Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200027
Brazilian Journal of Pain
Original Article

Pain perception and quality of life in burning mouth syndrome

Percepção da dor e qualidade de vida na síndrome da boca ardente

Andréa Fogaça Meneguette; Paulo de Camargo Moraes; António Sérgio Guimarães; Luciane Rodrigues; Miguel Meira e Cruz

http://dx.doi.org/10.5935/2595-0118.20200027 BrJP, vol.3, n2, p.153-157, 2020
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Abstract

BACKGROUND AND OBJECTIVES: Burning mouth syndrome is a dysfunctional state affecting physical, mental and social welfare, often contributing to chronic stress conditions. Despite the lack of objective data, patients experience pain-related discomfort with impact in their daily life. The objective of this study was to assess the impact of burning mouth syndrome on pain perception and quality of life.

METHODS: A cross-sectional, observational, case-controlled study was performed on 76 individuals (38 in each group). The groups were sex- and age-matched. The Oral Health Impact Profile (OHIP-14) questionnaire was used to assess any changes in the quality of life. The visual analog scale was used to assess pain impact and intensity, as well as the Pain Catastrophizing Scale (PCS). The effect of sex and other risk factors associated with burning mouth syndrome were also associated.

RESULTS: The age of participants was 41 to 85 years. The patients had a negative impact on quality of life with respect to all dimensions of OHIP-14 and PCS domains. Burning mouth syndrome patients complained about moderate (58%) or intense (42%) pain, while the control group participants experienced only mild pain by visual analog scale. The prevalence was predominant in females (a ratio of 3:1), and the most site involved was the tongue. Menopause, hormonal changes, and gastritis were identified as major risk factors.

CONCLUSION: Burning mouth syndrome patients had significantly higher PCS and OHIP-14 scores for all domains, indicating an interaction between a higher burden of pain perception and worse quality of life which should therefore be adequately assessed, characterized and managed.

Keywords

Burning mouth syndrome, Pain, Pain perception, Quality of life

Resumo

JUSTIFICATIVA E OBJETIVOS: A síndrome de ardência bucal é um estado disfuncional que afeta o bem-estar físico, mental e social, contribuindo para condições de estresse crônico. Apesar da ausência de dados objetivos, os pacientes experimentam desconforto relacionado à dor com impacto na vida diária. O objetivo deste estudo foi avaliar o impacto da síndrome da boca ardente na percepção da dor e na qualidade de vida.

MÉTODOS: Foi realizado um estudo transversal, observacional e caso-controle em 76 indivíduos, 38 em cada grupo, pareados por gênero e idade. Foram utilizados o questionário Oral Health Impact Profile (OHIP-14) para avaliar mudanças na qualidade de vida, a escala analógica visual para o impacto e intensidade da dor e a Pain Catastrophizing Scale (PCS). Foi avaliado também o efeito do sexo, idade e outros fatores de risco associados à síndrome de ardência bucal.

RESULTADOS: A idade dos participantes foi de 41 a 85 anos. A síndrome de ardência bucal teve um impacto negativo na qualidade de vida em todas as dimensões dos domínios OHIP-14 e PCS. Cinquenta e oito por cento dos pacientes se queixaram de dor moderada e 42% de dor intensa, enquanto os controles experimentaram apenas dor leve pela escala analógica visual. A prevalência foi predominante no sexo feminino (3:1), e a língua foi o local envolvido mais comum. Menopausa, alterações hormonais e gastrite foram os maiores fatores de risco.

CONCLUSÃO: Os pacientes com síndrome de ardência bucal apresentaram escores PCS e OHIP-14 mais altos para todos os domínios, indicando uma interação entre maior carga de percepção da dor e pior qualidade de vida, o que deve ser mais bem avaliado, caracterizado e gerenciado.

Palavras-chave

Dor, Percepção da dor, Qualidade de vida, Síndrome da boca ardente

References

Zakrzewska JM, Forssell H, Glenny AM. Interventions for the treatment of burning mouth syndrome. Cochrane Database Syst Rev. 2005;25(1):CD002779.

Yilmaz Z, Renton T, Yiangou Y, Zakrzewska J, Chessell IP, Bountra C, Anand P. Burning mouth syndrome as a trigeminal small fibre neuropathy: increased heat and capsaicin receptor TRPV1 in nerve fibres correlates with pain score. J Clin Neurosci. 2007;14(9):864-71.

Schiavone V, Adamo D, Ventrella G, Morlino M, De Notaris EB. Anxiety, depression, and pain in burning mouth syndrome: first chicken or egg?. Headache. 2012;52(6):1019-25.

Zakrzewska JM. Differential diagnosis of facial pain and guidelines for management. Br J Anaesth. 2013;111(1):95-104.

Tait RC, Ferguson M, Herndon CM. Chronic orofacial pain: burning mouth syndrome and other neuropathic disorders. J Pain Manag Med. 2017;3(1).

Carlson CR, Miller CS, Reid KI. Psychosocial profiles of patients with burning mouth syndrome. J Orofac Pain. 2000;14(1):59-64.

Danhauer SC, Miller CS, Rhodus NL, Carlson CR. Impact of criteria-based diagnosis of burning mouth syndrome on treatment outcome. J Orofac Pain. 2002;16(4):305-11.

Galli F, Lodi G, Sardella A, Vegni E. Role of psychological factors in burning mouth syndrome: a systematic review and meta-analysis. Cephalalgia. 2017;37(3):265-77.

The International Classification of Headache Disorders. Cephalalgia. 2013;33(9):629-808.

Jääskeläinen SK, Woda A. Burning mouth syndrome. Cephalalgia. 2017;37(7):627-47.

Jääskeläinen SK. Pathophysiology of primary burning mouth syndrome. Clin Neurophysiol. 2012;123(1):71-7.

Lamey PJ. Burning mouth syndrome. Dermatol Clin. 1996;21(4):339-54.

Cocolescu EC, Tovaru S, Cocolescu BI. Epidemiological and etiological aspects of burning mouth syndrome. J Med Life. 2014;7(3):305-9.

Patton LL, Siegel MA, Benoliel R, De Laat A. Management of burning mouth syndrome: systematic review and management recommendations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(Suppl):S39e1-13.

Ji EH, Diep C, Liu T, Li H, Merrill R, Messadi D. Potential protein biomarkers for burning mouth syndrome discovered by quantitative proteomics. Mol Pain. 2017;13:1744806916686796.

Mendak-Ziólko M, Konopka T, Bogucki ZA. Evaluation of select neurophysiological, clinical and psychological tests for burning mouth syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(3):325-32.

Brailo V, Firic M, Vucicevic BV, Andabak RA, Krstevski I, Alajbeg I. Impact of reassurance on pain perception in patients with primary burning mouth syndrome. Oral Dis. 2016;22(6):512-6.

Slade GD. Assessing change in quality of life using the Oral Health Impact Profile. Community Dent Oral Epidemiol. 1998;26(1):52-61.

Zucoloto ML, Maroco J, Campos JA. Psychometric properties of the oral health impact profile and new methodological approach. J Dent Res. 2014;93(7):645-50.

Sullivan MJL, Bishop S, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:432-524.

Sehn F, Chachamovich E, Vidor LP, Dall-Agnol L, Souza IC, Torres IL. Cross-cultural adaptation and validation of the Brazilian Portuguese version of the pain catastrophizing scale. Pain Med. 2012;13(11):1425-35.

Steele JC. The practical evaluation and management of patients with symptoms of a sore burning mouth. Clin Dermatol. 2016;34(4):449-57.

Netto FO, Diniz IM, Grossmann SM, de Abreu MH, do Carmo MA, Aguiar MC. Risk factors in burning mouth syndrome: a case-control study based on patient records. Clin Oral Investig. 2011;15(4):571-5.

Kohorst JJ, Bruce AJ, Torgerson RR. A population-based study of the incidence of burning mouth syndrome. Mayo Clin Proc. 2014;89(11):1545-52.

Nosratzehi T, Salimi S, Parvaee A. Comparison of salivary cortisol and a-amylase levels and psychological profiles in patients with burning mouth syndrome. Spec Care Dentist. 2017;37(3):120-5.

López-Jornet P, Camacho-Alonso F, Andujar-Mateos P, Sánchez-Siles M, Gómez-Garcia F. Burning mouth syndrome: an update. Med Oral Patol Oral Cir Bucal. 2010;15(4):e562-8.

Brailo V, Vuéiaeeviae-Boras V, Alajbeg IZ, Alajbeg I, Lukenda J, Aeurkoviae M. Oral burning symptoms and burning mouth syndrome-significance of different variables in 150 patients. Med Oral Patol Oral Cir Bucal. 2006;11(3):E252-5.

Submitted date:
01/01/2020

Accepted date:
04/22/2020

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