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Clinical and Psychiatric Manifestations of Burning Mouth Syndrome

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Author(s): Milija Mijajlovic | Jasna Zidverc-Trajkovic | Dragan Stanimirovic | Ljiljana Jankovic | Nadezda Sternic

Journal: Aktuelnosti iz Neurologije, Psihijatrije i Graničnih Područja
ISSN 0354-2726

Volume: 19;
Issue: 3-4;
Start page: 37;
Date: 2011;
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Keywords: Burning mouth syndrome | Classification | Clinical presentation | Psychiatric manifestations

ABSTRACT
According to International Headache Society (IHS) classification, burning mouth syndrome (BMS) is intra oral burning sensation without obvious medical and dental cause. IHS diagnostic criteria of the disorder include the presence of burning oral sensation during the most period of day without obvious changes of oral mucosa. Local and systemic causes have to be excluded by appropriate diagnostic procedures. Subjective feeling of dry mouth, paraesthesia and taste changes could be associated symptoms. Estimated prevalence of BMS in general population varies between 1 and 15% and the disorder is seven times more common in females. This condition is probably of multifactorial origin, oft en idiopathic, and its etiology and pathogenesis has not been elucidated completely yet. More recently, increasing attention has been given to the altered perception of sensory functions as well as to the changes in the psychological profile of many BMS patients. As a result, both disturbances should be included in the clinical spectrum of BMS. BMS represents a disorder with a poor prognosis in terms of quality of life and treatment possibilities. As a result, BMS subjects continue to be high consumers of healthcare resources.As in the other chronic pain conditions it has been reported that depression and anxiety are strongly associated with BMS and that they are signifi cantly more frequent in BMS patients than in non-BMS subjects.

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