Clinical characteristics of oral mucosal pain among patients visiting a dental hospital
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 12
Abstract
Background: Pain arising from mucosal lesions can be of diagnostic value and could be useful in monitoring patients and planning their treatment. Although several studies have been conducted in assessment and characterization of odontogenic and neuralgic pain, pain arising from oral mucosal lesions has not received much attention. Hence this study focuses on pain characterization and correlation of oral mucosal pain with the objective signs of the lesions. Aim: The purpose of this study was to characterize oral mucosal pain. Methods: Patients with symptomatic oral mucosal lesions were asked regarding their pain characteristics like quality of pain, intensity of pain (VAS I), functional disturbance (VAS F), aggravating / relieving factors and associated sleep disturbance. The data thus obtained, clinical examination findings and diagnosis were recorded. Results: 105 patients aged 16 to 70 years (44 females and 61males) with different oral mucosal diseases including Oral submucous fibrosis (OSMF), Recurrent Aphthous Stomatitis (RAU), Traumatic ulcer (TU),Oral lichen planus (OLP), Burning mouth syndrome (BMS), Pemphigus vulgaris (PV) formed the study group. 49% patients described the pain as “burning”. Moderate to severe pain intensity of pain was experienced by 65.6 % males and 75% of females. There was no significance difference between males and females for VAS I and VAS F (p=0.352 and p=0.368). Sleep disturbance was significantly associated with VAS I and VAS F (p=0.000). A highly significant negative correlation was found between intensity of pain and size of ulcers (p value =0.000). Conclusion: Oral mucosal pain is generally burning in quality and intensity of pain is related to its functional disturbance. No significant difference was found between the genders for VAS I and VAS F measures. Smaller the size of the ulcer, greater was the intensity of pain. The characteristics of pain could aid in improving the diagnosis, quality of treatment and monitoring painful oral mucosal conditions
Authors and Affiliations
Neha Vijaya Kumaran, Veena S Narayanan, Yeshoda TG
Keywords
Related Articles
- EP ID EP587589
- DOI -
- Views 182
- Downloads 0
Preoperative use of intra-aortic balloon pump in multi vessels coronary artery disease patient’s undergoing coronary artery bypass graft
Cardiovascular disease is considered a major problem in our society. Affected 110 million people and resulted in 8.9 million deaths. Use of pre-operative intra-aortic balloon pump (IABP) therapy is an effective modality...
Successful treatment of persistent idiopathic hiccup with ondansetron
We report a case of idiopathic persistent hiccup rebellious to many medication and that has been resolved after ondansetron administration. This case report is the occasion to discuss different etiologies of persistent a...
Comparative study between Mandakini off loading and conventional gauze dressing in the management of diabetic foot plantar ulcers
Offloading is an essential treatment modality that is key in preventing and healing of ulcers in the foot of diabetes patients. Various different offloading modalities exist with each having their own advantage and disad...
Orally disintegrating tablets: A novel approach for medication
An orally disintegrating tablet (ODT) is a drug dosage form available for a limited range of over-the counter (OTC) and prescription medications. Orally disintegrating tablets differ from the traditional tablets, in that...
A review of medical treatment of ectopic pregnancy with systemic methotrexate
Introduction: The aim of this review is to reassess the effectiveness of systemic methotrexate for the treatment of selected cases of ectopic pregnancy. Materials & Methods: A retrospective review of 21 cases of ectopic...