Loading...
Publication
Estado de arte sobre "Síndrome da Boca Ardente""
Abstract(s)
Introdução: A síndrome da boca ardente (SBA) é uma entidade clínica caracterizada por uma
sensação de ardor / dor na mucosa oral, frequentemente sem causa evidente. No geral, impacta
negativamente a qualidade de vida do doente, causando alterações fisicas e psicológicas
importantes. Apesar da sua relevância clínica, esta condição é muitas vezes subvalorizada e
subdiagnosticada, levando a um tratamento tardio e inadequado. Este trabalho visa explorar a
SBA na atualidade, e desenvolver um protocolo de atuação universal, que contribua para um
diagnóstico e tratamento atempados, minimizando o sofrimento e aumentando a qualidade de
vida do doente.
Objetivos: Os objectivos são clarificar a SBA e sua dimensão atual, e impacto na vida dos
doentes, bem como as principais comorbilidades e critérios de diagnóstico; fomentar a
multidisciplinaridade na prestação dos cuidados, propondo um protocolo de actuação específico
e universal para um diagnóstico rápido e assertivo, diminuindo o sofrimento e aumentando a
qualidade de vida destes doentes.
Metodologia: Revisão de artigos indexados nas bases de dados Pubmed, Elsevier e UpToDate,
entre 2015 e 2024, utilizando os termos: "síndrome da boca ardente", "etiologia", "diagnóstico",
"prognóstico" e "tratamento". A pesquisa foi realizada sem restrição de tempo, mas dando
preferência às evidências científicas mais recentes. Após leitura do abstract de cada um dos artigos
recolhidos, foram selecionados aqueles que se enquadraram nos objetivos do trabalho.
Resultados: A síndrome da boca ardente (SBA) é um diagnóstico clínico com considerável
prevalência, particularmente mulheres na menopausa. A sua natureza subjetiva dificulta o
diagnóstico. Estudos recentes confirmam etiologia de causas variáveis. Factores honnonais,
neuropáticos ou psicológicos, défices nutricionais e patologias reumatológicas são apontados
como causas frequentes. O stress e a ansiedade aparecem, cada vez mais, como fatores de risco.
A qualidade de vida destes doentes é significativamente diminuída, com sofrimento fisico e
psicológico associado. Destacam-se problemas de sono, incapacidade funcional e sintomatologia
depressiva.
As opções de tratamento variam consoante a causa e são principalmente farmacológicas, não
farmacológicas e / ou combinadas.
A gestão eficaz da SBA deve incluir uma abordagem multidisciplinar. É importante desmistificar o tema e sensibilizar para a importância de um tratamento adequado,
minorando o sofrimento e aumentando a qualidade de vida.
Conclusão: A luz dos conhecimentos atuais, apesar da etiologia ainda não estabelecida, sabe-se
que é uma patologia que afeta negativamente a qualidade de vida destes doentes. A falta de
homogeneidade nos critérios e a inexistência de protocolos de atuação, fazem com que haja
atrasos no diagnóstico e deterioração no estado físico e psicológico dos doentes.
Após esta revisão, sei que é possível integrar cuidados e referenciar atempadamente, com o
objetivo de tratar adequadamente os sintomas, minorando o sofrimento. Uma história clínica
detalhada com identificação de comorbilidades e a multidisciplinaridade podem fazer toda a
diferença. É preciso investigar mais sobre esta síndrome.
Introduction: Burning mouth syndrome (BMS) is a clinical entity characterized by a burningJpainful sensation in the oral mucosa, often with no evident cause. ln general, it negatively impacts the patient's quality of life, causing important physical and psychological changes. Despite its clinical relevance, this condition is often undervalued and underdiagnosed, leading to delayed and inadequate treatment. This work aims to explore BMS today, and develop a universal action protocol, which contributes to a timely diagnosis and treatment, minimizing suffering and increasing the patient's quality oflife. Objectives: The objectives are to clarify SBA and its current dimension, and impact on patients' lives, as well as the main comorbidities and diagnostic criteria; To foster multidisciplinarity in the provision of care, proposing a specific and universal action protocol for a rapid and assertive diagnosis, reducing suffering and increasing the quality of life of these patients. Methodology: Review of articles indexed in the Pubmed, EIsevier, and UpToDate databases, between 2015 and 2024, using the terms: ''burning mouth syndrome", "etiology", "diagnosis", "prognosis", and "treatment". The research was carried out without time constraint, but giving preference to the most recent scientific evidence. After reading the abstract of each of the articles collected, those that fit the objectives ofthe work were selected. Results: Burning mouth syndrome (BMS) is a clinical diagnosis with considerable prevalence, particularly menopausal women. Its subjective nature makes diagnosis difficult. Recent studies confirm the etiology of variable causes. Hormonal, neuropathic or psychological factors, nutritional deficits and rheumatological pathologies are pointed out as frequent causes. Stress and anxiety are increasingly appearing as risk factors. The quality of life of these patients is significantly diminished, with associated physical and psychological suffering. Sleep problems, functional disability and depressive symptoms stand out. Treatment options vary depending on the cause and are mainly pharmacological, nonpharmacological and/or combined. Effective management of the SBA must include a multidisciplinary approach. It is important to demystify the topic and raise awareness of the importance of adequate treatment, reducing suffering and increasing quality of life. Conc1usion: ln the light of current knowledge, although the etiology has not yet been established, it is knoWIl that it is a pathology that negatively affects the quality of tife of these patients. The lack ofhornogeneity in the criteria. and the lack of action protocols cause delays in diagnosis and deterioration in the physical and psychological state of patients. After this review, I know that it is possible to integrate care and referraI in a tirnely rnanner, with the aim of adequateIy treating the symptoms, alIeviating suffering. A detailed clinical history with identification of cornorbidities and rnuItidisciplinarity can rnake alI the difference. It is necessary to investigate more about this syndrome.
Introduction: Burning mouth syndrome (BMS) is a clinical entity characterized by a burningJpainful sensation in the oral mucosa, often with no evident cause. ln general, it negatively impacts the patient's quality of life, causing important physical and psychological changes. Despite its clinical relevance, this condition is often undervalued and underdiagnosed, leading to delayed and inadequate treatment. This work aims to explore BMS today, and develop a universal action protocol, which contributes to a timely diagnosis and treatment, minimizing suffering and increasing the patient's quality oflife. Objectives: The objectives are to clarify SBA and its current dimension, and impact on patients' lives, as well as the main comorbidities and diagnostic criteria; To foster multidisciplinarity in the provision of care, proposing a specific and universal action protocol for a rapid and assertive diagnosis, reducing suffering and increasing the quality of life of these patients. Methodology: Review of articles indexed in the Pubmed, EIsevier, and UpToDate databases, between 2015 and 2024, using the terms: ''burning mouth syndrome", "etiology", "diagnosis", "prognosis", and "treatment". The research was carried out without time constraint, but giving preference to the most recent scientific evidence. After reading the abstract of each of the articles collected, those that fit the objectives ofthe work were selected. Results: Burning mouth syndrome (BMS) is a clinical diagnosis with considerable prevalence, particularly menopausal women. Its subjective nature makes diagnosis difficult. Recent studies confirm the etiology of variable causes. Hormonal, neuropathic or psychological factors, nutritional deficits and rheumatological pathologies are pointed out as frequent causes. Stress and anxiety are increasingly appearing as risk factors. The quality of life of these patients is significantly diminished, with associated physical and psychological suffering. Sleep problems, functional disability and depressive symptoms stand out. Treatment options vary depending on the cause and are mainly pharmacological, nonpharmacological and/or combined. Effective management of the SBA must include a multidisciplinary approach. It is important to demystify the topic and raise awareness of the importance of adequate treatment, reducing suffering and increasing quality of life. Conc1usion: ln the light of current knowledge, although the etiology has not yet been established, it is knoWIl that it is a pathology that negatively affects the quality of tife of these patients. The lack ofhornogeneity in the criteria. and the lack of action protocols cause delays in diagnosis and deterioration in the physical and psychological state of patients. After this review, I know that it is possible to integrate care and referraI in a tirnely rnanner, with the aim of adequateIy treating the symptoms, alIeviating suffering. A detailed clinical history with identification of cornorbidities and rnuItidisciplinarity can rnake alI the difference. It is necessary to investigate more about this syndrome.
Description
Keywords
Diagnóstico Etiologia Prognóstico Síndroma da Boca Ardente Tratamento