구강작열감질환에 관한 고찰 및 의료분쟁 증례보고 (A Review of Burning Mouth Disorders)

서지정보

· 발행기관 : 대한치과의사협회
· 수록지 정보 : 대한치과의사협회지 / 48권 / 9호 / 688 ~ 695페이지
· 저자명 : 허윤경, 정재광, 최재갑

초록

구강작열감질환은 육안적으로 명확히 관찰되는 객관적 징후나 검사실 소견 없이 혀나 구강점막부위에서통증과 작열감을 나타내는 만성 동통장애이다1~3). 가장 호발하는 부위는 혀의 전방 2/3이며 주로 양측성으로 나타나지만 편측으로 나타날 수도 있다. 다음으로는 구순점막, 전방 경구개, 치은에서 화끈거리는 느낌이나 쓰리거나 따끔거리는 통증을 많이 호소하며 분명히 작열감과 통증이 느껴지는데도 불구하고 임상적으로 이상 소견을 거의 찾을 수가 없다. 따라서 환자들은통증을 개선시키기 위해 여러 병원을 전전하게 된다

영어초록

Burning mouth disorders (sometimes referred to as burning mouth syndrome) are characterized by a burning sensation in the tongue or other oral sites, usually in the absence of clinical and laboratory findings. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. Burning mouth complaints are reported more often in women,especially after menopause. Typically, patients awaken without pain, but report increasing symptoms through the day and into the evening. Conditions that have been reported in association with burning mouth syndrome include chronic anxiety or depression,various nutritional deficiencies, diabetes and changes in salivary function. However, these conditions have not been consistently linked with the syndrome, and their treatment has had little impact on burning mouth symptoms. Recent studies have pointed to dysfunction of several cranial nerves associated with taste sensation as a possible cause of burning mouth disorders. The most common central mechanism that likely explains burning mouth disorders is a centrally mediated continuous neuropathic pain.
Given in low dosages, benzodiazepine, tricyclic antidepressants or anticonvulsants may be effective in patients with burning mouth disorders.

참고자료

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