Neuropathic pain in patients with burning mouth syndrome evaluated using painDETECT

Jornet, Pía López; Mulero, F Galera; Valenzuela, Sara

doi:10.4317/medoral.17644124

Cited by 5 publications

(12 citation statements)

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“…We found 23% of study participants chose the descriptors “pins and needles” and “tingling” to describe their tooth pain, which are not descriptors traditionally associated with tooth pain. Further, patients with percussion pain; i.e., mechanical allodynia of the affected tooth, more frequently reported their pain felt “numb” and “burning” (Table ) (Bouhassira et al, ; Lopez‐Jornet, Molino‐Pagan, Parra‐Perez, & Valenzuela, ). All of these descriptors are commonly associated with neuropathic pain, in which there is some disease or damage to the sensory nervous system itself.…”

Section: Discussionmentioning

confidence: 99%

Sensory testing associates with pain quality descriptors during acute dental pain

Erdoğan

Malek

Gibbs

2019

European Journal of Pain

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Background Pain descriptors capture the multidimensional nature of pain and can elucidate underlying pathophysiological mechanisms. This study determined whether the pain descriptors chosen by subjects experiencing acute dental pain associate with the outcomes of two commonly performed dental sensory tests. The goal of the study is to clarify whether pain descriptors are useful in discriminating the underlying biological processes contributing to dental pain. Methods Participants (n = 228) presenting with acute toothache underwent standardized clinical dental sensory testing and described their pain in reference to 22 pain quality descriptors. Univariate and two‐way ANOVA determined the relationship between groups defined by cold detection (positive or negative) and percussion hypersensitivity (painful or not) on the affected tooth, and pain descriptor reporting. Results Subjects experiencing painful toothache most frequently reported evoked pain to temperature and chewing, and pain descriptors such as “throbbing” and “aching.” They also reported neuropathic pain descriptors such as “tingling” and “electric shock.” Subjects who detected a cold stimulus (thermal) on the affected tooth, frequently reported high intensity paroxysmal shooting pain compared to those that did not detect cold. By contrast, patients with percussion (mechanical) hypersensitivity on the affected tooth, reported higher levels of global pain intensity at rest and in function, and reported significantly higher intensity “radiating” and “throbbing” pain, than subjects with non‐painful percussion. Conclusions The reporting of neuropathic pain descriptors by subjects experiencing acute toothache was more frequent than expected, suggesting that neuropathic mechanisms could contribute to typical toothache pain. Subjects experiencing toothache with mechanical hypersensitivity experience more intense pain overall. Significance In subjects experiencing acute toothache, specific pain descriptors associate with the responses to routine clinical sensory tests performed on the injured tooth. The frequent reporting of neuropathic pain descriptors suggests that neuropathic mechanisms could create a diagnostic challenge to differentiate toothache from intraoral neuropathic conditions. Persons experiencing toothache with mechanical hypersensitivity experience more intense pain overall, suggesting patients with this clinical feature will have distinct clinical pain management needs.

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Section: Discussionmentioning

confidence: 99%

Sensory testing associates with pain quality descriptors during acute dental pain

Erdoğan

Malek

Gibbs

2019

European Journal of Pain

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“…The data obtained using the colorimetric scale was correlated, by quantifying it, with the values identified by using the visual analogue scale. Thus it was established that: 0 = no, 1 -3 = mild, 4 -7 = moderate and 8 -10 = severe [6].…”

Section: Figure 2 Visual Analog Scale (Vas)mentioning

confidence: 99%

“…BMS manifests as chronic localized pain in the oral cavity. It has been described by the International Headache Society (IHS-2018) as a recurrent "painful, burning intraoral sensation" that reappears daily for more than 2 hours a day for more than 3 months and without noticeable causal lesions or modified laboratory tests [6][7][8][9]. It is more common in women in the pre-menopausal and menopausal period, with the ratio of women to men being 7/1 [7].…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Burning Mouth Syndrome and Treatment for Thyroid Diseases

COCULESCU¹

2022

FARMACIA

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The study aims to evaluate a possible association between the characteristics of pain symptoms and thyroid disorders with specific thyroid replacement medication. Our results indicate a statistically significant association between the presence of thyroid disorders and a change in pain intensity over time. Thus, in 42.86% of all patients with associated thyroid disorders, pain intensity increased over time. We also found a correlation between the increase in the frequency of dysgeusia and the increase in the intensity of the pain symptoms. The administration of drugs for thyroid disorders was significantly associated with the presence of dysgeusia. Also, analysing whether there is a significant correlation between the medication administered for thyroid disorders and the evolution of pain intensity over time, it was observed that in 51.72% of patients with thyroid medication, the pain intensity increased from the onset of the disease versus 20.51% of patients without thyroid medication in whom the intensity of the symptom increased. In conclusion, endocrine disorders and specific medications may be responsible for changes in the taste system. The increase in the frequency of dysgeusia is correlated with the increase in pain intensity in patients with thyroid disorders. RezumatScopul studiului a fost de a evalua o posibilă asociere între caracteristicile simptomatologiei algice și afecțiunile tiroidiene cu medicația substitutivă tiroidiană specifică. Rezultatele prelucrării statistice indică o asociere statistic semnificativă între prezența afecțiunilor tiroidiene și modificarea în timp a intensității algiei. Astfel, la 42,86% din totalul pacienților cu afecțiuni tiroidiene asociate, intensitatea algică s-a accentuat în timp. De asemenea, particulară studiului personal a fost constatarea existenței unei corelații între creșterea frecvenței disgeuziei și creșterea intensității simptomului algic. Administrarea de medicamente pentru afecțiuni tiroidiene este asociată statistic semnificativ cu prezența disgeuziei. De asemenea, analizând dacă există corelație semnificativ statistică între medicația administrată pentru afecțiunile tiroidiene și evoluția în timp a intensității algiei s-a observat că, la 51,72% din pacienții care prezintă medicație tiroidiană, intensitatea algiei a crescut de la debutul afecțiunii versus 20,51% din pacienții fără medicație tiroidiană la care s-a accentuat intensitatea simptomului. În concluzie, tulburările endocrine și medicația specifică pot fi responsabile de modificările sistemului gustativ, simptom frecvent prezent la acești pacienți. Creșterea frecvenței disgeuziei este corelată cu creșterea intensității durerii.

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“…Before laser irradiation, the treatment areas were cleaned with normal saline and dried with gauze. The probe was applied vertically over mucosa at a distance of about 0.6cm where the irradiation area was 1cm 2…”

Section: Treatment Modalitiesmentioning

confidence: 99%

“…Burning mouth syndrome (BMS) is a chronic disorder characterized by pain/burning sensation in oral cavity [1]. Some patients also suffer numbness, and/or altered taste [2,3]. The most affected site of oral cavity is tongue, probably company with lips, and hard palate [4,5].…”

Section: Introductionmentioning

confidence: 99%

Nd:YAG low-level laser treatment in burning mouth syndrome: a pilot study

Sun¹,

Xu²,

Zhang³

et al. 2020

Preprint

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Background : Burning mouth syndrome (BMS) is chronic disorder characterized by pain/burning sensation in oral cavity. Nd:YAG low-level laser (LLL) has been used in the treatment of pain reduction. The aim of this study was to assess the effectiveness of LLL verse no power placebo with Nd:YAG in the treatment of patients with BMS in pain/burning, numbness and altered taste. Methods : Forty-two patients with BMS were randomly equally assigned into LLL group and placebo group. The parameters of Nd:YAG irradiation consisted of 100mW power, 3J/cm 2 energy density, 10 Hz, pulse mode and a 1064nm wavelength emission. The placebo group used the same LLL instrument which was switched off. Each patient underwent one laser irradiation session per week for 4 weeks. Clinical assessment of subjective pain/burning, numbness and altered taste was performed using a visual analogue score (VAS) before each irradiation session and one week after last treatment. Results : All of patients (21) was showed significant decreasing of VAS value of pain/burning (ranged from 2% ~100%, mean 52%) after 4-weeks LLL treatment. The improvement of VAS value of numbness in LLL group (ranged from 23% ~100%, mean 61%) was significant from the baseline to the end of LLL treatment. Relief of altered taste was found neither in LLL group nor in placebo group. All patients completed this study and none of them reported adverse effects. Conclusions : Nd:YAG LLL (100mw, 3J/cm 2 , 10 Hz) ) was effective for reduction of pain/burning and numbness in patients with BMS.

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Neuropathic pain in patients with burning mouth syndrome evaluated using painDETECT

Cited by 5 publications

References 0 publications

Sensory testing associates with pain quality descriptors during acute dental pain

Sensory testing associates with pain quality descriptors during acute dental pain

The Relationship Between Burning Mouth Syndrome and Treatment for Thyroid Diseases

Nd:YAG low-level laser treatment in burning mouth syndrome: a pilot study

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