oral dysaesthesia Flashcards
1
Q
predisposing factors
A
haematinic deficiency
fungal/viral, anxiety/stress?
females>males
2
Q
what does the site of OD indicate
A
tip of tongue> parafunction
multiple other sites> dysesthesia
3
Q
burning mouth syndrome
A
intra-oral burning recurring daily for more than 2 hours per day for more than 3 months without evident causitive lesions
4
Q
dysgeusia
A
‘bad taste’ ‘bad smell’ ‘halitosis’
rule out:
chronic sinusitis, perio/dental inf, GORD
5
Q
touch dysaesthesia
A
‘pins and needles’ ‘tingling’
rule out:
infection/tumor
MRI ESSENTIAL
6
Q
mgmt of OD
A
inform
haematinics investigated
assess degree of anxiety> meds/CBT
7
Q
drug tx of OD
A
Anxiolytic:
nortriptyline, mirtazepine
Neuropathic:
gabapentin, pregabalin
