Stomatodynies primaire et secondaire : un diagnostic difficile [Primary and secondary stomatodynia: a difficult diagnosis].

Details

Serval ID
serval:BIB_55980B6C331A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Stomatodynies primaire et secondaire : un diagnostic difficile [Primary and secondary stomatodynia: a difficult diagnosis].
Journal
Annales D'oto-laryngologie et De Chirurgie Cervico Faciale : Bulletin De La Société D'oto-laryngologie Des Hôpitaux De Paris
Author(s)
Madrid C., Bouferrache K., Biollaz B., Möller P., Toma S.
ISSN
0003-438X[print], 0003-438X[linking]
Publication state
Published
Issued date
10/2007
Volume
124 Suppl 1
Number
Suppl. 1
Pages
S56-S67
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review
Publication Status: ppublish
Abstract
Primary stomatodynia involves mainly women after menopause presenting somatization, depression and anxiety at values higher than control subjects. This chronic pain is often an intense burning pain beginning in the tongue the entire oral cavity, increasing in intensity through the day with a high level of emotional after effects. These patients often describe two associated symptoms: mouth dryness sensation and altered taste. The causes remain uncertain. The participation of female sexual hormones and neuropathic factors has been suggested possibly through a sensory neuropathy of small fibers of the oral mucosa. Normal clinical examinations and non clinical tests differentiate primary from secondary stomatodynia. The management consists in using low doses of topical clonazepam without swallowing or systemic clonazepam. The association of this drug with tricyclic antidepressants has given variable results. A cognitive behavioural management has been successfully attempted.
Keywords
Diagnosis, Differential, Facial Pain/diagnosis, Facial Pain/etiology, Gingivitis/complications, Gingivitis/physiopathology, Glossitis/complications, Glossitis/physiopathology, Humans, Stomatitis/complications, Stomatitis/physiopathology, Tooth, Toothache/diagnosis, Toothache/etiology
Pubmed
Create date
05/02/2008 12:44
Last modification date
20/08/2019 14:10
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