Tardive dyskinesia with complaints of pain.
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Aged↗
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Results for “GLOSSALGIA”
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Recognition and management of the depressed dental patient.
Depressive illness may affect the patient's response to dental care. It has been implicated both as a causal factor and a sequela in facial pain syndromes. Depression is treated with various medications that may influence function and health of the oral cavity and that may adversely interact with drugs used to control pain and anxiety.
Antidepressive Agents, Tricyclic↗
Pernicious anemia with associated glossodynia.
Glossitis and glossodynia are commonly seen by the dental practitioner. The awareness that these symptoms in conjunction with other oral signs indicate pernicious anemia is important for the clinician. Correct diagnosis can be made, and neurological complications avoided. Two case reports are presented and typical oral and systemic features of pernicious anemia are discussed.
Adult↗
Diabetic neuropathy masquerading as glossodynia.
BACKGROUND: Diabetic neuropathy, or DN, occurs in approximately 50 percent of patients who have type 2 diabetes mellitus, or DM. Oral burning and symptoms consistent with glossodynia (burning mouth syndrome) may occur secondary to DN. CASE DESCRIPTION: A 54-year-old woman reported to a university dental clinic with a chief complaint of oral burning. No clinical signs were evident. Her medical history was positive for type 2 DM. The initial diagnosis was glossodynia, and she was evaluated with relevant blood studies, which indicated that her diabetes was not well-controlled. The patient was referred back to her physician, and her symptoms abated once her diabetic condition was under control. CLINICAL IMPLICATIONS: It is important to consider DN within the differential diagnoses of patients who have symptoms consistent with glossodynia but have no clinical signs. Dentists are invaluable in ascertaining underlying systemic disease considerations in patients with oral symptomatology. Cooperation between dentists and physicians often is helpful and necessary in caring for patients who have uncontrolled type 2 DM and oral symptoms.
Burning Mouth Syndrome↗
Atrophic glossitis from vitamin B12 deficiency: a case misdiagnosed as burning mouth disorder.
BACKGROUND: Glossodynia, or painful sensation of the tongue, can have a spectrum of etiologies, such as local infection, trauma, nerve damage, glossitis, or the enigmatic neuropathic pain syndrome, burning mouth disorder (BMD; also known as burning mouth syndrome). Careful history-taking, physical examination, and appropriate laboratory screening can differentiate these causes of glossodynia and direct further therapy. METHODS: A 73-year-old woman presented with several months of glossodynia having previously been diagnosed by her primary care physician with primary BMD. Subsequently, she consulted an otolaryngologist, who pursued further diagnostic evaluation. RESULTS: Examination revealed the presence of a beefy, red, smooth tongue, and further laboratory evaluation yielded a low serum vitamin B(12) level and macrocytosis. Three months of oral vitamin B(12) supplementation led to partial restoration of serum vitamin B(12) levels and a modest improvement in symptoms. Her final diagnoses were atrophic glossitis and glossodynia secondary to vitamin B(12) deficiency, most likely due to pernicious anemia. CONCLUSIONS: The results of this case have important clinical implications for the diagnostic evaluation and management of patients with glossodynia and apparent BMD. Pathogenic mechanisms of nutrient deficiency in atrophic glossitis are discussed.
Aged↗
[Clinical and fundamental investigations on recurrent glossodynia].
A type of oral lesion, so-called glossodynia has been on the increase recently. Glossodynia is a kind of psychosomatic disease in which the patient experiences chronic pain on the surface of the tongue. It has never been diagnosed as coming from organic or functional pain. Although glossodynia can be cured by antianxiety drugs, antidepressants, or autogenic training and so on, usually. These are not a desirable solution. We initially tried to administer the antifungal drug, ITCZ, to 65 glossodynia patients. Sixty-four of them were cured of tongue pain after 1-3 weeks. The effective rate of recovery was 98.5%. Only two patients experienced recurrence of pain after 15 and 17 weeks, respectively, and Candida albicans was isolated from the surface of their tongues. The nature of the recurrent strains was investigated by MICs against 4 antifungal drugs, ITCZ, MCZ, AMPH-B, and NYS, as well as by the API 20C Auxanogram biochemically, and a molecular epidemiologic study by PFGE. Each case of Candida albicans was almost the same before and after the administration of ITCZ. Above all, it is important to carefully inspect the candidiasis of the tongue and to initially administer antifungal drugs when the diagnosis is glossodynia.
Adult↗
[Glossodynia and the function of the autonomic nervous system--frequency spectrum analysis of RR intervals recorded electrocardiographically].
This study explored the relationship between the function of the autonomic nervous system (ANS) and glossodynia. The function of the ANS was examined in patients with glossodynia by frequency analysis of heart rate variability. The subjects were 50 women given the diagnosis of glossodynia and 24 healthy volunteers. The heart rate variability of these subjects was evaluated. Mean values of the high frequency power at rest were 1.323 +/- 1.484 ms2 in the group without functional disorders (NF group), 1.861 +/- 1.601 ms2 in the group with functional disorders (F group), and 3.229 +/- 2.044 ms2 in the standard group (H group). Mean values of HF/LF were 0.968 +/- 0.961 in the NF group, and 1.696 +/- 0.847 in the H group. Mean values of the high frequency power at rest were 1.032 +/- 977 ms2 in the group with CMIs in regions III and IV (III-IV group), 3.299 +/- 2.044 ms2 in the H group, and 2.314 +/- 1.883 ms2 in the group with CMIs in regions I and II (I-II group). Mean values of HF/LF were 0.965 +/- 0.744 in the III-IV group and 1.696 +/- 0.847 in the H group. The results of this study suggest that nervous tension, which was the cause of indefinite complaints in patients with glossodynia, had resulted from a pronounced reduction in activities of the parasympathetic nervous system, but not from an excessive increase in activities of the sympathetic nervous system. An assessment of the function of the ANS by means of heart rate variability seemed to be useful for comprehending the clinical conditions of glossodynia.
Adult↗
Respiratory tract symptoms as a clue to giant cell arteritis.
Although many manifestations of giant cell arteries are increasingly recognized, little attention has been paid to respiratory symptoms associated with this disorder. We report the cases of 16 patients with giant cell arteritis who had prominent symptoms related to the respiratory tract including cough, sore throat, and hoarseness. These symptoms were the initial finding in 10 patients and obscured the diagnosis in some instances, but resolved quickly when corticosteroids were given. It is estimated that 9% of patients with giant cell arteritis have prominent respiratory tract symptoms, which are the initial manifestation in 4%. This disorder should be considered in an older patient with a new cough or throat pain without obvious cause.
Aged↗
[Burning tongue (author's transl)].
Burning tongue mostly does not occur as a disease per se, but as a symptom primarily of internal but also of neurological, dermatological, psychiatric and dental diseases. To facilitate differential diagnostic considerations, a short description is given of the individual clinical pictures as well as of the pertinent findings. The knowledge of these diseases is a prerequisite to the causal and lasting treatment of patients affected by the obstinate and occasionally even painful symptom of the burning tongue.
Adult↗
[Some aspects of glossodynia].
Glossodynia (synonym: burning mouth syndrome) is thought to be a disorder with a wide range of possible causes. Aetiologies may include haematological diseases, vitamin deficiencies, dental work, hormonal factors, or infections. In addition, psychological disorders such as neuroses, depression, or phobias have been reported as playing a significant role in the initiation of burning mouth syndrome. Typically, the oral mucosa is found to be normal in most burning mouth syndrome patients. A multidisciplinary approach appears to be essential for appropriate assessment of this disorder, i.e. the diagnostic procedure should involve dentistry, neurology, and internal medicine. If possible, careful treatment of underlying causes must be undertaken. However, the replacement of suspected but unproven hormonal/nutritional deficiencies should be avoided.
Glossalgia↗
[Etiology and treatment of glossodynias].
This study only concerns classical glossodynia with few symptoms and not related to general, tumoral or local syndromes. Lingual pain is caused in the majority of cases by apraxic movements of the tongue. These movements, related to the anguish, can by a regressive process be related to the "searching" lingual movements of the child in psychological distress. The patient suffering from glossodynia (usually a woman) is enclosed in a viscious circle : anguish, apraxic movements, lingual pain, of which the beginning is often contemporary with a cancer in the area. Therapy should be addressed first of all at the distress, by looking very closely at the patient, by examining her very carefully, by absolutely gaining her confidence and by asserting the absence of cancer while admitting the reality of her disease. It should then be addressed to the lingual movements, by immobilization exercises giving rise to consciousness of movements up to then unconscious. Relaxation exercises can be combined. Failure of this therapy : frequent in men, in those who speak a lot (teachers), in hysterics "pithiatics", senile, and those persons whose intellectual evolution is slight. The author emphasizes the therapist's availability ; success in this treatment being related to what he can give of himself to these patients.
Anxiety↗
Role of nutrition in the oral health of the aging patient.
The food, diet and nutrition needs of the elderly patient should be considered a part of his total supportive management. It is incumbent upon the dentist to provide the patient with this nutritional information for optimal oral health, because what is good for preventing oral disease will be equally good for preventing general illness. Essentially, if the clinician keeps in mind that the calorie needs for an older patient are less but all other nutrient requirements are as high in old age as they were in youth, the geriatric patient will be well treated. Certainly there are distinctive environmental, physiological and psychological problems that must be considered, but these should not be imponderable. The best possible general advice is that daily diets should include meat, milk, vegetables and fruit, and bread. We suggest an emphasis on good quality protein foods and a generous selection of vegetables and fruits and somewhat less stress on fats, starches, and sugars to avoid an excess of calories. For the individual geriatric new denture wearer we might add that each diet prescription should be based on an analysis and evaluation of his individual food habits (the "why" of the diet) and actual food intake (the "what" of the diet). Furthermore, the physical nature of the diet should be consistent with the patient's experience and ability to swallow, chew, and bite with his dental prosthesis.
Aged↗
[The patient's intolerance of dentures from the internal medicine veiwpoint].
Similar complaints these found in cases of denture incompatibility (itching of palate and tongue, dry mouth, sores in the mouth as well as other unpleasant sensations) may be observed in many disorders of internal medicine. Therefore considerable difficulties are often involved in the differential diagnostic considerations and delimination of such complaints.
Dentures↗
[Hypertrophic lingual papillae].
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Adult↗
Psychosomatic disorders of the mouth and face.
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Antidepressive Agents↗
[Burning tongue in a 47-year-old housewife].
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Diagnosis, Differential↗
An update on the management for the dental patient with Sjögren's syndrome and xerostomia.
Sjögren's syndrome is a chronic and uncomfortable inflammatory condition for the individuals who suffer from it. There are many and varied systemic and oral complications associated with Sjögren's syndrome. It is also a complex and challenging condition for the dentist to diagnose and manage. The key concepts are early recognition and intervention to prevent the secondary complications from hyposalivation. To the degree possible, salivary flow should be restored by either artificial salivas or stimulated by secretogogues or both, which is usually the case. Atrophy and secondary infections of the oral mucosa should be properly identified, effectively treated, and frequently monitored. Pilocarpine HCl (Salagen) has been shown to be effective in increasing salivary flow in patients with SS. Preventive and supportive therapy including supplemental fluorides, dietary assessment, and frequent professional recalls are imperative to maintaining the oral health of the patient with SS.
Dental Care for Chronically Ill↗