Kwang Jung2, Jae-Kap Choi3 |
1Department of Oral Medicine, School of Dentistry, Kyungpook National University 2Department of Oral Medicine, School of Dentistry, Kyungpook National University 3Department of Oral Medicine, School of Dentistry, Kyungpook National University |
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Abstract |
Burning mouth disorders (sometimes referred to as burning mouth syndrome) are characterized by a burning sensation in the tongue or other oral sites, usually in the absence of clinical and laboratory findings. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. Burning mouth complaints are reported more often in women, especially after menopause. Typically, patients awaken without pain, but report increasing symptoms through the day and into the evening. Conditions that have been reported in association with burning mouth syndrome include chronic anxiety or depression, various nutritional deficiencies, diabetes and changes in salivary function. However, these conditions have not been consistently linked with the syndrome, and their treatment has had little impact on burning mouth symptoms. Recent studies have pointed to dysfunction of several cranial nerves associated with taste sensation as a possible cause of burning mouth disorders. The most common central mechanism that likely explains burning mouth disorders is a centrally mediated continuous neuropathic pain. Given in low dosages, benzodiazepine, tricyclic antidepressants or anticonvulsants may be effective in patients with burning mouth disorders. |
Key Words:
Burning sensation;Dryness;Taste alterations; |
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