灼口综合征临床治疗的回顾与进展

J. Spanemberg, Eugenia Rodríguez de Rivera Campillo, E. J. Salas, A. E. Devesa, Jose L. Lopez
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摘要

灼口综合征(BMS)是一种主要影响绝经后中年妇女的持续性疾病。缺乏临床适应症和口腔黏膜灼烧感是本病的特征。BMS有一个复杂的病因,包括许多因素。BMS可由多种局部、全身和心理状况引起,包括压力、焦虑和抑郁。BMS类型I、II或III是可能的分类。虽然没有明显的器官变化,也没有与这种疾病相关的健康危害,但它可以严重影响患者的生活质量。目的是回顾有关BMS的现有文献,并特别提到其治疗管理。接下来的部分也将通过重要的诊断标准,病因因素和临床方面。管理的主要目标是为患者提供支持并努力减轻症状,而不是完全消除这些症状。三环抗抑郁药、苯二氮卓类药物和抗精神病药物是最常被接受的治疗方案,但结果不一;然而,还有其他的治疗方法也可以使用。这类患者的管理应由专业人员进行,专业人员应与患者交谈并重申疾病的性质,并讨论预期治疗的益处或缓解疼痛的可能性。应该教育患者,让他们了解多学科团队治疗的必要性,以及在获得有效治疗之前可能需要多次改变治疗方法的可能性。牙科领域的专业人员应该制定标准化的症状和诊断标准,以便多学科研究可以更容易地发现最成功和最可靠的BMS治疗技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Review and Update on Clinical Management on Burning Mouth Syndrome
Burning Mouth Syndrome (BMS) is a persistent condition that primarily affects postmenopausal middle-aged women. The absence of clinical indications and burning feelings of the oral mucosa identify this illness.BMS has a complicated aetiology that incorporates a number of factors.BMS can be caused by a variety of local, systemic, and psychological conditions, including stress, anxiety, and depression. BMS Type I, II, or III are possible classifications. Although there are no obvious organic changes and no health hazards associated with this illness, it can drastically affect the patient's quality of life. The objective is to review the available literature related to BMS, and makes special reference to its therapeutic management. The sections that follow will also go through important diagnostic criteria, etiological factors, and clinical aspects. The main objective of management is that of providing support to the patient and working towards symptom reduction, rather than total elimination of such symptoms. Tricyclic antidepressants, benzodiazepines, and antipsychotic medicines are the most frequently accepted therapy alternatives with variable results; nevertheless, there are other therapies that will be presented that can also be used.  The management of this group of patients should be done by professionals who talk and reaffirm to them the nature of the disease and discuss the benefits of intended therapies or possibility of pain relief. Patients should be educated about the need for a multidisciplinary team approach and the probability of needing multiple changes in therapies until effective treatment is achieved. Professionals in the field of dentistry should develop standardised symptoms and diagnostic criteria so that multidisciplinary research can more easily discover the most successful and reliable BMS treatment techniques.
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