COMPREHENSIVE STUDY OF THE SOMATIC STATUS AND PSYCHOEMOTIONAL STATE OF PATIENTS WITH BURNING MOUTH SYNDROME DURING TREATMENT WITH REMOVABLE DENTURE PROSTHESES
DOI:
https://doi.org/10.35220/2523-420X/2025.2.19Keywords:
removable denture prostheses, adaptation, burning mouth syndrome, differential diagnosis, psychodiagnostic testsAbstract
The aim of this study was to improve adaptation to removable denture prostheses by identifying clinical, psychological, and biochemical factors associated with the development of burning mouth syndrome (BMS) and by optimizing the differential diagnosis and management strategies for affected patients.Materials and methods. A total of 150 patients with complaints of oral burning sensations following the placement of removable dentures were examined. All patients were divided into two groups: Group I (n = 103) included individuals with signs of BMS without systemic disorders, while Group II (n = 47) consisted of patients with oral burning symptoms combined with pronounced psychoemotional and somatic disorders. Clinical evaluation included assessment of prosthetic hygiene, identification of traumatic factors, and administration of psychodiagnostic tests: Beck Depression Inventory, Spielberger-Hanin anxiety questionnaire, and Toronto Alexithymia Scale. Salivary cortisol levels were measured as a biomarker of stress response.Results. Patients in Group II demonstrated significantly higher scores in depression (30.2 ± 1.18), trait anxiety (59.1 ± 1.23), state anxiety (46.2 ± 1.17), and alexithymia (72.4 ± 1.17) compared to Group I (17.1 ± 0.74; 33.2 ± 0.78; 30.6 ± 0.74; 51.8 ± 0.71,respectively). The mean salivary cortisol level in Group II was 6.84 ± 0.19 ng/ml, exceeding the reference range, whereas Group I demonstrated levels within normal limits (4.23 ± 0.11 ng/ml). A direct correlation was observed between cortisol concentration, severity of psychological symptoms, and clinical manifestations of BMS. Common comorbidities included cardiovascular diseases, gastrointestinal disorders, neurological pathology, and climacteric disturbances.Conclusions. Burning mouth syndrome in patients with removable dentures is multifactorial in origin, with psychoemotional factors and impaired adaptation playing a leading role. A comprehensive diagnostic approach, incorporating psychological testing and salivary biomarkers of stress, facilitates timely identification of high-risk patients and the implementation of effective treatment strategies.
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