Mechanical sensitivity and psychological factors in patients with burning mouth syndrome.

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.

journal_name

Clin Oral Investig

authors

Honda M,Iida T,Kamiyama H,Masuda M,Kawara M,Svensson P,Komiyama O

doi

10.1007/s00784-018-2488-9

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

757-762

issue

2

eissn

1432-6981

issn

1436-3771

pii

10.1007/s00784-018-2488-9

journal_volume

23

pub_type

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