Clinical presentation of burning mouth syndrome in patients with oral lichenoid disease

  1. Javier Alberdi Navarro 1
  2. José Manuel Aguirre Urizar 2
  3. Eduardo Ginestal Gómez 3
  1. 1 Oral Medicine and Oral and Maxillofacial Pathology Units. Dental Clinic Service, Department of Stomatology II, School of Medicine and Nursing, University of the Basque Country(UPV/EHU), Leioa, Bizkaia, Spain; Orofacial Pain and Temporomandibular Disorders Unit. Dental Clinic Service, Department of Stomatology II, School of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Bizkaia, Spain
  2. 2 Oral Medicine and Oral and Maxillofacial Pathology Units. Dental Clinic Service, Department of Stomatology II, School of Medicine and Nursing, University of the Basque Country(UPV/EHU), Leioa, Bizkaia, Spain
  3. 3 Orofacial Pain and Temporomandibular Disorders Unit. Dental Clinic Service, Department of Stomatology II, School of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Bizkaia, Spain
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2020

Volumen: 25

Número: 6

Páginas: 2

Tipo: Artículo

DOI: 10.4317/MEDORAL.23812 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Objetivos de desarrollo sostenible

Resumen

To analyze the presence of burning mouth syndrome (BMS) in a group of patients diagnosed with oral lichenoid disease (OLD). A retrospective study of 217 patients diagnosed with OLD; 158 (72,8%) women and 59 (27,2%) men, with an average age upon diagnosis of 56,4 years (SD 11,88). We carried out a detailed and complete characterization of symptoms, with special emphasis on BMS diagnostic data specified by the International Headache Society. Four patients (1.8%) presented with long-term clinical symptoms of burning mouth, indicative of BMS and they fulfilled the IHS 2018 criteria, except for criterion D, i.e.“Oral mucosa is of normal appearance”. The observed lichenoid mucosal lesions were not considered to be able to account for the reported intraoral pain in any of our patients. Thus neither diagnosis was considered to be exclusive. Patients diagnosed with OLD, and who simultaneously present clinical characteristics of BMS should be studied in detail, in order to evaluate the possibility of both diagnoses concurring.

Referencias bibliográficas

  • Headache Classification Committee of the International Headache Society, IHS. (2018). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 38. 1-211
  • Pèrier, JM,Boucher, Y. (2019). History of burning mouth syndrome (1800-1950): A review. Oral Dis. 25. 425
  • Jääskeläinen, SK. (2012). Pathophysiology of primary burning mouth syndrome. Clin Neurophisiol. 123. 71
  • Forssell, H,Jääskelänien, S,List, T,Svensson, P,Baad-Hansen, L. (2015). An update on pathophysiological mechanisms related to idiopathic oro-facial pain conditions with implications for management. J Oral Rehabil. 42. 300
  • Kolkka, M,Forssell, H,Virtanen, A,Puhakka, A,Pesonen, U,Jääskeläinen, SK. (2019). Neurophysiology and genetics of burning mouth syndrome. Eur J Pain. 23. 1153
  • Scala, A,Checchi, L,Montevecchi, M,Marini, I,Giamberardino, MA. (2003). Update on burning mouth syndrome: overview and patient management. Crit Rev Oral Biol Med. 14. 275
  • Headache Classification Subcommittee of the International Headache, Society. (2004). The International Classification of Headache Disorders 2nd Edition. Cephalalgia. 24. 9-160
  • Sardella, A,Lodi, G,Demarosi, F,Uglietti, D,Carrassi, A. (2006). Causative or precipitating aspects of burning mouth syndrome: a case-control study. J Oral Pathol Med. 35. 466
  • (2016). Orofacial pain fact sheets. Section 5. Burning Mouth Syndrome.. International Association for the Study of Pain (IASP)..
  • Adamo, D,Mignogna, MD,Pecararo, G,Aria, M,Fortuna, G. (2018). Management of reticular oral lichen planus patients with burning mouth syndrome-like oral symptoms: a pilot study. J Dermatolog Treat. 29. 623
  • Aguirre Urizar, JM. (2008). Letter to the editor: oral lichenoid disease. A new classification proposal. Med Oral Patol Oral Cir Bucal. 13. 224
  • Cortés-Ramírez, DA,Gainza-Cirauqui, ML,Echebarria-Goicouria, MA,Aguirre-Urizar, JM. (2009). Oral lichenoid disease as a premalignant condition: the controversies and the unknown. Med Oral Patol Oral Cir Bucal. 14. 118
  • Alrashdan, MS,Cirillo, N,McCullough, M. (2016). Oral lichen planus: a literature review and update. Arch Dermatol Res. 308. 539
  • Abadalla-Aslan, R,Benoliel, R,Sharav, Y,Czerninski, R. (2016). Characterization of pain originating from oral mucosal lesions. Oral Surg Oral Med Oral Pathol Oral Radiol. 121. 255
  • van der Meij, EH,van der Waal, I. (2003). Lack of clinicopathologic correlation in the diagnosis of oral lichen planus based on the presently available diagnostic criteria and suggestions for modifications. J Oral Pathol Med. 32. 507
  • Sikora, M,Včev, A,Siber, S,Vučićević Boras, V,Rotim, Ž,Matijević, M. (2018). The efficacy of low-level laser therapy in Burning Mouth Syndrome - A Pilot Study. Acta Clin Croat. 57. 312
  • Valenzuela, S,Pons-Fuster, A,López-Jornet, P. (2016). Effect of a 2% topical chamomile application for treating burning mouth syndrome: a controlled clinical trial. J Oral Pathol Med. 45. 528
  • Palacios-Sánchez, B,Moreno-López, LA,Cerero-Lapiedra, R,Llamas-Martínez, S,Esparza-Gómez, G. (2015). Alpha lipoic acid efficacy in burning mouth syndrome. A controlled clinical trial. Med Oral Patol Oral Cir Bucal. 20. 435
  • Eisen, D. (2002). The clinical features, malignant potential and systemic associations of oral lichen planus: a study of 723 patients. J Am Acad Dermatol. 46. 207
  • Carbone, M,Arduino, PG,Carrozzo, M,Gandolfo, S,Argiolas, MR,Bertolusso, G. (2009). Course of oral lichen planus: a retrospective study of 808 northern Italian patients. Oral Dis. 15. 235
  • Bermejo-Fenoll, A,Sánchez-Siles, M,López-Jornet, P,Camacho-Alonso, F,Salazar-Sánchez, N. (2010). A retrospective clinicopathological study of 550 patients with oral lichen planus in south-eastern Spain. J Oral Pathol Med. 39. 491
  • Jääskeläinen, SK,Woda, A. (2017). Burning mouth syndrome. Cephalalgia. 37. 627
  • Moghadam-Kia, S,Fazel, N. (2017). A diagnostic and therapeutic approach to primary burning mouth syndrome. Clin Dermatol. 35. 453
  • McCartan, BE,Healy, CM. (2008). The reported prevalence of oral lichen planus: a review and critique. J Oral Pathol Med. 37. 447
  • Aljanobi, H,Sabharwal, A,Krishnakumar, B,Kramer, JM. (2017). Is it Sjögren's syndrome or burning mouth syndrome?. Distinct pathoses with similar oral symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol. 123. 482
  • Suga, T,Takenoshita, M,Toyofuku, A. (2020). Medical comorbilities of patients with burning mouth syndrome. Oral Dis. 26. 238
  • Wang, J,van der Waal, I. (2015). Disease scoring systems for oral lichen planus; a critical appraisal. Med Oral Patol Oral Cir Bucal. 20. 199-204