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[Glossodynia].
Glossodynia is characterized by burning, pain and/or other dysaesthesias of the tongue and oral mucosa. Usually, pathological alterations of the oral mucosa are lacking. Latent depressions are the major cause, however other psychic disturbances may also occur. Local changes and systemic diseases are extremely rare causes of glossodynia. Treatment must be aetiological. Non-indicated substitution therapy of suspected but unproved deficiency states must be avoided.
[Changes of the lip salivary glands in glossodynia. Histologic and morphometric analysis (author's transl)].
The minor salivary glands of the lower lips were analyzed histologically and morphometrically from biopsy specimens taken from 29 patients with glossodynia and 12 normal controls. The causes of glossodynia included Sjögrens syndrome [5], stomatological disorders such as diabetes mellitus, prosthesis allergy, etc. [5], psychiatric depressions [6], and idiopathic [13]. Using semi-thin tissue sections, the following results were obtained: 1. The control group had an average acinous area of 70.2%. This area was moderately reduced in the older patient. In patients with glossdynia, the acinous area was reduced to a mean value of 38.9%. Some severe cases showed values of 10% and less. 2. The area of duct structures was 9.3% in control tissues, and increased to 13.1% in patients with glossodynia. Values to 26% were rarely observed. 3. The interstitial tissue of the control group was inconspicuous and contained only few inflammatory cells. In glossodynia, the reduction of glandular acini could be positively correlated with the proliferation of the connective tissue and to stromal infiltration by lymphocytes and plasma cells. In diffuse lymphocytic sialadenitis, the mean value of the acinous area was 46%. An additional focal lymphocytic infiltration resulted in a further reduction to 27.3%. 4. The most severe cases of sialadenitis were found in glossodynia associated with Sjögren's syndrome. As such, the lip biopsy was found to be a useful method for diagnosis of the syndrome.
Glossodynia and glossopyrosis - a discussion of the aetiology and management.
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Case report: a hazard caused by a lower partial denture.
Although dentures are cosmetic, as well as functional appliances, they can sometimes cause various oral conditions or life-threatening hazards to patients. A case is presented here of an unusual complication of a partial lower denture.
[Buccofacial dysesthesias].
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[The microscopic vasculitis in tongue].
This is the first report of 16 cases with microscopic vasculitis of the tongue in Chinese literatures. The clinical manifestations and histopathology of the disease were described. The treatment of promoting blood circulation to remove blood was used stasis. Probably the microscopic vasculitis plays an importment role in the glossodynia.
[Signs and diagnosis of occlusal disorders].
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