Burning mouth syndrome (BMS) is characterized by a burning sensation in oral cavity without clinical signs. There has been no established theories about the diagnosis and treatment.
The purpose of this article is to examine the clinical feature of BMS patients Korean and to present a treatment protocol that can be helpful in clinical applications.
The subjects chosen for the study were 52 patient 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 responses to the treatment.
@ES The following results were obtained :
@EN 1 Chief complaints were throbbing(71.2%), pricking, stinging, tingling(25%). The tongue is the most frequently affected site(82.7%), followed by full mouth, gingiva, palate, buccal mucasa, lips, throat, labial mucosa and floor of mouth.
2. The average age of onset was 48.1 years 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, thngle and difficulty in swallowing.
5. Most of patient had appealed that there was not associated event on onset of symptom, and the order of appealed that there was no psychological withering and 7.7% of patients appealed positively.
6. There were eight males and four females who 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 prothesis was not observable, of diseases the 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 potencial iron
deficiency
appeared high in incidence jost befoe 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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