DIAGNOSING A CASE OF ORAL BURNING
Journal of Case Reports in Medical Science,
Page 22-27
Abstract
Burning symptoms in the oral cavity are caused by a range of systemic and local factors. Patients might mention it as a single complaint or sometimes as a secondary symptom in association with other factors, like with oral dryness, oral mucosal lesions or certain systemic conditions. There is a level of uncertainty in the presentation of our case as the patient presented with minimal oral lesion (to diagnose lichenplanus), dryness of mouth (xerostomia), sharp cusps of teeth (trauma to tongue and cheeks), poor oral hygiene (candidiasis), elevated glycaemic level (diabetes), chewing betel nut (deleterious habit), history of loss in business (anxiety) and missing teeth (ill-fitting dentures). So with an armamentarium of so many differential diagnosis we proceeded to diagnose the case.
Keywords:
- Burning mouth syndrome
- candidiasis
- corticosteroids
- lichenplanus
- xerostomia
How to Cite
NAIR, V., DAS, K. P., & SAHA, N. (2021). DIAGNOSING A CASE OF ORAL BURNING. Journal of Case Reports in Medical Science, 7(1), 22-27. Retrieved from https://ikpresse.com/index.php/JOCRIMS/article/view/6611
References
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Kohorst JJ, Bruce AJ, Torgerson RR, Schenck LA, Davis MDP. A population-based study of the incidence of burning mouth syndrome. Mayo Clin Proc. 2014;89(11):1545-1552.
Mignogna MD, et al. The diagnosis of burning mouth syndrome represents a challenge for clinicians. J Orofac Pain. 2005;19(2):168-173.
Honda M, Iida T, Kamiyama H, Masuda M, Kawara M, Svensson P, et al. Mechanical sensitivity and psychological factors in patients with burning mouth syndrome. Clin Oral Investig; 2018.
Benoliel R, Zadik Y, Eliav E, Sharav Y. Peripheral painful traumatic trigeminal neuropathy: Clinical features in 91 cases and proposal of novel diagnostic criteria. J Orofac Pain. 2012;26(1):49-58.
Corsalini M, di Venere D, Pettini F, Lauritano D, Petruzzi M. Temporomandibular disorders in burning mouth syndrome patients: An observational study. Int J Med Sci. 2013;10(12):1784-1789.
Silverman S. Mucosal lesions in older adults. J Am Dent Assoc. 2007;138:S41-46.
Poon R, Su N, Ching V, Darling M, Grushka M. Reduction in unstimulated salivary flow rate in burning mouth syndrome. Br Dent J. 2014;217(7):E14.
Navazesh M, Kumar SK. Measuring salivary flow: Challenges and opportunities. J Am Dent Assoc. 2008;139(Suppl):35s–40s.
Kundu D, Bandyopadhyay P, Nair V, Chowdhury M, Mukherjee S, Nayek M. Aggressive periodontitis: A clinico-hematological appraisal. J Indian Soc Periodontol. 2014;18:166-171.
Humphrey SP, Williamson RT. A review of saliva: Normal composition, flow, and function. J Prosthet Dent. 2001;85(2):162-169.
Kunin A, Polivka J, Moiseeva N, Golubnitschaja O. BDry mouth^ and BFlammer^ syndromes-neglected risks in adolescents and new concepts by predictive, preventive and personalised approach. EPMA J. 2018;9(3):307-317.
Bhattacharyya S, Helfgott SM. Neurologic complications of systemic lupus erythematosus, sjogren syndrome, and rheumatoid arthritis. Semin Neurol. 2014;34(4):425-436.
Napenas JJ, Rouleau TS. Oral complications of Sjogren’s syndrome. Oral Maxillofac Surg Clin North Am. 2014;26(1):55–62.
Cowan GM, Lockey RF. Oral manifestations of allergic, infectious, and immune-mediated disease. J Allergy Clin Immunol Pract. 2014;2(6):686-696.
Nair V, Das KP, Das S. Dental considerations in patients with down syndrome. Journal of Medicine and Health Research. 2017;2(2):42-50.
Renton T. Burning mouth syndrome. Rev Pain. 2011;5(4):12-17.
Femiano F, Lanza A, Buonaiuto C, Gombos F, Nunziata M, Cuccurullo L, et al. Burning mouth syndrome and burning mouth in hypothyroidism: proposal for a diagnostic and therapeutic protocol. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(1):e22-27.
Watanabe M, Nakatani E, Yoshikawa H, Kanno T, Nariai Y, Yoshino A, et al. Oral soft tissue disorders are associated with gastroesophageal reflux disease: Retrospective study. BMC Gastroenterol. 2017;17(1):92.
Femiano F, Lanza A, Buonaiuto C, Gombos F, Rullo R, Festa V, et al. Oral manifestations of adverse drug reactions: guidelines. J Eur Acad Dermatol Venereol. 2008;22(6):681-691.
Douglass R, Heckman G. Drug-related taste disturbance: A contributing factor in geriatric syndromes. Can Fam Physician. 2010;56(11):1142-1147.
Silvestre FJ, Silvestre-Rangil J, Lopez-Jornet P. Burning mouth syndrome: A review and update. Rev Neurol. 2015;60(10): 457-463.
Anita C, Kishor A, Kumar RS, Chattopadhyay S, Arora R, Nair V. Evaluation of behavior of children with autism at special school and dental office using frankl behavior rating scale and IQ. J Clin Den Res Edu. 2019; 10(17).
Fortin I, Fortin B, Lambert L, Clavel S, Alizadeh M, Filion EJ, et al. Xerostomia in patients treated for oropharyngeal carcinoma: Comparing linear accelerator-based intensity-modulated radiation therapy with helical tomotherapy. Head Neck. 2014;36(9):1343-1348.
Nair V. BRONJ: What Should a Dental Surgeon Know? International Medical Journal. 2017;24(1):117 – 119.
Albilia JB, Lam DK, Clokie CM, Sándor GK. Systemic lupus erythematosus: A review for dentists. J Can Dent Assoc. 2007;73(9):823-828.
Koszewicz M, Mendak M, Konopka T, Koziorowska-Gawron E, Budrewicz S. The characteristics of autonomic nervous system disorders in burning mouth syndrome and Parkinson disease. J Orofac Pain. 2012;26(4):315-320.
Clark GT, Ram S. Orofacial movement disorders. Oral Maxillofac Surg Clin North Am. 2016;28(3):397-407.
Ritchie A, Kramer JM. Recent advances in the etiology and treatment of burning mouth syndrome. J Dent Res. 2018;97(11): 1193-1199.
Jaaskelainen SK. Pathophysiology of primary burning mouth syndrome. Clin Neurophysiol. 2012;123(1):71-77.
Adamo D, Sardella A, Varoni E, Lajolo C, BiasottoM, Ottaviani G, et al. The association between burning mouth syndrome and sleep disturbance: a case-control multicentre study. Oral Dis. 2018;24(4): 638-649.
Lopez-Jornet P, Lucero-Berdugo M, Castillo-Felipe C, Zamora Lavella C, Ferrandez-Pujante A, Pons-Fuster A. Assessment of self-reported sleep disturbance and psychological status in patients with burning mouth syndrome. J Eur Acad Dermatol Venereol. 2015;29(7):1285-1290.
Klasser GD, Pinto A, Czyscon JM, Cramer CK, Epstein J. Defining and diagnosing burning mouth syndrome: perceptions of directors of North American postgraduate oral medicine and orofacial pain programs. J Am Dent Assoc. 2013;144(10):1135-1142.
Coculescu EC, et al. Burning mouth syndrome: controversial place as a symptom of oro-dental pathology. J Med Life. 2015;8(Spec Issue):34-37.
Biswas S, Ghosh R, Yadav P, Chakraborty B, Ghosh S, Nair V, et al. Lichen planus: report of an uncommon case in a paediatric patient. Journal of Case Reports in Medical Science. 2018;4(1): 9-13.
Kohorst JJ, Bruce AJ, Torgerson RR, Schenck LA, Davis MDP. A population-based study of the incidence of burning mouth syndrome. Mayo Clin Proc. 2014;89(11):1545-1552.
Mignogna MD, et al. The diagnosis of burning mouth syndrome represents a challenge for clinicians. J Orofac Pain. 2005;19(2):168-173.
Honda M, Iida T, Kamiyama H, Masuda M, Kawara M, Svensson P, et al. Mechanical sensitivity and psychological factors in patients with burning mouth syndrome. Clin Oral Investig; 2018.
Benoliel R, Zadik Y, Eliav E, Sharav Y. Peripheral painful traumatic trigeminal neuropathy: Clinical features in 91 cases and proposal of novel diagnostic criteria. J Orofac Pain. 2012;26(1):49-58.
Corsalini M, di Venere D, Pettini F, Lauritano D, Petruzzi M. Temporomandibular disorders in burning mouth syndrome patients: An observational study. Int J Med Sci. 2013;10(12):1784-1789.
Silverman S. Mucosal lesions in older adults. J Am Dent Assoc. 2007;138:S41-46.
Poon R, Su N, Ching V, Darling M, Grushka M. Reduction in unstimulated salivary flow rate in burning mouth syndrome. Br Dent J. 2014;217(7):E14.
Navazesh M, Kumar SK. Measuring salivary flow: Challenges and opportunities. J Am Dent Assoc. 2008;139(Suppl):35s–40s.
Kundu D, Bandyopadhyay P, Nair V, Chowdhury M, Mukherjee S, Nayek M. Aggressive periodontitis: A clinico-hematological appraisal. J Indian Soc Periodontol. 2014;18:166-171.
Humphrey SP, Williamson RT. A review of saliva: Normal composition, flow, and function. J Prosthet Dent. 2001;85(2):162-169.
Kunin A, Polivka J, Moiseeva N, Golubnitschaja O. BDry mouth^ and BFlammer^ syndromes-neglected risks in adolescents and new concepts by predictive, preventive and personalised approach. EPMA J. 2018;9(3):307-317.
Bhattacharyya S, Helfgott SM. Neurologic complications of systemic lupus erythematosus, sjogren syndrome, and rheumatoid arthritis. Semin Neurol. 2014;34(4):425-436.
Napenas JJ, Rouleau TS. Oral complications of Sjogren’s syndrome. Oral Maxillofac Surg Clin North Am. 2014;26(1):55–62.
Cowan GM, Lockey RF. Oral manifestations of allergic, infectious, and immune-mediated disease. J Allergy Clin Immunol Pract. 2014;2(6):686-696.
Nair V, Das KP, Das S. Dental considerations in patients with down syndrome. Journal of Medicine and Health Research. 2017;2(2):42-50.
Renton T. Burning mouth syndrome. Rev Pain. 2011;5(4):12-17.
Femiano F, Lanza A, Buonaiuto C, Gombos F, Nunziata M, Cuccurullo L, et al. Burning mouth syndrome and burning mouth in hypothyroidism: proposal for a diagnostic and therapeutic protocol. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(1):e22-27.
Watanabe M, Nakatani E, Yoshikawa H, Kanno T, Nariai Y, Yoshino A, et al. Oral soft tissue disorders are associated with gastroesophageal reflux disease: Retrospective study. BMC Gastroenterol. 2017;17(1):92.
Femiano F, Lanza A, Buonaiuto C, Gombos F, Rullo R, Festa V, et al. Oral manifestations of adverse drug reactions: guidelines. J Eur Acad Dermatol Venereol. 2008;22(6):681-691.
Douglass R, Heckman G. Drug-related taste disturbance: A contributing factor in geriatric syndromes. Can Fam Physician. 2010;56(11):1142-1147.
Silvestre FJ, Silvestre-Rangil J, Lopez-Jornet P. Burning mouth syndrome: A review and update. Rev Neurol. 2015;60(10): 457-463.
Anita C, Kishor A, Kumar RS, Chattopadhyay S, Arora R, Nair V. Evaluation of behavior of children with autism at special school and dental office using frankl behavior rating scale and IQ. J Clin Den Res Edu. 2019; 10(17).
Fortin I, Fortin B, Lambert L, Clavel S, Alizadeh M, Filion EJ, et al. Xerostomia in patients treated for oropharyngeal carcinoma: Comparing linear accelerator-based intensity-modulated radiation therapy with helical tomotherapy. Head Neck. 2014;36(9):1343-1348.
Nair V. BRONJ: What Should a Dental Surgeon Know? International Medical Journal. 2017;24(1):117 – 119.
Albilia JB, Lam DK, Clokie CM, Sándor GK. Systemic lupus erythematosus: A review for dentists. J Can Dent Assoc. 2007;73(9):823-828.
Koszewicz M, Mendak M, Konopka T, Koziorowska-Gawron E, Budrewicz S. The characteristics of autonomic nervous system disorders in burning mouth syndrome and Parkinson disease. J Orofac Pain. 2012;26(4):315-320.
Clark GT, Ram S. Orofacial movement disorders. Oral Maxillofac Surg Clin North Am. 2016;28(3):397-407.
Ritchie A, Kramer JM. Recent advances in the etiology and treatment of burning mouth syndrome. J Dent Res. 2018;97(11): 1193-1199.
Jaaskelainen SK. Pathophysiology of primary burning mouth syndrome. Clin Neurophysiol. 2012;123(1):71-77.
Adamo D, Sardella A, Varoni E, Lajolo C, BiasottoM, Ottaviani G, et al. The association between burning mouth syndrome and sleep disturbance: a case-control multicentre study. Oral Dis. 2018;24(4): 638-649.
Lopez-Jornet P, Lucero-Berdugo M, Castillo-Felipe C, Zamora Lavella C, Ferrandez-Pujante A, Pons-Fuster A. Assessment of self-reported sleep disturbance and psychological status in patients with burning mouth syndrome. J Eur Acad Dermatol Venereol. 2015;29(7):1285-1290.
Klasser GD, Pinto A, Czyscon JM, Cramer CK, Epstein J. Defining and diagnosing burning mouth syndrome: perceptions of directors of North American postgraduate oral medicine and orofacial pain programs. J Am Dent Assoc. 2013;144(10):1135-1142.
Coculescu EC, et al. Burning mouth syndrome: controversial place as a symptom of oro-dental pathology. J Med Life. 2015;8(Spec Issue):34-37.
Biswas S, Ghosh R, Yadav P, Chakraborty B, Ghosh S, Nair V, et al. Lichen planus: report of an uncommon case in a paediatric patient. Journal of Case Reports in Medical Science. 2018;4(1): 9-13.
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