Amalgam allergy and Burning Mouth Syndrom: treatment and 25 years recall

• Autor(a) principal: De Paiva Gonçalves, Sérgio Eduardo [UNESP]
• Data de Publicação: 2021
• Outros Autores: Silva, Regina Célia Santos Pinto [UNESP], Gomes, Ana Paula Martins [UNESP], Yui, Karen Cristina Kazue [UNESP], Barcellos, Daphne Camara, Bresciani, Eduardo [UNESP], Özcan, Mutlu
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.4322/BDS.2021.E2817; http://hdl.handle.net/11449/234235
• topic: Burning mouth syndrome; Composite resin; Dental amalgam

Background: Burning mouth syndrome (BMS) is a non-neuropathic chronic orofacial pain condition, characterized by the presence of burning/warm sensation without specific mucosal lesions. Objective: The aim of the present clinical case report is to describe the positive outcome of dental treatment of a patient with BMS and followed up for 25 years. Data Treatment: This report describes the case of a 50-year-old black woman sought treatment for burning, and persistent swelling of tong (24h/day) occurring over years. Clinical evaluation of the oral environment revealed the tongue with cracking, darkened points areas, surrounded by whitish areas. Twelve teeth presented extensive amalgam restorations. Patch testing revealed a very strong hypersensitivity to Amalgam. All amalgam restorations were substituted by composite resin restorations. Results and Conclusion: Burning sensation disappeared completely after these restorations had been changed. After 25-year follow-up period, it was observed that burning sensation has never been felt anymore. Clinical Signi icance: Burning mouth syndrome is a chronic orofacial pain, usually without specific mucosal lesions. The etiology is complex and multifactorial and the treatment should be made specifically for each pacient.