Abstract

Background. The article has explored the problem of treatment of patients with burning mouth syndrome. The efficiency of drug therapy was estimated, depending on the duration of the disease. The analysis of the clinical presentation, the duration of the disease, the results of psychometric testing and the terms of remission were carried out. Objectives. To estimate the efficiency of conventional drug therapy in patients with burning mouth syndrome, without any additional methods of treatment, depending on the duration of the disease. Methods. A clinical study of 3 groups: 74 patients, aged 49 to 72 years with the diagnosis of burning mouth syndrome (glossodynia (K 14.1) was conducted. The patients were grouped according to the duration of the disease. The examination included the definition of neurostomatological status, psychometric and general clinical studies. All patients were treated with the same type of medication. The results of the treatment were evaluated according to subjective evidences of patients and the terms of remission. The effectiveness of the therapy was defined as good, satisfactory and unsatisfactory. Results. The research revealed a reducing trend of the clinical response in patients with burning mouth syndrome, who suffered from the disease for about a year or more. So in the 1st group a good long-term result was observed in 63% of patients. Whereas in the third group this measure was only 29%, that was 2.5 times lower. The unsatisfactory effect of treatment in the 1st group was only 14%, and it was 2 times more in the third group of patients. Conclusions. Drug therapy has a satisfactory therapeutic action (reducing the intensity of complaints and improving the general state of the patient). But only such patients who first consulted a doctor about burning mouth syndrome during a few months from the onset of the disease and who have emotional stability of the mentality can expect a good effect from pharmacotherapy.

Highlights

  • The article has explored the problem of treatment of patients with burning mouth syndrome

  • Drug therapy has a satisfactory therapeutic action. Only such patients who first consulted a doctor about burning mouth syndrome during a few months from the onset of the disease and who have emotional stability of the mentality can expect a good effect from pharmacotherapy

  • Сложность и многогранность проблемы орофациальных болей обуславливает широкий масштаб работ с применением уникальных методик и оборудования [2, 4, 19, 23]

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Summary

Introduction

The article has explored the problem of treatment of patients with burning mouth syndrome. До начала лечения все больные проходили обязательную санацию полости рта, заключавшуюся в лечении или удалении зубов, устранении местных раздражающих факторов (острые края зубов, зубной камень, ортопедические конструкции из разнородных металлов). Хороший терапевтический эффект лечения выражался в практически полном исчезновении клинических проявлений СА в полости рта, улучшении общего состояния (нормализации сна, аппетита и др.), длительной ремиссии до одного года и более. Результаты исследования и их обсуждение Анализируя эффективность фармакотерапии, хороший результат после проведенного лечения выявлен у 7 пациентов (23 %).

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