دورية أكاديمية
Clinical characterization and treatment outcome of patients with burning mouth syndrome.
| العنوان: | Clinical characterization and treatment outcome of patients with burning mouth syndrome. |
|---|---|
| المؤلفون: | Hakeem, Abdulaziz, Fitzpatrick, Sarah G., Bhattacharyya, Indraneel, Islam, Mohammed N., Cohen, Donald M. |
| المصدر: | General Dentistry; May/Jun2018, Vol. 66 Issue 3, p41-47, 7p |
| مصطلحات موضوعية: | CARBOXYLIC acids, ACADEMIC medical centers, CHI-squared test, CLONAZEPAM, GASTROESOPHAGEAL reflux, HYPERTENSION, MENTAL illness, ORAL drug administration, CUTANEOUS therapeutics, VITAMIN E, LOGISTIC regression analysis, SYMPTOMS, TREATMENT effectiveness, RETROSPECTIVE studies, BURNING mouth syndrome, THERAPEUTICS |
| مصطلحات جغرافية: | FLORIDA |
| مستخلص: | Burning mouth syndrome (BMS) is a complex condition that affects the oral cavity, and data regarding effective treatment are limited. The purpose of this study was to explore the demographic and clinical information along with treatment outcomes for patients with BMS treated in a large referral center. Clinical records of the Oral Medicine Clinic at the University of Florida College of Dentistry were retrospectively searched for patients diagnosed between 2009 and 2014. Clinical data and treatment effectiveness were recorded. The records of 64 patients were included in this study. Women represented the majority of patients (81.2%), and the average age of all patients was 65 years. The most common systemic diseases were hypertension (59.4%), psycho-logical disorders (51.6%), and gastroesophageal reflux disease (50.0%). The majority of patients were taking 5 or more medications (70.3%). Treatment frequency and efficacy were as follows: a-lipoic acid, 47.5% frequency (57 prescribed treatments of 120 total treatments) and lasting improvement reported with 45.6% of prescribed treatments; clonazepam, 17.5% frequency (21/120) and improvement reported with 33.0% of prescribed treatments; oral disintegrating clonazepam, 15.8% frequency (19/120) and improvement reported with 52.6% of prescribed treatments; and topical vitamin E, 5.0% frequency (6/120) and improvement reported with 33.0% of prescribed treatments. Chi-square analysis indicated that a significantly better response to treatment was reported by women (P = 0.010) and patients who reported involvement limited to the tongue rather than multifocal oral involvement (P = 0.040); however, the significant relationships did not persist when the variables were evaluated together using logistic regression analysis. No other clinical or demographic features showed significant differences in response to treatment. Although treatment effectiveness in this study was variable and limited for some regimens due to infrequent usage, many of the patients reported alleviation of symptoms. [ABSTRACT FROM AUTHOR] |
| Copyright of General Dentistry is the property of Academy of General Dentistry and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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