PSYCHOSOMATIC DISORDERS RELATED TO ALTERED ORAL SENSATION AND PSYCHOSOMATIC DISORDERS INDUCED BY NEUROTIC HABITS. A LITERATURE REVIEW

Authors: Nadya AVRAMOVA

Abstract:

Medically Unexplained Oral Symptoms (MUOSs) are manifestations for which dental professionals have found no dental or medical reason. Physiological and functional changes with respect to these conditions are associated with social, emotional, and psychological factors. This paper was aimed at exploring the literature regarding psychosomatic disorders related to altered oral sensation and those induced by neurotic habits. Literature search was performed via Pubmed and Google scholar, taking into consideration articles between 1924-2018. A total number of 63 articles was identified as relevant sources of information, of which 25 (≈40%) corresponded to the aim of the current paper and were included in the present review. Five articles presented detailed description of the etiology, pathophysiology, clinical picture, and therapeutic management of burning mouth syndrome (BMS), 7 papers described idiopathic xerostomia, 4 papers – idiopathic dysgeusia, 3 papers – glossodynia and glossopyrosis, 4 – dental and periodontal diseases caused by bruxism, and 2 – biting of oral mucosa (self-mutilation). Multiple lines of evidence have suggested psychological etiopathogenesis of MUOSs. Therefore, an integral approach to patient, involving a multidisciplinary cooperation between dentists and other specialists will improve patient’s situation and facilitate further treatment and prevention.

Keywords:
  • bruxism
  • burning mouth syndrome
  • oral health
  • psychosomatic disorders