Zespół pieczenia jamy ustnej
Epidemiologia
Zespół pieczenia jamy ustnej (BMS) to przewlekły, wieloczynnikowy zespół bólowy charakteryzujący się subiektywnym uczuciem pieczenia w jamie ustnej bez widocznych zmian patologicznych śluzówki. Częstość występowania BMS w populacji ogólnej waha się od 0,7% do 15%, jednak przy ścisłych kryteriach diagnostycznych wynosi około 1% lub mniej. Metaanaliza wskazuje na różnice geograficzne: 5,58% w Europie, 1,10% w Ameryce Północnej i 1,05% w Azji. BMS dotyka głównie kobiety (3-7 razy częściej niż mężczyzn), szczególnie w okresie okołomenopauzalnym i pomenopauzalnym, z częstością sięgającą 12-18%. Średni wiek pacjentów to około 61 lat, z najwyższą zapadalnością u kobiet w wieku 70-79 lat (70,3 przypadków na 100 000 osobolat). Zapadalność w badaniu Rochester Epidemiology Project wyniosła 11,4 przypadków na 100 000 osobolat, z wyraźną przewagą kobiet (18,8 vs 3,7 na 100 000 osobolat u mężczyzn).
Epidemiologia zespołu pieczenia jamy ustnej
Zespół pieczenia jamy ustnej (Burning Mouth Syndrome, BMS) to przewlekły, wieloczynnikowy zespół bólowy charakteryzujący się uczuciem pieczenia lub palenia w jamie ustnej przy braku widocznych zmian patologicznych śluzówki. Dane epidemiologiczne dotyczące występowania BMS są niejednoznaczne i trudne do ustalenia ze względu na brak spójnych kryteriów diagnostycznych oraz zróżnicowane definicje choroby stosowane w badaniach.123
Częstotliwość występowania
Według aktualnych badań szacunkowa częstość występowania zespołu pieczenia jamy ustnej w populacji ogólnej waha się od 0,7% do 15%, w zależności od przyjętych kryteriów diagnostycznych.12 Jednak w badaniach wykorzystujących ścisłe kryteria diagnostyczne częstość występowania jest znacznie niższa i wynosi około 1% lub mniej.1 W pierwszym populacyjnym badaniu częstości występowania BMS wykazano, że przy zastosowaniu określonych kryteriów diagnostycznych, choroba ta występuje rzadziej niż wcześniej przypuszczano, z częstością około 1 na 1000 pacjentów.1
W metaanalizie przeprowadzonej przez Wu i wsp. stwierdzono, że ogólna częstość występowania BMS w populacji światowej wynosi 1,73%, z różnicami regionalnymi: 1,05% w Azji, 1,10% w Ameryce Północnej i 5,58% w Europie.1 Szacuje się, że w praktyce stomatologicznej częstość występowania może wynosić około 7,72%.1
Rozkład demograficzny
BMS wykazuje wyraźną predyspozycję w odniesieniu do płci i wieku:1
- Kobiety są dotknięte BMS 3-7 razy częściej niż mężczyźni.123
- W niektórych badaniach stosunek kobiet do mężczyzn wśród pacjentów z BMS wynosi od 3:1 do 16:1.12
- Najwyższa częstość występowania u kobiet notowana jest w okresie okołomenopauzalnym i pomenopauzalnym.12
- Do 90% kobiet z BMS to kobiety w okresie okołomenopauzalnym, z typowym początkiem od 3 lat przed do 12 lat po rozpoczęciu menopauzy.12
- W badaniach epidemiologicznych wykazano, że u kobiet w okresie około- i pomenopauzalnym częstość występowania BMS wzrasta do 12-18%.1
Związek z wiekiem
Zespół pieczenia jamy ustnej ma silny związek z wiekiem:1
- Średni wiek pacjentów z BMS wynosi około 61 lat, z zakresem od 27 do 87 lat.12
- Częstość występowania BMS znacząco wzrasta po 50. roku życia u obu płci.12
- Najwyższą częstość występowania odnotowano u kobiet w wieku 70-79 lat – 70,3 przypadków na 100 000 osobolat.1
- Stan ten praktycznie nie występuje u dzieci i rzadko dotyka osoby poniżej 30. roku życia.123
- U mężczyzn BMS rzadko występuje przed piątą dekadą życia.1
Badania populacyjne
Pierwsze badanie populacyjne dotyczące zapadalności na zespół pieczenia jamy ustnej zostało przeprowadzone w ramach Rochester Epidemiology Project w hrabstwie Olmsted w stanie Minnesota (USA). Badanie to wykazało, że skorygowana względem wieku i płci zapadalność na BMS w latach 2000-2010 wynosiła 11,4 przypadków na 100 000 osobolat. Zapadalność wśród kobiet wynosiła 18,8 przypadków na 100 000 osobolat, w porównaniu do 3,7 przypadków na 100 000 osobolat u mężczyzn.12
W badaniu tym zastosowano standaryzowaną definicję diagnostyczną BMS: subiektywny ból pieczenia błony śluzowej jamy ustnej przy braku objawów fizycznych lub identyfikowalnej przyczyny zewnętrznej.1
Różnice geograficzne i etniczne
Metaanaliza wykazała różnice geograficzne w częstości występowania BMS:12
- Europa: 5,58%
- Ameryka Północna: 1,10%
- Azja: 1,05%
Niektóre grupy etniczne mogą mieć znacznie wyższe ryzyko zachorowania na BMS, w tym osoby pochodzenia azjatyckiego i rdzenni Amerykanie.1 Jednak nie wszystkie badania potwierdzają występowanie predyspozycji rasowych lub etnicznych.1
Badania kliniczne i obserwacje
W badaniach klinicznych zaobserwowano istotne korelacje między BMS a innymi schorzeniami:1
- Zwiększone prawdopodobieństwo występowania chorób żołądkowo-jelitowych (szacowany iloraz szans 3,5) i chorób układu moczowo-płciowego (szacowany iloraz szans 2,9) u pacjentów z BMS w porównaniu do grupy kontrolnej.1
- Częste współwystępowanie kserostomii (subiektywna suchość jamy ustnej) – zgłaszane przez 78,7% pacjentów z BMS.1
- Zaburzenia smaku zgłaszane przez 49,3% pacjentów z BMS.1
Badania naukowe i kliniczne
Aktualnie prowadzone są liczne badania naukowe nad zespołem pieczenia jamy ustnej. Na platformie ClinicalTrials.gov zarejestrowano co najmniej 30 badań klinicznych dotyczących BMS, z czego 19 zostało zakończonych, a 2 nadal rekrutują pacjentów.1 Prowadzona jest również intensywna działalność naukowa – zidentyfikowano 250 czołowych ekspertów medycznych zajmujących się BMS w 43 krajach i 21 stanach USA.1
W Klinice Stomatologii Psychosomatycznej Szpitala Stomatologicznego Uniwersytetu Medyczno-Stomatologicznego w Tokio (TMDU) w Japonii rocznie przyjmowanych jest około 250 nowych pacjentów z BMS, a całkowita liczba pacjentów ambulatoryjnych wynosi 450-500. Wśród nich około 55% stanowią osoby powyżej 65. roku życia.1
Wpływ na jakość życia i aspekty psychospołeczne
Zespół pieczenia jamy ustnej ma istotny negatywny wpływ na jakość życia związaną ze zdrowiem pacjentów, co zostało wykazane przy użyciu takich narzędzi jak SF-36 i OHIP-49.1
Większość pacjentów (84,6%) doświadcza silnego uczucia pieczenia i zmaga się z BMS przez lata, co może wyjaśniać związek między BMS a obniżoną jakością życia związaną ze zdrowiem.1 Badanie przeprowadzone w Wielkiej Brytanii wykazało znaczący wpływ finansowy przewlekłego bólu twarzoczaszki na życie pacjentów, przy czym ukryte koszty ekonomiczno-społeczne oszacowano na około 3000 funtów brytyjskich rocznie.1
Związek z zaburzeniami psychicznymi
Związek między zaburzeniami psychicznymi a BMS pozostaje nie w pełni wyjaśniony, ale jedno z badań wykazało, że około 50% pacjentów z BMS ma specyficzne rozpoznania psychiatryczne, z czego 60% to zaburzenia nastroju.1 BMS czasami współwystępuje z atypową odontalgią u tego samego pacjenta, co przyczynia się do bardziej intensywnego doświadczania bólu.1
Wyzwania diagnostyczne i prognozy
Diagnostyka i leczenie zespołu pieczenia jamy ustnej stanowią wyzwanie i wymagają podejścia multidyscyplinarnego – medycznego i psychologicznego.1 Średnie opóźnienie w postawieniu prawidłowej diagnozy wynosi od 34 do 41 miesięcy.1
Prognozy dla pacjentów z BMS są umiarkowane:
- Tylko 3% pacjentów doświadcza spontanicznej remisji objawów w ciągu 5 lat od początku choroby.1
- Od 50% do 67% pacjentów doświadcza przynajmniej częściowej poprawy objawów w ciągu kilku tygodni do kilku miesięcy od rozpoczęcia leczenia.1
- U niektórych pacjentów następuje poprawa bez leczenia, ale inni doświadczają niskiej jakości życia bez ulgi w objawach.1
Wnioski i perspektywy
Zespół pieczenia jamy ustnej stanowi istotny problem medyczny, który może być często spotykany w praktyce klinicznej.1 Konieczne są dalsze badania z odpowiednimi kryteriami w celu ustalenia rzeczywistej częstości występowania BMS oraz lepszego zrozumienia mechanizmów leżących u podstaw tego schorzenia.12
Dane epidemiologiczne wyraźnie wskazują, że BMS najczęściej dotyka kobiety powyżej 50. roku życia, a przy zastosowaniu określonych kryteriów diagnostycznych jego częstość występowania jest niższa niż wcześniej przypuszczano.12 Konieczne są zakrojone na szeroką skalę badania epidemiologiczne, aby zapewnić dokładne oszacowanie częstości występowania i zapadalności na to schorzenie.1
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Burning Mouth Syndrome: Practice Essentials, Anatomy and Physiology, Pathophysiologyhttps://emedicine.medscape.com/article/1508869-overview
Good epidemiologic data documenting incidence and prevalence of burning mouth syndrome (BMS) are lacking. Statistical values vary widely and are likely affected by variable definitions of burning mouth syndrome (BMS). […] The overall prevalence is roughly 4%. Women are 3-7 times more likely than men of a similar age to experience burning mouth syndrome (BMS) symptoms. […] Burning mouth syndrome (BMS) is rarely observed in patients younger than age 30 years, and prevalence may increase from 3- to 12-fold with increasing age. […] No racial or ethnic predilections have been reported. […] Similar prevalences were found in a literature review by Wu et al, although the investigators reported the overall pooled prevalence of burning mouth syndrome (BMS) in the worldwide general population to be 1.73%. This prevalence was found to vary by region, being 1.05% in Asia, 1.10% in North America, and 5.58% in Europe. The prevalence in the general female population was estimated to be 1.15%, compared with 0.38% in the general male population. Moreover, older age was also seen here to increase the risk of burning mouth syndrome (BMS), with the prevalence being 1.92% in people under age 50 years and 3.31% in those over 50 years.
- #1https://journals.lww.com/jpbs/fulltext/2014/06001/burning_mouth_syndrome__a_review_on_its_diagnostic.7.aspx
Burning mouth syndrome (BMS) is basically a disorder of middle-aged and elderly individuals with an age range of 38-78 years. […] The prevalence of BMS reported from various international studies ranges from 0.6% to 15%, respectively. […] BMS exhibits significant female predilection and the ratio between females and males varies from 3:1 to 16:1 in various literature studies. […] Epidemiological studies reveal that this condition is particularly common among peri- and post-menopausal women where their prevalence increases up to 12-18%. […] This condition is extremely rare in patients under 30 years and never been reported in children and adolescence.
- #1 Burning Mouth Syndrome â European Association of Oral Medicinehttps://eaom.eu/education/eaom-handbook/burning-mouth-syndrome/
Burning mouth syndrome predominantly seems to affect women, particularly after the menopause and its frequency seems to increase with age. Reported incidence and prevalence in general populations varies significantly according to diagnostic criteria employed: many studies have included people with the symptom of burning mouth rather than with BMS as defined above, and when this is taken into account, prevalence of 1% or less is more accurate. […] Confusingly, many research studies concerning people with symptoms of burning mouth do not distinguish those with burning mouth syndrome (i.e. idiopathic disease) from those with other conditions (such as vitamin B deficiency), making the results unreliable and difficult to interpret.
- #1 The Prevalence of Burning Mouth Syndrome: A Population-Based Studyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4456238/
Burning mouth syndrome (BMS) is defined as symptoms of persistent burning in the mouth without objective findings accounting for the symptoms. […] To our knowledge, we provide the first report of population-based BMS prevalence. The data show that BMS most commonly affects women older than 50 years, and when defined through diagnostic criteria, it is less prevalent than described previously. […] This is the first population-based prevalence study of burning mouth syndrome. […] The study shows that when defined by specific diagnostic criteria, burning mouth syndrome is less prevalent than previously described. […] To our knowledge, these are the first-reported population-based prevalence data for BMS. The findings provide a reliable contribution to the nascent BMS epidemiology literature. The data show that BMS most commonly affects women older than 50 years, and that when defined through diagnostic criteria, BMS is less prevalent than previously suspected with a prevalence of approximately 1:1,000 patients.
- #1 Prevalence profile of burning mouth syndrome in a sample of Egyptian population: A cross-sectional clinical based studyhttps://www.explorationpub.com/Journals/em/Article/1001244
A prevalence of BMS of 7.9% was discovered in the present sample of the Egyptian population, occurring more frequently in females and older age groups. […] The present research was conducted to evaluate the prevalence profile of BMS in a sample of the Egyptian population and to determine the frequency of different accompanying factors such as xerostomia and taste disturbances, in addition to the assessment of the relation of BMS with different risk factors, perceived stress and QOL. […] To the authors knowledge, the present research is the first study to assess the prevalence of BMS in Egypt. […] The prevalence of BMS was found to be 7.9% of the present sample of the Egyptian population, and this prevalence rate coincides with results of a meta-analysis reporting a pooled worldwide prevalence of BMS of 7.72% in clinical dental practice.
- #1 Burning mouth syndromehttps://www.wjgnet.com/1007-9327/full/v19/i5/665.htm
BMS has a clear predisposition to gender and age. Women are 2.5 to 7 times more commonly affected than men. Furthermore, up to 90% of female patients with BMS are perimenopausal women with typical onset from 3 prior- to 12 years post- the beginning of menopause. BMS may affect any age group, with patients age ranging from 27 to 87 years of age, and a reported mean age of 61 years. Recent analysis by the same group showed an increased likelihood of gastrointestinal and urogenital disease in patients with BMS, with estimated odds ratio of 3.5 and 2.9, respectively, compared to control subjects. […] Although further studies are needed with satisfactory criteria to determine the true prevalence of BMS, this data illustrates that the disease is an important medical condition that may be often encountered in the clinical practice.
- #1 Burning Mouth Syndrome – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519529/
BMS is much more common in females than males, with 3 to 7 times higher occurrence. It has a strong association with advancing age in both sexes. The highest prevalence in females occurs in the perimenopausal and postmenopausal periods. The condition is non-existent in children and rarely seen in those under 30. Occurrence in males is rare before the fifth decade. Overall, the prevalence of BMS is not well documented but is thought to be around 4%.[8] […] Diagnosing and managing BMS are challenging and require a multidisciplinary approach – medical and psychological. The cause of the disorder remains unknown, and the treatment is empirical. Treatment is focused on the underlying and associated conditions and symptomatic management. The overall prognosis for patients with BMS is guarded. Some patients improve without treatment, and others lead a poor quality of life with no relief from symptoms.[29][30]
- #1 Open Wide: New Insights Into Burning Mouth Syndrome | MDedgehttps://www.mdedge.com/content/open-wide-new-insights-burning-mouth-syndrome-0
In the Minnesota study, for example, women accounted for 84% of the 169 individuals diagnosed with new-onset burning mouth syndrome during the study period. […] The incidence among women was 18.8 cases per 100,000 person-years, compared with 3.7 per 100,000 person-years in men. […] The incidence climbed sharply after age 50 in both men and women, achieving a peak rate of 70.3 cases per 100,000 person-years among women age 70-79. […] The next step in this research project will be to investigate the potential role of concurrent disease states and medication use in the incidence and prevalence of burning mouth syndrome in the countyâs population.
- #1 Open Wide: New Insights Into Burning Mouth Syndrome | MDedgehttps://www.mdedge.com/content/open-wide-new-insights-burning-mouth-syndrome-0
Key clinical point: Burning mouth syndrome occurs a lot less frequently than previously understood. […] Major finding: The incidence of newly diagnosed burning mouth syndrome using standardized criteria in Olmsted County, Minn., during 2000-2010 was 18.8 cases per 100,000 person-years among women and 3.7 in men. […] Data source: This first-ever population-based study of burning mouth syndrome was carried out through the Rochester Epidemiology Project. […] The age- and gender-adjusted incidence of burning mouth syndrome during 2000-2010 in Olmsted County, Minn., was 11.4 cases per 100,000 person-years, John J. Kohorst reported at the annual congress of the European Academy of Dermatology and Venereology. […] The new population-based study focused on disease incidence rather than prevalence utilized a standardized definition for the diagnosis: subjective burning pain of the oral mucosa in the absence of physical findings or an identifiable extraneous cause.
- #1 Burning mouth syndrome – Wikipediahttps://en.wikipedia.org/wiki/Burning_mouth_syndrome
BMS is fairly uncommon worldwide, affecting up to five individuals per 100,000 general population. People with BMS are more likely to be middle aged or elderly, and females are three to seven times more likely to have BMS than males. Some report a female to male ratio of as much as 33 to 1. BMS is reported in about 10-40% of women seeking medical treatment for menopausal symptoms, and BMS occurs in about 14% of postmenopausal women. […] Asian and Native American people have considerably higher risk of BMS.
- #1 Prevalence profile of burning mouth syndrome in a sample of Egyptian population: A cross-sectional clinical based studyhttps://www.explorationpub.com/Journals/em/Article/1001244
The intensity of BMS symptoms was high and was significantly correlated with age, smoking, duration of BMS, presence of medical conditions, long-term medications, QOL, and PSS scores. […] Subjective oral dryness was reported by 78.7% and taste disturbance was reported by 49.3% of BMS cases, further contributing to the adverse impact on the QOL in those patients.
- #1 Top Published Expert Doctors for Burning Mouth Syndromehttps://findexpertmd.com/d/Burning_Mouth_Syndrome?physician=physician
250 top medical experts on Burning Mouth Syndrome across 43 countries and 21 U.S. states, including 69 MDs (Physicians). This is based on an objective analysis of their Scientific Publications, Clinical Trials, Medicare, and NIH Grants. […] Clinical Trials ClinicalTrials.gov: at least 30 including 19 Completed, 2 Recruiting.
- #1 Current management strategies for the pain of elderly patients with burning mouth syndrome: a critical review | BioPsychoSocial Medicine | Full Texthttps://bpsmedicine.biomedcentral.com/articles/10.1186/s13030-019-0142-7
Burning Mouth Syndrome (BMS), a chronic intraoral burning sensation or dysesthesia without clinically evident causes, is one of the most common medically unexplained oral symptoms/syndromes. […] In fact, there is a large and growing number of elderly BMS patients for whom the disease is accompanied by systemic diseases, in addition to aging physical change, which makes the diagnosis and treatment of BMS more difficult. […] At the Department of Psychosomatic Dentistry, Dental Hospital, Tokyo Medical and Dental University (TMDU), Japan, we have around 250 new BMS patients every year and currently treat 45000 outpatients. Among them, approximately 55% are over 65 years old. […] The actual situation makes the diagnosis and treatments of BMS more complex and difficult. […] A recent study in the United Kingdom shows the profound financial impact of persistent orofacial pain on patients lives, in which the hidden economical-social cost was calculated around 3000 GBP (Great Britain Pound) per year.
- #1 The impact of burning mouth syndrome on health-related quality of life | Health and Quality of Life Outcomes | Full Texthttps://hqlo.biomedcentral.com/articles/10.1186/1477-7525-9-57
Burning mouth syndrome (BMS) is more common in women in the middle to elderly age range. The prevalence is estimated to be 0.7-4.6% of the general population. […] It has been shown that BMS exerts a negative impact on the quality of life of affected individuals. […] According Lpez-Jornet et al., patients with BMS have poorer scores on all scales that measure quality of life. […] BMS has a negative impact on the health-related quality of life of individuals, as can be shown by instruments such as the SF-36 and OHIP-49. […] The present study showed that BMS had a negative impact on the health-related quality of life of individuals across all domains by using instruments such as the SF-36 and OHIP-49. […] In all studies on the quality of life of individuals with BMS, the OHIP-49 was used in its original form or the short form, which also showed a negative impact on the health-related quality of life of such individuals. […] The majority (84.6%) of patients had severe burning sensations and have BMS for years, what could explain the relationship between BMS and health-related quality of life.
- #1 Current management strategies for the pain of elderly patients with burning mouth syndrome: a critical review | BioPsychoSocial Medicine | Full Texthttps://bpsmedicine.biomedcentral.com/articles/10.1186/s13030-019-0142-7
Overall, the prevalence of BMS in the adult population has been reported to be between 0.7 and 3.7%. […] The syndrome usually occurs in middle-aged and elderly patients more often than in children and adolescents, and female predominance has been reported (female: male=7:1). […] The relevance of psychiatric disorders in BMS is remains to be clarified, but one study reported that about 50% of BMS patients have specific psychiatric diagnoses, 60% of whom are diagnosed with mood disorders. […] BMS is sometimes comorbid with atypical odontalgia in the same patient, which contributes to a more intensively painful experience.
- #1https://www.monz.pl/Zespol-pieczenia-jamy-ustnej-epidemiologia-diagnostyka-i-nowoczesne-standardy-postepowania,122853,0,2.html
BMS is a multifactorial disease. There are many known local, systemic, and psychological factors that can cause the disease. […] The incidence ratio for males and females ranges from 1: 51: 7 and increases with age for both genders, especially for women in the perimenopausal period. […] The average delay in making the correct diagnosis is from 3441 months. Only 3% of patients have a spontaneous remission of symptoms within 5 years of onset of disease. […] Burning mouth syndrome is a chronic pain condition of unknown cause. The diagnosis of BMS involves the exclusion of other disease entities that could be the cause of pain. Currently, there is no effective, safe, and confirmed diagnostic and therapeutic procedure.
- #1 Burning Mouth Syndromehttps://maaom.memberclicks.net/index.php?option=com_content&view=article&id=81:burning-mouth-syndrome&catid=22:patient-condition-information&Itemid=120
Burning mouth syndrome (BMS) affects around 2% of the population with women being up to seven times more likely to be diagnosed than men. […] BMS is not caused by dentures or infections although wearing dentures sometimes makes the burning worse. […] There is no association of BMS with development of oral cancer. […] One-half to two-thirds of patients will experience at least a partial improvement in symptoms within a few weeks to a few months of treatment.
- #1 Co-occurrence of Pain Symptoms and Somatosensory Sensitivity in Burning Mouth Syndrome: A Systematic Review | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0163449
Burning mouth syndrome (BMS) is a chronic and spontaneous oral pain with burning quality in the tongue or other oral mucosa without any identifiable oral lesion or laboratory finding. BMS prevalence increases with age, the highest being in 60-69 years-old women. The pathogenesis and etiology of BMS are still unknown. This disease was initially classified as a psychalgic pain. But recent evidence suggest that it is rather a peripheral and/or central neuropathic disorder. BMS might also be only a pain symptom, which would then be associated with other cephalic and/or extra-cephalic pain symptoms. For instance, it was proposed that BMS and other chronic orofacial pains, such as atypical odontalgia, atypical facial pain and arthromyalgia, are parts of a single disease: they would have the same underlying pathophysiological mechanisms but different tissue expressions. The present work is the first systematic literature review aimed to determine whether BMS is actually associated with other pain syndromes, and to analyze cephalic and extracephalic somatosensory sensitivity in BMS patients. We found that the co-occurrence of BMS with other pain symptoms is assessed in less than 1% of the retrieved studies and there is no or inconsistent evidence of abnormal cutaneous cephalic and extracephalic somatosensory sensitivity in BMS patients. The selected studies report that BMS is associated with headaches, TMD, atypical facial pain, trigeminal neuralgia, post-herpetic facial pain, back pain, fibromyalgia, joint pain, abdominal pain, rectal pain or vulvodynia. However, the prevalence of pain symptoms in BMS patients is not different from that in the age-matched general population. Thus, the absence of any study that properly assessed overlapping pain conditions in BMS and more rigorously conducted research is required to allow definitive conclusion. The present systematic review reveals that (i) there is no evidence for an association between BMS and other pain symptoms and (ii) BMS patients do not display clear somatosensory patterns. The lack of co-occurring pain symptom with BMS suggests that this chronic pain syndrome depends on specific mechanisms, probably at the trigeminal level.
- #1 Oral dysaesthesia: a special focus on aetiopathogenesis, clinical diagnostics and treatment modalities | British Dental Journalhttps://www.nature.com/articles/s41415-024-7057-9
Oral dysaesthesia is a condition characterised by persistent alteration to oral sensation, perceived by the patient to be abnormal and/or unpleasant, in the absence of any mucosal pathology. […] Burning mouth syndrome (BMS) is the most common idiopathic oral dysesthesia in which long-term suffering is often reported by patients. […] Large-scale epidemiological studies are required to provide an accurate estimate for prevalence and incidence of the condition. […] Many studies focus on BMS, though the precise estimate on prevalence and incidence is difficult to establish given the historic lack of consensus on disease definitions and diagnostic criteria. […] Overall, OD symptoms are rare and occur in less than 1% of the population. […] Restricting symptoms to BMS only, the range varies between 0.7-4.6% of the adult population. […] There is a higher predominance in women and specifically during peri-/post-menopausal age.
- #2 Burning Mouth Syndrome â European Association of Oral Medicinehttps://eaom.eu/education/eaom-handbook/burning-mouth-syndrome/
Burning mouth syndrome predominantly seems to affect women, particularly after the menopause and its frequency seems to increase with age. Reported incidence and prevalence in general populations varies significantly according to diagnostic criteria employed: many studies have included people with the symptom of burning mouth rather than with BMS as defined above, and when this is taken into account, prevalence of 1% or less is more accurate. […] Confusingly, many research studies concerning people with symptoms of burning mouth do not distinguish those with burning mouth syndrome (i.e. idiopathic disease) from those with other conditions (such as vitamin B deficiency), making the results unreliable and difficult to interpret.
- #2 The impact of burning mouth syndrome on health-related quality of life | Health and Quality of Life Outcomes | Full Texthttps://hqlo.biomedcentral.com/articles/10.1186/1477-7525-9-57
Burning mouth syndrome (BMS) is more common in women in the middle to elderly age range. The prevalence is estimated to be 0.7-4.6% of the general population. […] It has been shown that BMS exerts a negative impact on the quality of life of affected individuals. […] According Lpez-Jornet et al., patients with BMS have poorer scores on all scales that measure quality of life. […] BMS has a negative impact on the health-related quality of life of individuals, as can be shown by instruments such as the SF-36 and OHIP-49. […] The present study showed that BMS had a negative impact on the health-related quality of life of individuals across all domains by using instruments such as the SF-36 and OHIP-49. […] In all studies on the quality of life of individuals with BMS, the OHIP-49 was used in its original form or the short form, which also showed a negative impact on the health-related quality of life of such individuals. […] The majority (84.6%) of patients had severe burning sensations and have BMS for years, what could explain the relationship between BMS and health-related quality of life.
- #2 Burning Mouth Syndrome: Practice Essentials, Anatomy and Physiology, Pathophysiologyhttps://emedicine.medscape.com/article/1508869-overview
Good epidemiologic data documenting incidence and prevalence of burning mouth syndrome (BMS) are lacking. Statistical values vary widely and are likely affected by variable definitions of burning mouth syndrome (BMS). […] The overall prevalence is roughly 4%. Women are 3-7 times more likely than men of a similar age to experience burning mouth syndrome (BMS) symptoms. […] Burning mouth syndrome (BMS) is rarely observed in patients younger than age 30 years, and prevalence may increase from 3- to 12-fold with increasing age. […] No racial or ethnic predilections have been reported. […] Similar prevalences were found in a literature review by Wu et al, although the investigators reported the overall pooled prevalence of burning mouth syndrome (BMS) in the worldwide general population to be 1.73%. This prevalence was found to vary by region, being 1.05% in Asia, 1.10% in North America, and 5.58% in Europe. The prevalence in the general female population was estimated to be 1.15%, compared with 0.38% in the general male population. Moreover, older age was also seen here to increase the risk of burning mouth syndrome (BMS), with the prevalence being 1.92% in people under age 50 years and 3.31% in those over 50 years.
- #2 Burning Mouth Syndrome – Indian Journal of Palliative Carehttps://jpalliativecare.com/burning-mouth-syndrome/
Epidemiological studies on BMS have estimated a prevalence rate of 2.65.1%. Due to the lack in the consensus of diagnosing BMS, prevalence rates tend to vary across studies. The prevalence of BMS reported from international studies ranges from commonly reported range has been 0.74.6%. The mean age of BMS is between 55 and 60 years, with occurrence under 30 being rare. The ratio between females and males varies from 3:1 to 16:1. Furthermore, up to 90% of female patients with BMS are perimenopausal women with typical onset from 3 years prior to 12 years post the beginning of menopause. […] This review focuses on various aspects of BMS including its epidemiology, pathophysiology, etiology, clinical presentation, differential diagnosis, classification, clinical diagnosis, current treatment, and general prognosis.
- #2 Burning mouth syndromehttps://www.wjgnet.com/1007-9327/full/v19/i5/665.htm
BMS has a clear predisposition to gender and age. Women are 2.5 to 7 times more commonly affected than men. Furthermore, up to 90% of female patients with BMS are perimenopausal women with typical onset from 3 prior- to 12 years post- the beginning of menopause. BMS may affect any age group, with patients age ranging from 27 to 87 years of age, and a reported mean age of 61 years. Recent analysis by the same group showed an increased likelihood of gastrointestinal and urogenital disease in patients with BMS, with estimated odds ratio of 3.5 and 2.9, respectively, compared to control subjects. […] Although further studies are needed with satisfactory criteria to determine the true prevalence of BMS, this data illustrates that the disease is an important medical condition that may be often encountered in the clinical practice.
- #2https://journals.lww.com/jpbs/fulltext/2014/06001/burning_mouth_syndrome__a_review_on_its_diagnostic.7.aspx
Burning mouth syndrome (BMS) is basically a disorder of middle-aged and elderly individuals with an age range of 38-78 years. […] The prevalence of BMS reported from various international studies ranges from 0.6% to 15%, respectively. […] BMS exhibits significant female predilection and the ratio between females and males varies from 3:1 to 16:1 in various literature studies. […] Epidemiological studies reveal that this condition is particularly common among peri- and post-menopausal women where their prevalence increases up to 12-18%. […] This condition is extremely rare in patients under 30 years and never been reported in children and adolescence.
- #2 Open Wide: New Insights Into Burning Mouth Syndrome | MDedgehttps://www.mdedge.com/content/open-wide-new-insights-burning-mouth-syndrome-0
In the Minnesota study, for example, women accounted for 84% of the 169 individuals diagnosed with new-onset burning mouth syndrome during the study period. […] The incidence among women was 18.8 cases per 100,000 person-years, compared with 3.7 per 100,000 person-years in men. […] The incidence climbed sharply after age 50 in both men and women, achieving a peak rate of 70.3 cases per 100,000 person-years among women age 70-79. […] The next step in this research project will be to investigate the potential role of concurrent disease states and medication use in the incidence and prevalence of burning mouth syndrome in the countyâs population.
- #2https://link.springer.com/article/10.1007/s40496-022-00316-x
Information on the prevalence and epidemiology of BMD is inadequate worldwide due to vague diagnostic criteria and complicated by the poor exclusion of other causes of oral burning. […] A substantial portion of adults is affected by BMD with prevalence estimated between 0.7 and 15% in various races, with postmenopausal women being most frequently affected. […] There is a significant female predilection with a reported ratio of approximately 5:1 to 7:1. […] In a meta-analysis involving the general population, the prevalence of BMD was higher in Europe (5.58%) and North America (1.1%) and lower in Asia (1.05%).
- #2 BMS: Burning Mouth Syndromehttps://ostrowonline.usc.edu/unraveling-burning-mouth-syndrome-a-review-of-diagnosis-and-treatments/
Burning mouth syndrome [BMS] is a chronic and challenging orofacial pain syndrome characterized by a persistent burning sensation in the oral mucosa, in the absence of specific oral lesions. The true prevalence of BMS is challenging to establish due to the lack of consistent diagnostic criteria and awareness among healthcare professionals. Reported prevalence rates range from 0.6% to 15%, with a higher incidence among middle-aged and elderly individuals, particularly peri- and post-menopausal women. BMS exhibits a significant female predilection, with a female-to-male ratio ranging from 3:1 to 16:1. The condition is rare in individuals under 30 years of age and has not been reported in children or adolescents. […] This comprehensive review highlights the epidemiology, clinical features, classification, etiopathogenesis, diagnosis, and therapeutic approaches for BMS. Further research is needed to better understand the underlying mechanisms and develop targeted treatment strategies to improve the quality of life for individuals suffering from BMS.
- #2 Open Wide: New Insights Into Burning Mouth Syndrome | MDedgehttps://www.mdedge.com/content/open-wide-new-insights-burning-mouth-syndrome-0
Key clinical point: Burning mouth syndrome occurs a lot less frequently than previously understood. […] Major finding: The incidence of newly diagnosed burning mouth syndrome using standardized criteria in Olmsted County, Minn., during 2000-2010 was 18.8 cases per 100,000 person-years among women and 3.7 in men. […] Data source: This first-ever population-based study of burning mouth syndrome was carried out through the Rochester Epidemiology Project. […] The age- and gender-adjusted incidence of burning mouth syndrome during 2000-2010 in Olmsted County, Minn., was 11.4 cases per 100,000 person-years, John J. Kohorst reported at the annual congress of the European Academy of Dermatology and Venereology. […] The new population-based study focused on disease incidence rather than prevalence utilized a standardized definition for the diagnosis: subjective burning pain of the oral mucosa in the absence of physical findings or an identifiable extraneous cause.
- #3 Epidemiology of Burning Mouth Disease | SpringerLinkhttps://link.springer.com/chapter/10.1007/978-3-030-71640-0_2
Epidemiologic data on the prevalence of burning mouth disease (BMD) also referred to as burning mouth syndrome, are scarce and often related to selected populations, such as patients from a general dental practice, or patients visiting a menopause clinic. […] The estimated prevalence in the population at large, all ages and both genders together amounts 0.010.02%, which equals 100200 patients per one million population. […] BMD affects menopausal and postmenopausal women much more often than men, the mean being approximately 60 years. In several studies BMD in men occurs at a significant lower age than in women.
- #3 Current management strategies for the pain of elderly patients with burning mouth syndrome: a critical review | BioPsychoSocial Medicine | Full Texthttps://bpsmedicine.biomedcentral.com/articles/10.1186/s13030-019-0142-7
Overall, the prevalence of BMS in the adult population has been reported to be between 0.7 and 3.7%. […] The syndrome usually occurs in middle-aged and elderly patients more often than in children and adolescents, and female predominance has been reported (female: male=7:1). […] The relevance of psychiatric disorders in BMS is remains to be clarified, but one study reported that about 50% of BMS patients have specific psychiatric diagnoses, 60% of whom are diagnosed with mood disorders. […] BMS is sometimes comorbid with atypical odontalgia in the same patient, which contributes to a more intensively painful experience.
- #3 BMS: Burning Mouth Syndromehttps://ostrowonline.usc.edu/unraveling-burning-mouth-syndrome-a-review-of-diagnosis-and-treatments/
Burning mouth syndrome [BMS] is a chronic and challenging orofacial pain syndrome characterized by a persistent burning sensation in the oral mucosa, in the absence of specific oral lesions. The true prevalence of BMS is challenging to establish due to the lack of consistent diagnostic criteria and awareness among healthcare professionals. Reported prevalence rates range from 0.6% to 15%, with a higher incidence among middle-aged and elderly individuals, particularly peri- and post-menopausal women. BMS exhibits a significant female predilection, with a female-to-male ratio ranging from 3:1 to 16:1. The condition is rare in individuals under 30 years of age and has not been reported in children or adolescents. […] This comprehensive review highlights the epidemiology, clinical features, classification, etiopathogenesis, diagnosis, and therapeutic approaches for BMS. Further research is needed to better understand the underlying mechanisms and develop targeted treatment strategies to improve the quality of life for individuals suffering from BMS.