P.4.a.013 Individual dental symptoms in burning mouth syndrome may be associated differentially with depression or anxiety

Davies, Simone; Underhill, Helen C; Scully, Claudia; Saeed, Ali Awadallah; Christmas, David; Bolea-Alamañac, Blanca; Potokar, John; Prime, Stephen S.

doi:10.1016/s0924-977x(12)70565-5

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“…Chewing gum reduces pain, stress, and anxiety [77][78][79]. BMS patients have considerable anxiety and depression, as well as pain [80][81][82]. Therefore, in this study, the POMS questionnaire, which includes assessments of anxiety and depression, was used to examine the psychological characteristics of BMS patients.…”

Section: Discussionmentioning

confidence: 99%

“…The association of BMS with psychological symptoms has been investigated for nearly 30 years but remains unclear [83]. Many studies have reported higher levels of anxiety and depression in BMS patients [80][81][82]. However, some studies found no significant differences in psychological test scores between BMS patients and controls [84][85][86].…”

Section: Discussionmentioning

confidence: 99%

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Analgesic effect of gum chewing in patients with burning mouth syndrome

Sekine¹,

Okada-Ogawa

Asano³

et al. 2020

J Oral Sci

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The cause of burning mouth syndrome (BMS) is unknown.Although no effective treatment has been established, BMS patients frequently chew gum to alleviate pain. To identify the cause and new treatments for BMS, this study investigated the psychophysical and pharmacological properties of gum chewing to better understand its pain-relieving effects. In this prospective, blinded study, plasma catecholamine and serotonin levels and Profile of Mood States (POMS) scores were assessed after gum chewing or simulated chewing in 40 women (20 BMS patients and 20 agematched controls). Visual analogue scale (VAS) scores for pain decreased significantly in BMS patients after gum chewing and simulated chewing. Moreover, resting VAS scores of BMS patients were significantly positively correlated with plasma adrenaline level. Furthermore, gum chewing was significantly correlated with lower plasma adrenaline level, VAS score, and tension-anxiety score. These results suggest that adrenaline is important in the pathogenesis of BMS pain and that the analgesic effect of gum chewing is induced through the potential effects of anxiety reduction, although this effect might not be specific to BMS. In addition, the analgesic effect of gum chewing was not induced solely by chewing motion.

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