Park Yu-Jin, Kho Hong-Seop
Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.
Institute on Aging, Seoul National University, Seoul, Republic of Korea.
J Dent Sci. 2022 Oct;17(4):1528-1537. doi: 10.1016/j.jds.2022.04.027. Epub 2022 May 11.
BACKGROUND/PURPOSE: Both subjective and objective evaluations are required to assess taste function. Evaluation of taste function has important clinical significances in patients with burning mouth syndrome (BMS) due to pain-taste interactions. The purpose of this study was to investigate the relationship between subjective and objective taste evaluations in patients with taste disorders based on the presence of BMS.
Fifty-one patients with taste disturbances were included. The patients completed questionnaires on subjective taste sensations. The taste strip test was performed to examine objective taste function. The patients were divided into two groups: subjects with BMS (n = 24, 3 males and 21 females) and without BMS (n = 27, 8 males and 19 females).
Significant differences were not observed in age, age distribution, and gender distribution between the groups. There were no significant differences in self-reported taste abilities based on the presence of BMS. However, the taste strip test showed higher correct answer rates for bitterness ( = 0.027) in the patients with BMS. In addition, a significant difference ( = 0.034) was observed in the distribution of objective types of taste disorders between the groups. A significant correlation between the subjective and objective evaluation results was observed only in patients with BMS.
In patients with taste disorders, patients with BMS had significant correlations between subjective and objective evaluations and different distributions in the types of taste disorders compared with those without BMS. The presence or absence of BMS should be evaluated in the diagnosis and management of taste disorders.
背景/目的:评估味觉功能需要主观和客观评估。由于疼痛与味觉的相互作用,味觉功能评估在灼口综合征(BMS)患者中具有重要的临床意义。本研究旨在基于BMS的存在情况,探讨味觉障碍患者主观和客观味觉评估之间的关系。
纳入51例味觉障碍患者。患者完成关于主观味觉感受的问卷调查。进行味觉试纸测试以检查客观味觉功能。患者分为两组:BMS患者(n = 24,男性3例,女性21例)和非BMS患者(n = 27,男性8例,女性19例)。
两组之间在年龄、年龄分布和性别分布上未观察到显著差异。基于BMS的存在情况,自我报告的味觉能力也没有显著差异。然而,味觉试纸测试显示BMS患者对苦味的正确回答率更高(P = 0.027)。此外,两组之间在客观味觉障碍类型的分布上观察到显著差异(P = 0.034)。仅在BMS患者中观察到主观和客观评估结果之间存在显著相关性。
在味觉障碍患者中,与非BMS患者相比,BMS患者的主观和客观评估之间存在显著相关性,且味觉障碍类型分布不同。在味觉障碍的诊断和管理中应评估是否存在BMS。