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Witt, E; Palla, S (2002). Mundbrennen. Der Schmerz, 17(6):389-394.

Full text not available from this repository.

Abstract

DEUTSCH: Das Mundbrennen ist eine recht häufige Schmerzform. Epidemiologische Studien gehen von einer Prävalenz um 15% bei Frauen nach der Menopause aus. Fälle von Mundbrennen mit klinisch unauffälliger Schleimhaut, für welche auch im deutschen Sprachraum der Begriff Burning-mouth-Syndrom (BMS) verwendet wird, sind von denjenigen mit assoziierten Schleimhautveränderungen klar abzugrenzen.

Mögliche ursächliche Faktoren wurden ausführlich untersucht und besprochen. Es wird eine multifaktorielle Ätiologie des Mundbrennens angenommen, welche lokale, systemische und psychologische Faktoren umfasst. Allerdings bestehen widersprüchliche Angaben zur Bedeutung einzelner Faktoren. Dieser Mangel an Evidenz spiegelt sich in der Folge in gegensätzlichen Empfehlungen zu Diagnose und Therapie wider. Deshalb wird versucht, die Resultate der wenigen bisher durchgeführten randomisierten placebokontrollierten Studien zu Behandlungserfolgen in einer Übersicht darzustellen.

ENGLISH: BACKGROUND. The complaint of burning mouth is fairly common. Epidemiological studies suggest a prevalence of around 15% in postmenopausal women and between 0,7 and 7,9% for the general population. PURPOSE: The purpose of this article is to present a review of the literature on epidemiology, clinical symptoms, etiology, diagnosis, treatment and prognosis of burning mouth and burning mouth syndrome. RESULTS AND CONCLUSIONS. Potential causal factors have been extensively studied and reviewed, suggesting a multifactorial aetiology, that apparently includes local, systemic and psychogenic factors. However, reports of their relative importance are conflicting.Consequently this lack of evidence is reflected in inconsistent guidelines for diagnosis and treatment. Most of the authors emphasize the importance of history taking and clinical intraoral examination for diagnosis. The symptom of burning mouth associated with clinical mucosal abnormality has to be differentiated from burning mouth syndrome (BMS), a condition in which no mucosal abnormality is evident on examination.Whereas the symptom of burning mouth associated with clinical mucosal signs is described to be often manageable by eliminating possible causal factors, the background of most of the proposed treatments for BMS is empiric or even purely anecdotal. Only a few randomised controlled studies have been performed on treatment outcome. Their differing results are presented in a short overview.

Other titles:Burning mouth
Item Type:Journal Article, refereed
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Masticatory Disorders and Complete Dentures, Geriatric and Special Care Dentistry
DDC:610 Medicine & health
Language:German
Date:1 September 2002
Deposited On:11 Feb 2008 12:23
Last Modified:27 Nov 2013 17:43
Publisher:Springer
ISSN:0932-433X
Publisher DOI:10.1007/s00482-002-0149-y
PubMed ID:12235503
Citations:Web of Science®. Times Cited: 2
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