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

Authors

DOI:

https://doi.org/10.4322/bds.2021.e2817

Abstract

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 Significance: 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.
KEYWORDS
Burning mouth syndrome; Composite resin; Dental amalgam.

Author Biography

Daphne Camara Barcellos, Universidade Federal do Espírito Santo, Department of Prosthodontics. Vitória, ES, Brazil.

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Published

2021-12-17

Versions

Issue

Vol. 24 No. 4 Suppl (2021): Oct - Dec / 2021 SUPPL

Section

Case Report or Clinical Technique

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All manuscript's copyright ownership of the article "____________________________________________________________________" is transferred from the author(s) to the BRAZILIAN DENTAL SCIENCE, in the event the work is published. The manuscript has not been published elsewhere and that it has not been submitted simultaneously for publication elsewhere.

We hereby attest the study is original and does not present manipulated data, fraud or plagiarism. We made significant scientific contribution to the study and we are aware of the presented data and in agreement with the final version of the manuscript. We assume complete responsibility for the ethical aspects of the study.

 

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