Revista de Odontologia da UNESP
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Revista de Odontologia da UNESP
Original Article

Avaliação do fluxo salivar, xerostomia e condição psicológica em mulheres com Síndrome da Ardência Bucal

Evaluation of salivary flow, xerostomia and psychological condition in women with Burning Mouth Syndrome

Soares, M.S.M.; Lima, J.M.C.; Pereira, S.C.C.

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Resumo

Objetivos: Determinar e correlacionar o fluxo salivar total, xerostomia e sintomas de ansiedade e depressão em pacientes com Síndrome da Ardência Bucal (SAB), comparando com um Grupo controle igualado em idade e sexo. Métodos: Foram selecionadas 25 mulheres com SAB e 25 sem SAB, no Serviço de Estomatologia – UFPB. Determinou-se o Fluxo Salivar em Repouso (FSR) e o Fluxo Salivar Estimulado (FSE), presença de xerostomia e aplicou-se Inventário de Depressão de Beck (IDB) e Inventário de Ansiedade Traço-Estado (IDATE). Foi realizada análise estatística descritiva e aplicados testes de Mann-Whitney, qui-quadrado e coeficiente de correlação de Pearson, considerando p < 0,05. Resultados: A média de idade no Grupo SAB foi 59 ± 13 anos e no controle 56 ± 11 anos. A média do FSR no Grupo SAB foi de 0,41 ± 0,27 mL.min–1 e, no controle, de 0,45 ± 0,35 mL.min–1, sem diferença estatisticamente significante (p = 0,907). A xerostomia foi referida por 64% das pacientes SAB e por 32% do Grupo controle, com diferença estatisticamente significante (p = 0,011). Quanto à intensidade dos sintomas analisados, no Grupo SAB, 32% das pacientes apresentavam depressão e, no controle, apenas 12%, com diferença estatisticamente significante (p = 0,001). A ansiedade elevada ou muito elevada foi observada em 40% das pacientes com SAB e em 16% do Grupo controle, havendo diferença estatisticamente significante (p = 0,048). Conclusão: Considerando-se os resultados, pôde-se concluir que: a taxa de fluxo salivar do Grupo SAB foi normal; a xerostomia foi mais prevalente no Grupo SAB e não teve relação com o fluxo nem com a condição psicológica; as pacientes com SAB apresentaram maior prevalência de sintomas de depressão e ansiedade do que as do Grupo controle.

Palavras-chave

Síndrome da ardência bucal, xerostomia, depressão, psicologia.

Abstract

Objective: The aim of this study was to determine and correlate salivary flow rate, xerostomia and symptoms of anxiety and depression in patients with Burning Mouth Syndrome (BMS), comparing with matched control Group. Methods: It was selected 25 women with BMS and 25 without, on the Oral Medicine Service/UFPB. Unstimulated salivary flow rate (USFR), stimulated salivary flow rate (SSFR) and xerostomia presence were determined. The Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI) were applied. Mann-Whitney, chi-square tests and Pearson’s correlation coefficient were used to analyze the data and were considered significant with P < 0.05. Results: The mean age of BMS Group was 59.2 ± 13.5 years old and 56.6 ± 11.7 years old on the control Group. The USFR average for the BMS Group was 0.41 ± 0.27 mL.min–1 and control Group was 0.45 ± 0.35 mL.min–1, no statistically significant difference was found (p = 0.907). The xerostomia was reported by 64% of the BMS patients and 32% on the control Group, with a statistically significant difference (p = 0.011). 32% of the patients with BMS and 12% of controls showed depression, with a statistically significant difference (p = 0.001). The high anxiety level was observed on 40% of patients with BMS and 16% on control Group, occurring a statistically significant difference (p = 0.048). Conclusions: Considering the results it is possible to conclude: the xerostomia was most prevailed on the BMS Group, and had no relationship with the salivary flow rate neither with the psychological conditions; BMS patients show more prevalence of depression symptoms and anxiety than control’s Group patients.

Keywords

Burning mouth syndrome, xerostomia, depression, psychology

References



1. Bradley K, Formaker BK, Frank ME. Taste function in patients with oral burning. Chem Senses. 2000;25:575-81.

2. Ito M, Kurita K, Ito T, Arao M. Pain threshold and pain recovery after experimental simulation in patients with burning mouth syndrome. Psychiatry Clin Neurosci. 2002; 56:161-8.

3. Hakeberg M, Hallberg LRM, Berggren U. Burning mouth syndrome: experiences from the perspective of female patients. Eur J Oral Sci. 2003;111:305-14.

4. Valle AE del, Urizar JMA, Martinez-Conde R, Goikouria MAE, Pujana OS. Síndrome de boca ardiente en el país Vasco: estudio preliminar de 30 casos. Med Oral. 2003;8:84-90.

5. Hershkovich O, Nagler RM. Biochemical analysis of saliva and taste acuity evaluation in patients with burning mouth syndrome, xerostomia and/or gustatory disturbances. Arch Oral Biol. 2004;49:515-22.

6. Grushka M, Sessle BJ, Miller R. Pain and personality profile in burning mouth syndrome. Pain. 1987;28:155-67.

7. Frutos R, Rodríguez S, Miralles L, Machuca G. Manifestaciones orales y manejo odontológico durante la menopausia. Med Oral. 2002;7:26-35.

8. Rojo L, Silvestre FJ, Bagan JV, De Vicente T. Prevalence of psychopathology in burning mouth syndrome: a comparative study among patients with and without psychiatric disorders and controls. Oral Surg Oral Med Oral Pathol. 1994;78:312-6.

9. Bergdahl M, Bergdahl J. Burning mouth syndrome: prevalence and associated factors. J Oral Pathol Med. 1999;28:350-4.

10. Carlson CR, Miller CS, Reid KI. Psychosocial profiles of patients with burning mouth syndrome. J Orofac Pain. 2000;14:59-64.

11. Wardrop RW, Hailes J, Burger H, Reade PC. Oral discomfort at menopause. Oral Surg Oral Med Oral Pathol. 1989;67:535-40.

12. Forabosco A, Criscuolo M, Coukos G, Uccelli E, Weinstein R, Spinato S, et al. Efficacy of hormone replacement therapy in postmenopausal women with oral discomfort. Oral Surg Oral Med Oral Pathol. 1992;73:570-4.

13. Navazesh M. Methods for collecting saliva. Ann N Y Acad Sci. 1993;694:72-7.

14. Sreebny M, Valdini A. Xerostomia. Part I: relationship to other oral symptoms and salivary gland hypofunction. Oral Surg Oral Med Oral Pathol. 1988;66:451-8.

15. Gorestein C, Andrade L. Inventário de depressão de Beck: propriedades psicométricas da versão em português. Rev Psiquiat Clin (São Paulo). 1998;25:245-50.

16. Biaggio A, Natalicio LF, Spielberger CD. Desenvolvimento da forma experimental em português do IDATE. Arq Bras Psicol. 1977;29:33-44.

17. Gorestein C, Andrade L. Validation of portuguese version of the beck depression inventory and the state-trait anxiety inventory in brazilian subjects. Braz J Med Biol Res. 1996;29:453-7.

18. Formaker BK, Frank ME. Taste function in patients with oral burning. Chem Senses. 2000;25:575-81.

19. Forssell H, Jaaskelainen S, Tenovuo O, Hinkka S. Sensory dysfunction in burning mouth syndrome. Pain. 2002;99:41-7.

20. Nasri C, Teixeira MJ, Siqueira JTT de. Estudo clínico sobre as características gerais dos pacientes com queixas de ardência bucal. JBO: J Bras Oclusão ATM Dor Orofac. 2002;2:278-84.

21. Sanchez MFP, Comín XJ, Sívoli CEG. Síndrome de boca ardiente: estudio retrospectivo de 140 casos en una muestra de la población Catalana. Med Oral Patol Oral Cir Bucal. 2005;10:388-93.

22. Soares MSM, Küstner EC, Pifarrè CS, Campillo MERR, López JL. Asociación de síndrome de boca ardiente con xerostomia y medicamentos. Oral Med Pathol. 2005;10:301-8.

23. Tammiala-Salonen T, Soderling E. Protein composition, adhesion, and agglutination properties of saliva in burning mouth syndrome. Scand J Dent Res. 1993;101:215-8.

24. Sardella A, Lodi G, Demarosi F, Uglietti D, Carrassi A. Causative or precipitating aspects of burning mouth syndrome: a case-controle study. J Oral Pathol Med. 2006;35:466-71.

25. Lamey PJ, Lamb AB. Prospective study of aetiological factors in burning mouth syndrome. Br Med. J 1988;296:1243-6.

26. Gorsky M, Silverman S, Chinn H. Clinical characteristics and management outcome in the burning mouth syndrome. Oral Surg Oral Med Oral Pathol. 1991;72:192-5.

27. Bergdahl J, Anneroth G, Perris H. Cognitive therapy in the treatment of patients with resistant burning mouth syndrome: a controlled study. J Oral Pathol Med. 1995;24:213-5.

28. Merigo E, Manfredi M, Zanetti MA, Miazza D, Pedrazzi G, Vescovi P. Burning mouth syndrome and personality profiles. Minerva Stomatol. 2007;56:159-67.
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