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Burning Mouth Syndrome in an Iraqi Sample of Patients: a preliminary study of 52 Cases

Author: Dr. Munir Y. AL – Kotany. د.منير كوتاني
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2011 Volume: 8 Issue: 3 Pages: 310-321
Publisher: Al-Mustansyriah University الجامعة المستنصرية


AbstractEvaluation of the clinical characteristics of burning mouth syndrome in a sampleof Iraqi patients referred to a large teaching dental clinic in Baghdad.Fifty two patients with burning mouth syndrome were followed up through aprospective study ,investigating the clinical characteristics of using pre- establishedcriteria’s and tests for each feature .Forty four women and 8 men with burning mouth syndrome ranging in age from46 – 72 years. Their cause of attendance was disturbed sleep (46.1%), fear of seriousdisease (44.2%) and anxiety (36.5%). The pain duration since it started ranged from3 – 48 months (Mean 18.17 ± 12.78) months.Twenty six patients (50%) reported precipitating event and 32 (61.9%) reported achange in taste sensation of which (56.25%) had a bitter taste. VAS pain levels were(6.13±0.02 for females and 6± 0.91for males). 25%of the patients had medicalcomorbidities that were under control.The location of pain was mostly on the tongue (76.9%) and mainly on its margins(57.7%) unilaterally. And only 25% of the patients had subjective xerostomia withstimulated parotid salivary flow rate less than 0.5 ml/ min.Estradiol levels among females were (68.18%) below 15 pg/ml and (31.72%)above that in spite of 75% of them were post–menopause. And these patients weresubject to stress ranging from 35-146 (L. c. u's) with a mean of 2.73 ± 1.28 events perpatient and about 7.69% of them had one severe stress accident .The classification of psychiatric comorbidities occurring among the patientssample were (17.3% = free), (40.38% = Depressive neurosis) and (20.08% = Anxietyneurosis) and none of the patients reached the level of psychosis.Burning mouth syndrome is possibly of high prevalence and with high range ofetiologies that should be more investigated including its relation with psychologicalstress and neurosis.

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