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Clinical Oral Investigations

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01-02-2019 | Original Article

Mechanical sensitivity and psychological factors in patients with burning mouth syndrome

Authors: Mika Honda, Takashi Iida, Hirona Kamiyama, Manabu Masuda, Misao Kawara, Peter Svensson, Osamu Komiyama

Published in: Clinical Oral Investigations | Issue 2/2019

Abstract

Objectives

The aim of this study was to compare mechanical sensitivity on the tongue using quantitative sensory testing (QST) and psychological factors using the General Health Questionnaire (GHQ) between burning mouth syndrome (BMS) patients and healthy participants.

Materials and methods

Participants comprised 20 female BMS patients (68.1 ± 7.4 years) and 20 healthy females (65.4 ± 4.6 years). Psychological factors were evaluated with GHQ. Tactile detection thresholds (TDT) and filament-prick pain detection thresholds (FPT) were used to evaluate mechanical sensitivity on the tongue in all participants. TDT and FPT were measured on the tongue within both the painful area and the non-painful area in BMS patients, and on the tongue on both sides in healthy participants. As controls, TDT and FPT were measured with Semmes-Weinstein monofilaments on the skin of the mentum and palm in all participants.

Results

GHQ scores were significantly higher in BMS patients than in healthy participants (P = 0.024). No significant differences in TDT or FPT on the tongue, mentum, or palm were seen between BMS patients and healthy participants (P > 0.05). BMS patients showed no significant differences in TDT or FPT between the painful and non-painful areas on the tongue (P > 0.05). There were no significant correlations among TDT/FPT and GHQ score in BMS patients (P > 0.05).

Conclusions

These findings could indicate a more important role for psychological factors than mechanical sensitivity in BMS pathophysiology.

Clinical relevance

Pain on the tongue in elderly female patients with BMS may be more related to psychological factors.

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Title: Mechanical sensitivity and psychological factors in patients with burning mouth syndrome
Authors: Mika Honda
Takashi Iida
Hirona Kamiyama
Manabu Masuda
Misao Kawara
Peter Svensson
Osamu Komiyama
Publication date: 01-02-2019
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 2/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2488-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mechanical sensitivity and psychological factors in patients with burning mouth syndrome

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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