engleski

Psychogenic factors in the aetiology of stomatopyrosis

This research has been conducted on the basis of the association between a psychogenic factor and stomatopyrosis as its consequence. Stomatopyrosis is characterised as a burning sensation or as pain in the mouth cavity with clinically normal oral mucosa. It typically occurs with elderly female population, aged on average 67. Burning mouth as a symptom occurs promarily on the lips, although it may be located on some other sites on the oral mucosa. There are various eiological factors influencing the emergence of stomatopyrosis. They are devided into focal factors, related to candidiasis, dysfunction, problems caused by dentures ; systemic factors, with hormonal or iommunological disturbance, medicines, etc ; and finally, psychogenic factors, characterised by various psychological states and conditions like depressin, anxiety, adaptability anal emotional stability. The objective of this research was to prove that psychogenic factors cause the burning mouth syndrome sensation. Methods which helped us to establish the link between psychogenic factors and the emerging of stomatopyrosis were general history of the responders, clinical history, which included both objective and subjective assesment, and psychological rating scales and tests. The results have shown that sew of the responders does not make anydifference, Diagnosis of the oral disease shows that burning is the symptom as well as in the diagnosis of the disease, that localization of the symptom is primarily on lips, following by tongue, cheeks, and palate.The description of the symptoms shows that respondents with stotatopyrosis complain of burning anal dryness in the mouth cavity. As far as the intensity of the symptom is concerned, the results have shown that the symptom is an most cases unbearable. The frequency of the occurrence of the symptoms said to be continuous. The typical time whenthe symptom occurs is dytime, followed, by night and evening, day and night. Tension dentures and hot food intensity the symptom. Subjective change in taste is present in the high percentage. Visual analogue scale shows a high degree subjective assesment of the symptoms in the mouth cavity. Thermoestesiometry has established that there are no pathological changes on the oral mucosa. Psychological rating scales and tests have established the presence of psychical changes in a high percentage. What we took into account were the most frequent changes: depression, anxiety, adaptability and emotional stability. We also established a systematic and a psychiatric diagnosis that was necessary for making the right choices when treating with stomatopyrosis. Stomatopyrosis is the state whose factor, apart from local and systematic factors, may be psychogenic factor. we think that stpmatopyrosis may be psychosomatic state that can be cured or treated by appropriate treatment, which includes psychiatric treatment as well.

Burning mouth syndrome; Oral symptims; Glossodynia; Menagement; Pain

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