Etiologija, dijagnostika i terapija sindroma pekućih usta

master's thesis

• Title (english): Etiology, diagnostics and therapy of burning mouth syndrome
• Author: Katarina Koludrović
• Mentor: Ivan Alajbeg (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2004, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Sindrom pekućih usta je multifaktorsko stanje koje karakterizira osjećaj pečenja i bolnih senzacija u ustima, dok je oralna sluznica klinički normalna. Bol i pečenje se najčešće javljaju na više mjesta i to na vrhu jezika, lateralnim stranama jezika, na nepcu, te usnama. Jednom kad počnu, simptomi uglavnom traju godinama. Sindrom se najčešće javlja u žena srednje i starije dobi. Etiološki čimbenici mogu se podijeliti u lokalne, sistemske, psihološke i neurološke. Od lokalnih faktora najčešće se spominju kontaktna alergija, nedovoljno prilagođene nove proteze, kandidijaza, kserostomija i disfunkcije temporomandibularnog zgloba. Ostali faktori uključuju nutricijske deficijencije, uglavnom vitamina B kompleksa i cinka, te hormonalne poremećaje. Kad su u pitanju psihološki uzroci, najčešće se spominju depresija, anksioznost i kancerofobija. U dijagnostičkim postupcima potrebno je imati na umu sve moguće etiološke čimbenike. Ipak etiologija, kada je u pitanju SPU, najčešće ostaje nerazjašnjena. U tradicionalnom pristupu terapiji SPU-a najviše se koriste antidepresivi u niskim dozama; najčešće amitriptilin, te benzodiazepinski anksiolitici i antiepileptici.
Novi pristup terapiji uključuje pak liječenje alfa lipoičkom kiselinom.

Abstract (english)

Burning mouth syndrome is a multifactorial condition which is characterized by burning and painful sensations in the mouth while the oral mucosa remains clinicaly unchanged. Both pain and burning sensations are mostly localised on the tip and the lateral sides of the tongue, palate and lips. Once the symptoms have started they tend to last for years. This syndrome is mostly found in elderly women. The etiology of BMS can be divided into four categories: local, systemic psyhological and neurological. The first group consists of allergies, problems with dentures, candidiasis,xerostomia, temporomandibular joint disfunctions. The other groups of causative factors consists of those with a systemic origin i.e. vitamin B complex and zinc defficiency, hormone distrurbances, pshyhological origin such as depression, anxiety an cancerophobic reactions. Within diagnosis it is necessary to think of all possible causative factors. Nevertheless the etiology remains poorly understood.
Therapy consists mostly of antidepressives in low dosages such as amitriptyline, and anxiolytics (benzodiazepines). The new approach in therapy inclusdes alpha-lipoic acid

• Keywords: sindrom žarenja usta
• Keywords (english): Burning Mouth Syndrome
• Language: croatian
• URN:NBN: urn:nbn:hr:127:118744
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-09-12 11:02:26