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[Case of glossodynia].

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Dental Prosthesis↗

[Glossodynia].

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Glossalgia↗

Localized amyloid tumor of the tongue. A case report and review of the literature.

Amyloid is usually deposited in the tongue, as a part of generalized amyloidosis. Isolated localized amyloidosis of the tongue is relatively rare. We report such a case which presented with glossodynia and glossopyrosis and was thought clinically to represent median rhomboid glossitis. Histologically the amyloid stained positively with Congo-red giving green birefringence under polarized light, was not abolished after permanganate pretreatment and did not react immunohistochemically for amyloid A, beta 2 microglobulin and transthyretin.

Adult↗

[The effectiveness of a benzydamine rinse in the management of stomato-glossopyrosis].

Burning mouth syndrome (BMS) is a frequent source of oral discomfort and sensation mainly at middle-aged or elderly women without identifiable local pathology. Forty-two patients with stomato-glossopyrosis were registered at the Department of Periodontology, Dental School, University Pécs, between August 2002 and January 2003. Oral clinical examination failed to identify physical explanation for the complaint of painful or burning mouth. After complete examination (blood test included), scaling, root planning and oral hygiene instructions were given. Six patients reported decreasing mucosal pain or burning. Two patients had iron-deficiency and Sjögren's syndrome was suspected and verified at another two patients. Thirty-two patients completed the benzydamine-study. They were divided into two groups. The study group (16 patients) rinsed with benzydamine containing solution, the control group (16 patients) received placebo solution for rinsing the same way for ten days. Differences were found between the two groups favouring the benzydamine containing solution. Pain reduction, mouth dryness and diminution of burning sensation were detected by means of visual analog scale (VAS). Benzydamine rinses could be effective in the management of BMS, but clinicians need to monitor patients for possible side effects in the case of long-term use.

Analgesics, Non-Narcotic↗

Enzyme-linked immunosorbent assay of SIgA in whole saliva of healthy subjects and patients with oral diseases.

The author tried to determine the secretory immunoglobulin A (SIgA) level in the whole saliva of healthy subjects and patients with oral diseases by the enzyme-linked immunosorbent assay (ELISA) technique. An ELISA system that was previously developed for determining the SIgA level in the pancreatic juice was modified and was proved to be applicable for the SIgA in the whole saliva. It was found that the SIgA in the whole saliva could be determined with excellent reproducibility and linearity when the samples were diluted 1,000-fold. This assay method was superior to the conventional techniques in terms of accuracy, covering a wide range SIgA levels in the saliva. In the 74 healthy subjects, the SIgA level in the whole saliva did not show any major age- or sex-related difference. However, patients with leukoplakia, lichen planus and carcinoma in the oral cavity showed higher levels of SIgA. The elevated levels of SIgA in the saliva of these patients suggested that some local changes in immunological competence might occur due to prolonged exposure to the antigen in the oral cavity.

Adolescent↗

[Stomatodynia and depressive syndrome].

Stomatodynia is pain localised to the buccal cavity which cannot be explained on an organic basis and where the etiological diagnosis is depression. The particular way in which the patient describes his pain may suggest the diagnosis. Treatment involves prescription of anti-depressants.

Adult↗

[Glossodynia].

Glossodynias are a build up of painful lingual syndromes with neither a detectable visible lesion, nor of a known organic origin. An obvious discordance between the subjective feelings and the weakness, even absence of an objective lesion support able to explain them, can be observed. Being often considered by physicians to be of a psychological origin, they are always the object of never-ending research for a detectable lesion which would explain their complications. Following consultations with 114 patients in the department of Stomatology, and in collaboration with our neuropsychiatrist colleagues in the same hospital, we took stock of this frequent application which bothers the buccal specialist, who does not know to consider it or how to treat it.

Diagnosis, Differential↗

[Oral pathology of pscyhosomatic origin. Review of the literature].

Emotional stress is one of the etiologic or anyway predisposing factors involved in a lot of oral pathologies. In fact, relations between stress effects and frequent diseases such as gastric ulcer or ulcerous colitis are today wellknown by everyone. Theories about a relation between this kind of etiology and tumours are only reported by some Authors and are at the level of hypotheses. Mouth is very weak in these situations, owing to its great interest as primary erogenous zone, and for this reason we find frequently oral pathologies in relation with psychosomatic medicine. In this report we tried to give a good help to the study of these diseases and to find an easy classification to use (really it is an hard work to do due to the variety of this numerous illnesses).

Bruxism↗

The aetiology and management of glossodynia.

In conclusion, glossodynia may present to a number of specialists. A wide variety of conditions may be responsible and the cause may be multifactorial. A systemic approach to assessment is essential and the opinion of other specialities, particularly dentistry, may be of help. Treatment is of the underlying cause but in many cases no specific aetiological factor is identified. The reassurance that there is no significant underlying pathology may in itself be sufficient to alleviate the symptom.

Avitaminosis↗

Oral lesions as a cause of glossodynia.

A number of oral lesions may be responsible for the symptoms of glossodynia. A thorough examination of the tongue and the mouth is of paramount importance to eliminate specific oral manifestations that may result in a burning or painful tongue. Ultimately, this may require consultation with an oral diagnostician for a definitive diagnosis.

Diagnosis, Differential↗

Glossodynia after radiation therapy and chemotherapy.

Radiation therapy and chemotherapy have decreased the mortality rates of cancer patients, but the morbidity associated with oral complications is high in many cases. A pretreatment oral evaluation and institution of a preventive care program reduce oral symptoms such as glossodynia considerably. When oral symptoms are minimized, the dentist can improve the patient's quality of life.

Antineoplastic Agents↗