Use of oral devices in the management of oral dysesthesia: case reports and literature review.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Prazwala Chirravur, Piamkamon Vacharotayangul, Herve Sroussi, Gary D Klasser
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引用次数: 0

Abstract

Oral dysesthesia (OD) is a diagnosis of exclusion that manifests as an unpleasant and abnormal sensation of the oral mucosa without any noticeable oral lesions. Burning sensation is one of the manifestations of OD which may advocate for similar pharmacotherapeutic options to burning mouth syndrome (BMS), resulting in possible adverse events. The aim of these case reports was to illustrate the significance and rationale for the use of oral devices as a mechanical/physical barrier and a safe approach in the management of OD, without experiencing any antagonistic effects from pharmacotherapeutic agents. Two patients with spontaneous and evoked (following dental procedures) OD symptoms in the right posterior mandibular quadrant and anterior hard palatal areas were evaluated. Additionally, their OD symptoms were associated with hyposalivation and taste changes. A thorough history and complete head and neck examination, with the exclusion of oral lesions and systemic conditions, were performed. These patients were previously prescribed topical clonazepam rinses. An in-office trial, with application of orthodontic wax to the affected area, was performed as a preliminary test in order to justify the fabrication of an oral device for possible symptomatic relief. Conclusion: The case reports demonstrated significant improvement of OD symptoms and amelioration of pain following fabrication of oral devices in two patients with no undesirable effects from pharmacotherapy. Additionally, the oral devices aided as a mechanical/physical barrier, potentially exerting a placebo effect while facilitating an improved quality of life. Furthermore, the cost-effectiveness and ease of fabricating the oral device has been advantageous over other systemic medications. This encourages the need for a detailed prospective study.

口腔器械在口腔感觉障碍治疗中的应用:病例报告和文献综述。
口腔感觉异常(OD)是一种排除性诊断,表现为口腔粘膜的不愉快和异常感觉,没有任何明显的口腔损伤。烧灼感是OD的表现之一,这可能主张与导致可能的不良事件的灼口综合征(BMS)类似的药物治疗选择。这些病例报告的目的是说明使用口腔器械作为机械/物理屏障和OD管理的安全方法的重要性和原理,而不会受到药物治疗剂的任何拮抗作用。评估了两名在右下颌后象限和前硬腭区有自发和诱发(牙科手术后)OD症状的患者。此外,他们的OD症状与唾液分泌不足和味觉变化有关。进行了彻底的病史和完整的头颈部检查,排除了口腔病变和全身疾病。这些患者之前接受过局部氯硝西泮冲洗。一项在办公室进行的试验,将正畸蜡涂抹在受影响的区域,作为初步测试,以证明制造口腔设备可能缓解症状的合理性。病例报告显示,两名患者在制造口腔器械后,OD症状显著改善,疼痛减轻,药物治疗没有不良影响。此外,口腔设备作为一种机械/物理屏障,有可能发挥安慰剂效应,同时促进生活质量的提高。此外,与其他全身药物相比,制造口腔装置的成本效益和容易性是有利的。这鼓励了进行详细前瞻性研究的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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