• 제목/요약/키워드: Burning mouth syndrome(BMS)

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Burning measure for burning mouth syndrome: a systematic review

  • Sunny Priyatham Tirupathi;Sardhar Malothu;Udaikiran Allaparthi;Swathi Velvaluri;Lamea Afnan;Shraddha Budia;Muskaan Sachdev
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제50권2호
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    • pp.63-69
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    • 2024
  • This current systematic review aimed to evaluate the current evidence on the effect of topical capsaicin application to alleviate symptoms related to burning mouth syndrome (BMS). PubMed, Ovid SP, and Cochrane were searched from 1980 to 2022 to identify relevant literature. A total of 942 titles (PubMed, 84; Ovid SP, 839; Cochrane, 19) was retrieved, of which 936 were excluded based on the title and abstract. A total of 11 studies were further evaluated for full text analysis, of which 7 were excluded. As a result, 4 articles were included for qualitative synthesis of data. Capsaicin as a mouthwash can have potential application in the treatment of symptoms related to burning mouth. The quality of available studies is moderate to low, and a well-designed randomized multicentric study comparing capsaicin with other active agents is planned to obtain more definitive conclusions.

구강작열감증후군의 병인론과 병태생리에 대한 고찰 (A Review of Etiopathogenesis of Burning Mouth Syndrome)

  • 임현대;강진규;이유미
    • Journal of Oral Medicine and Pain
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    • 제35권1호
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    • pp.41-47
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    • 2010
  • 구강작열감증후군은 임상적 증상이나 검사실 소견없이 구강점막에 나타나는 작열감을 말하며 중년이후 폐경기 여성에게 높은 발생율을 보인다. 구강작열감증후군에서 보여지는 통증은 자발적이며 뚜렷한 악화요인을 보이고 있지 않다. 통증 유발과 관련해서 치과적 술식, 최근의 질환, 투약(항생제 요법)등을 포함하고 있으며, 작열감이 한 번 시작되면 수년간 지속된다. 대부분의 구강작열감 환자는 국소적 또는 전신적 요인을 가지고 있으며, 구강작열감증후군은 신경병리학적 활성화에서 기원되는 만성구강증상으로 고려할 수 있으며, 정신학적 원인에 대한 역할은 아직은 명확하지 않다. 구강작열감의 신경학적 측면에 대하여 연구가 증가하고 있고 이런 연구는 구강작열감에 중추신경계, 말초신경계가 관여함을 제시하고 있다. 그 중에 하나로 대두 되고 있는 것이 미각에서의 이상이 존재한다는 것이다. 구강작열감증후군에서 supertaster의 존재에 대해 언급하고 있으며, 이는 미각과 유해수용성 기전에 상호작용함을 제시하고 있다. 즉 중추신경계에서 미각과 구강 통증 감각이 연결되어 있고 이것은 구강작열감증후군에서 고삭신경, 설인신경수준에서 미각체계 변형에 의한 말초신경계와 중추신경계가 같이 상호 작용하여 구강작열감증후군을 발생시킴을 보여준다. 이에 본 저자는 만성구강통증으로 여겨지는 구강작열감증후군을 유발하는 요인과 병태 생리를 고찰하여 환자의 진단과 원인 지향적인 치료에 도움을 주고자 한다.

구강 작열감 증후군에서 클로나제팜의 국소적 적용 (Topical Application of Clonazepam to Burning Mouth Syndrome)

  • 심영주;최종훈;안형준;권정승
    • Journal of Oral Medicine and Pain
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    • 제34권4호
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    • pp.429-433
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    • 2009
  • 구강 작열감 증후군은 혀나 구강점막에 객관적인 이상징후(abnormal sign)를 보이지 않으면서 혀 및 구강점막의 지속적인 통증을 보이는 만성 질환이다. 연관된 것으로 추정되는 요인이 다양하고 환자마다 통증 양상이 다소 다르게 나타날 수 있어 적절한 진단 및 효과적인 치료를 제공하기 어려운 경우가 많다. 혀나 구강점막의 작열감은 알러지, 캔디다감염, 부기능습관, 타액선 기능저하 등과 같은 국소요인과 당뇨병, 갑상선기능저하증, 영양결핍 등과 같은 전신적 요인, 그리고 우울증, 걱정, 암공포증 등과 같은 심인성 요인과 연관되어 발생할 수 있다. 그러므로, 임상가들은 작열감을 유발할 수 있는 원인들에 대하여 숙지하고 있어야 하며, 혈액검사 등의 관련 검사를 통한 적절한 평가를 정확하고 세심하게 시행하여 효과적인 치료를 제공할 수 있어야 한다. 이러한 구강 작열감 증후군의 치료에는 약물요법, 인지행동요법, 심리치료 등 다양한 치료들이 시도되어지고 있다. 현재 구강작열감 증후군의 치료에 이용되고 있는 약물에는 클로나제팜(clonazepam), 가바펜틴(gabapentin), 삼환성항우울제(amitriptyline), 알파리포산(alpha-lipoic acid), 캡사이신(capsaicin) 등이 보고되고 있으며, 이 중 클로나제팜을 국소적으로 적용하는 것이 전신 투여하는 다른 약물에 비해 부작용이 적으면서 효과도 상당히 좋은 것으로 보고되고 있다. 이에 구강 작열감 증후군 환자에게 클로나제팜을 국소적으로 적용한 증례를 통해 그 효과를 확인하고자 하였다.

타액분비저하에 따른 구강작열감증후군 환자의 임상적 특징 비교 (Comparison of the Clinical Characteristics of Patients with Burning Mouth Syndrome due to Hyposalivation)

  • 이하늘;김동윤;백소영;정해인;이현진;조윤재;하나연;김진성
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.838-847
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    • 2020
  • Objectives: The aim of this study was to investigate the clinical characteristics of patients with Burning Mouth Syndrome (BMS) due to hyposalivation (HS). Methods: We reviewed the clinical records of 39 BMS patients who visited the Department of Digestive Diseases of Kyunghee Korean Medicine Hospital from March 1st, 2020 to July 31st, 2020. The subjects were classified according to the presence or absence of hyposalivation and both groups were compared for the proportion of coated tongue, heart rate variability (HRV), Ryodoraku, and the numeral rating scale (NRS) score of tongue pain results. Results: The BMS with Hyposalivation (HS group) and the BMS without Hyposalivation (Non-HS group) showed a significant difference in the proportion of coated tongue and the NRS score for tongue pain. The NRS score was significantly higher in the Non-HS group and the proportion of coated tongue was lower. However, no significant differences were noted in several HRV parameters between the two groups. The most frequent accompanying symptoms were xerostomia and dyspepsia. Conclusions: The results of this study suggest that hyposalivation might be one of the main causes of tongue pain, the key complaint in BMS patients. Sympathetic/parasympathetic imbalance might not be a main contribution of hyposalivation in BMS. Instead, factors such as the number of medications taken seem to correlate with hyposalivation in BMS. This results could be useful in the management of BMS patients with hyposalivation in clinical practice.

Efficacy of alpha-lipoic acid in patients with burning mouth syndrome compared to that of placebo or other interventions: a systematic review with meta-analyses

  • Christy, Jessica;Noorani, Salman;Sy, Frank;Al-Eryani, Kamal;Enciso, Reyes
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권5호
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    • pp.323-338
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    • 2022
  • Burning mouth syndrome (BMS) is a chronic oral disorder of unknown etiology which presents therapeutic challenges. Alpha-lipoic acid (ALA) has been studied as a potential treatment for BMS. The objective of this systematic review and meta-analysis was to evaluate the effectiveness of ALA compared to that of placebo or other interventions in individuals with BMS. Randomized controlled trials (RCT) using ALA to treat BMS were identified from MEDLINE, Cochrane Library, EMBASE, and Web of Science up to February 3, 2021. The assessment of the risk of bias in the included studies was based on the Cochrane guidelines. The primary outcome evaluated was the visual analog scale (VAS) pain intensity. ALA was compared with placebo, clonazepam, gabapentin, pregabalin, ALA plus gabapentin, capsaicin, Biotène®, and laser therapy. Altogether, 137 records were scanned for inclusion/exclusion, and nine RCTs (two unclear and seven at high risk of bias) were included in the qualitative and quantitative analyses, with a total of 594 patients with BMS included in this review. All studies reported an improvement in VAS pain scores ranging from -0.72 to -2.77. Meta-analysis results showed a non-significant reduction in pain intensity for ALA (P = 0.616) compared to that of placebo on a VAS of 0-10. Patients taking ALA were 1.923 times more likely to show an improvement in self-reported BMS symptoms (P = 0.031) than those in the placebo group. Clonazepam and pregabalin showed a significant VAS pain reduction of 4.08 and 4.68 (P < 0.001), respectively, compared to that with ALA. Although ALA intervention provided a non-significant improvement in the pain score and was more likely to produce a reduction in BMS symptoms, the evidence was of low quality. Further research is needed to establish clear guidelines for the use of ALA for BMS treatment.

구강 작엽감 증후군 (BMS)의 임상적 특징 및 치료에 관한 연구 (A Study on The Clinical Characteristics and Treatment in Burning Mouth Syndrome)

  • Mi-Jung Yeom;Chong-Youl Kim
    • Journal of Oral Medicine and Pain
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    • 제20권1호
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    • pp.39-52
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    • 1995
  • Burning mouth syndrome is characterized by a burning sensation in oral cavity without clinical signs. There has b een no established theories about the diagnosis and treatment. The purpose of this article is to examine the clinical feature of BMS patients of Korean and to present a treatment protocol that can be helpful in clinical applications. The subjects chosen for the study were 52 patients who had visited Department of Oral Diagnosis at Yonsei University Dental Hospital and were diagnosed as BMS. We did questionnaires and precise oral exam, laboratory exam, grouping of our patients, individual treatment for the groups and classification of responses to the treatment. The following results were obtained: 1. Chief complaints were throbbing (71.2%), pricking, stinging, tingling (30.8%), burning(25a%). The tongue is the most frequently affected site (82.7%), followed by full mouth, gingiva, palate, buccal mucosa, lips, throat, labial mucosa and floor of mouth. 2. The average age of onset was 48.1 year and the male to female ratio was 1 to 3. The average duration of symptom was 11.69 months for male and 23.07 months for female. 3. 32.7% of patients had appealed continuous pain, which was the most cases. Aggravating factors were peppery food, salty food, hot food, fatigue, tension conversation, sour food, cold food and toothpaste. Reducing factors were cold food, diet, going to sleep and smoking. 4. Associated symptoms were dry mouth, other life problem, altered taste perception, bad taste, throat pain, tingle and difficulty in swallowing. 5. Most of patients had appealed that there was not associated event on onset of symptom, and the order of prevalence is as fallow; dental treatment, stress, denture wearing, an attack of a systemic disease. 92.3% of patient appealed that there was no psychological withering and 7.7% of patients appealed positively. 6. There were eight males and four females that had jobs. 7. There was no family history in 100% of patients in questions about presence of family history. 8. 96.2% of patients appealed that there was no oral habits. 13.5% of patients had dryness of oral mucosa in oral exam. A significant relation to dental prosthesis was not observable, but incidence of diseases due to stress appeared high in BMS which had the clinical characteristics as above. A group having low serum iron was 63.5% and in this group period of potential iron deficiency appeared high in incidence just before move to anemia. A group represented positive response was 38.5% in fungus study for Candida albicans. Since we can expect high treatment response by prescription of iron-contained drug and antifungal drug in these patients, diagnosing patients' condition of BMS can be achieved in more various aspects through study for serum iron and Candida albicans. Furthermore, it is expected that treatment protocol can be made.

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SRRS를 이용한 BMS 환자의 생활변화에 관한연구 (A Study on Life Changes of Burning Mouth Syndrome Patients Through SRRS)

  • 고명연;옥수민;권경민;태일호;안용우
    • Journal of Oral Medicine and Pain
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    • 제34권2호
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    • pp.189-195
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    • 2009
  • 부산대학병원 구강내과에 내원한 환자 중에 구강검사 및 방사선검사를 통해 구강 작열감 증후군으로 진단된 환자를 실험군으로 선택하고, 같은 기간 구강 작열감 증후군의 증상 및 병력이 전혀 없고 구강내 병소가 없는 환자를 대조군으로 선택하여 사회적 재적응 평정척도 설문지를 이용하여 생활변화를 조사 분석한 결과 다음과 같은 결론을 얻었다. 1. BMS환자군은 최근 1년간 생활상의 변화를 대조군에 비해 다소 많이 경험하였고, 이는 내원 전 7개월에서 12개월 이내에서 차이를 보였다. 2. 고점자(생활변화량 150점이상)의 환자군과 대조군 간의 유의한 차이는 인정할 수 없었다. 3. 설문내용을 6개 범주로 나누었을 때, 6개의 범주에서 유의한 차이를 보이지 않았지만, 사회생활 범주에서 환자군이 다소 높은 경향을 나타내었다.

구강작열감증후군 환자에서 기울과 전중($CV_{17}$)압통의 상관성 - Algometer를 이용한 전중압통의 정량화 측면에서 - (Correlation between Qi-Stagnation and Pressure Pain Threshold on $CV_{17}$ (Danzhong : 膻中) in Burning Mouth Syndrome Patients - In the Perspective of Quantification of Pressure Pain Threshold on $CV_{17}$ by using Algometer -)

  • 강경;김진성;선종기;손지희;김주연;장승원;손지영;이현주;류봉하
    • 대한한방내과학회지
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    • 제33권4호
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    • pp.498-510
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    • 2012
  • Objectives : This study was designed to find out whether there is a correlation between qi-stagnation score and pressure pain threshold (PPT) on acupuncture point $CV_{17}$ in burning mouth syndrome (BMS) patients. Methods : Thirty BMS patients who newly visited Oral Disease Clinic at the Kyung Hee University Korean Medicine Hospital were surveyed. The subjects were evaluated on age, illness duration, sex, self-assessed severity of BMS, qi-stagnation score, and PPT on 3 acupuncture points ($CV_{17}$, Rt. $SP_9$, Lt. $SP_9$). Results : There was significant correlation between age and PPT on $CV_{17}$ (p=0.005). Therefore, partial correlation analysis with age as control variable was done, and the result showed significant correlation between qi-stagnation score and PPT on $CV_{17}$ (p=0.001). Qi-stagnation diagnostic point by PPT on $CV_{17}$ was suggested as 3.8056 $kg/cm^2$ based on the fact that diagnostic score is 28.50 in the qi-stagnation questionnaire. Furthermore, considering that PPT is effected by age, we could attain qi-stagnation diagnostic equation of PPT on $CV_{17}$, that is suggested as $0.047{\times}(age)+0.848kg/cm^2$. PPT of 3 acupuncture points ($CV_{17}$, Rt. $SP_9$, Lt. $SP_9$) was compared, and the result showed that PPT was significantly lower on $CV_{17}$ (w/Rt $SP_9$: p=0.022, w/Lt. $SP_9$: p=0.012). Also, significance and correlation coefficient with qi-stagnation were higher on $CV_{17}$ (p<0.001, r=-0.620) than Rt. $SP_9$ (p=0.023, r=-0.413) or Lt. $SP_9$ (p=0.014, r=-0.444). Conclusions : The result of this study suggested that PPT on $CV_{17}$, measured quantitatively by algometer, had a strong correlation with qi-stagnation score in BMS patients. Therefore, the study showed that $CV_{17}$ can be a useful acupuncture point in diagnosing qi-stagnation by measuring PPT in BMS patients.

구강작열감증후군 환자의 미각에 관한 연구 (A Study on the Taste of Burning Mouth Syndrome Patients)

  • 고명연;장용석;허준영;안용우
    • Journal of Oral Medicine and Pain
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    • 제31권4호
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    • pp.275-281
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    • 2006
  • 구강작열감증후군 환자의 미각기능과 치료에 따른 미각 기능의 변화를 알아보고자 2005년 4월부터 2006년 2월까지 부산대학교병원 구강내과에 내원한 환자 중에 구강검사와 방사선검사를 통해 구강작열감증후군으로 진단되어진 환자 33명을 실험군으로 선택하고 같은 기간 내원한 치과환자 중에 구강검사와 설문지를 사용하여, 미각에 영향을 미칠 수 있는 전신질환, 약물복용, 구강내 국소적 질환을 가지고 있지 않은 치과환자 100명을 대조군으로 선택하여 각각 전기미각역치를 측정한 후 비교분석 하여 다음과 같은 결과를 얻었다. 1. 구강작열감증후군 환자군의 전기미각역치는 대조군에 비해 매우 낮았다. 2. 남성과 여성에서 구강작열감증후군 환자군의 전기미각역치는 대조군에 비해 각각 낮았다. 3. 구강작열감증후군 환자의 단일/복수 병소 및 만성도에 따른 미각역치는 차이가 없었다. 4. 구강작열감증후군 환자군의 치료에 따른 전기미각역치와 NAS는 매우 감소하였다.

한국인을 대상으로 한 구강작열감증후군 환자의 삶의 질 평가 (Quality of Life in Korean Patients with Burning Mouth Syndrome)

  • 박주현;권정승;최종훈;안형준
    • Journal of Oral Medicine and Pain
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    • 제36권2호
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    • pp.81-89
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    • 2011
  • 만성 통증의 양상을 보이는 구강작열감증후군은 환자들의 신체적, 심리적인 면 뿐만 아니라 전반적인 삶의 질과의 연관성도 많은 연구들에서 보고되어 왔다. 하지만 현재까지의 대부분의 연구들에서는 구강작열감환자에게 있어서 총괄적인 건강상태와 관련된 삶의 질을 평가하는 데에는 부족한 면이 있고, 이들의 관계에 대한 연구가 아직은 미흡한 상태이다. 이에 본 연구에서는 구강내과에 내원한 구강작열감증후군 환자를 대상으로 Medical Outcome Short Form Health Survey Questionnaire (SF-36)과 Oral Health Impact Profile (OHIP-49)를 이용한 평가를 시행하여, 시행 결과를 대조군의 결과와 비교, 분석하여 삶의 질과의 관계를 분석해 보고자 하였다. 총 60명의 구강작열감증후군 환자 및 60명의 건강한 대조군이 본 연구에 참여하였다. 각 군을 대상으로 전반적인 삶의 질을 평가하기 위해 고안된 설문인 SF-36과 구강 건강과 관련한 삶의 질을 평가하기 위해 고안된 설문인 OHIP-49를 시행하였다. 구강작열감증후군과 전반적인 삶의 질 사이에는 유의한 상관관계가 관찰되었다. SF-36의 모든 항목에서 구강작열감증후군 환자군은 대조군에 비하여 현저히 낮은 점수를 보여 전반적인 삶의 질이 떨어지는 것으로 나타났다. OHIP-49 설문의 결과, 각 항목의 평균에서 구강작열감증후군 환자군은 대조군에 비하여 현저히 높은 점수를 보여 구강 건강과 관련한 삶의 질이 떨어지는 것으로 나타났다.