Department of Neuroscience, Reproductive and Odontostomatological Sciences Oral Medicine Unit, School of Medicine.University of Naples Federico II Via Sergio Pansini 5, 80131 Naples, Italy
Med Oral Patol Oral Cir Bucal. 2021 Nov 1;26(6):e802-e807. doi: 10.4317/medoral.24791.
The aim of this study is to investigate the prevalence of localized intraoral neuropathic pain in a cluster of patients who reported the involvement of gingival site as only clinical manifestation of dysesthesia, analysing type and distribution of symptoms.
Burning mouth syndrome (BMS) patients were enrolled in the study. Patients were screened through laboratory test and a conventional oral examination with periodontal chart. A questionnaire to collect data on symptoms, oral site involved, quality of sleep, anxiety was submitted to all the patients.
A total of 236 patients were recruited. Seventy-six patients (32.2%) presented generalized type, whereas 160 (67.8%) had localized type. In the localized BMS group, the gingiva was involved in 70 patients and in 33 of these it was the only site involved. In the gingival subgroup, 35 patients reported burning, 29 pain and 24 xerostomia.
To best our knowledge, this study is the first that analyses gingival involvement as the only site in BMS and it could encourage further investigations to understand the etiopathogenesis of gingival BMS.
本研究旨在调查一组以牙龈部位为唯一感觉异常临床表现的患者中局部口腔神经性疼痛的患病率，分析症状的类型和分布。
纳入了灼口综合征（BMS）患者。通过实验室检查和牙周图表的常规口腔检查对患者进行筛查。向所有患者提交了一份调查问卷，以收集症状、口腔受累部位、睡眠质量、焦虑等数据。
共招募了 236 名患者。76 名患者（32.2%）表现为全身性，而 160 名患者（67.8%）表现为局限性。在局部 BMS 组中，牙龈受累的患者有 70 名，其中 33 名患者仅累及牙龈。在牙龈亚组中，35 名患者报告有烧灼感，29 名患者有疼痛感，24 名患者有口干感。
据我们所知，这项研究首次分析了以牙龈为唯一受累部位的 BMS，并可能鼓励进一步研究以了解牙龈 BMS 的病因发病机制。
