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구강작열감 증후군에 대한 논문 고찰
A literature review on burning mouth syndrome
J Dent Rehabil Appl Sci 2019;35(3):123-131
Published online September 30, 2019
© 2019 Korean Academy of Stomatognathic Function and Occlusion.

최성현1, 이빈나1, 임회순2, 오원만1, 김재형3*
Sung-Hyeon Choi1, Bin-Na Lee1, Hae-Soon Lim2, Won-Mann Oh1, Jae-Hyung Kim3*

1전남대학교 치과대학 보존학교실
2전남대학교 치과대학 치의학교육학교실
3전남대학교 치과대학 구강내과학교실

1Department of Conservative Dentistry, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
2Department of Dentistry Education, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
3Department of Oral Medicine, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
Jae-Hyung Kim
Professor, Department of Oral Medicine, School of Dentistry, Chonnam National University, Youngbong-ro 77, Buk-gu, Gwangju, 61186, Republic of Korea
Tel: +82-62-530-5678, Fax: +82-62-530-5679, E-mail: tmjkim@jnu.ac.kr
Received July 1, 2019; Revised July 30, 2019; Accepted August 9, 2019.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
구강작열감 증후군은 점막 이상 등의 임상소견이 없는 상태에서 혀 및 구강점막의 작열감과 구강건조감, 미각이상 등의 불편감을 호소하는 증상으로, 남녀 모두에서 나타날 수 있으나 중년의 폐경기 여성에서 빈발한다. 임상에서 진단이 쉽지 않고 명확한 원인을 밝히기 어려워 증상 경감을 치료목표로 해왔다. 병인은 국소적, 전신적 및 심리적 요인으로 나뉘고 치료는 α-lipoic acid, clonazepam, 영양보충 등의 약물요법과 인지행동치료 등이 있으며 최근에는 단일 치료법보다는 복합요법의 높은 효과에 대해 관심이 모아지고 있다. 다각적인 면에서 원인요소를 고려하여 약물적 접근과 인지행동요법을 포함한 심리치료 병행으로 환자들의 증상을 경감해주는 것이 필요하다.
Burning mouth syndrome (BMS) is defined as the xerostomia, burning sensation and various discomfort of tongue and oral mucosa. BMS can occur in both men and women, but is more frequent in middle-aged menopausal women. Because exact cause can't be identified clearly and it is hard to make diagnosis in clinic, the purpose of the treatment have been to relieve symptoms. Etiology of BMS is divided into local, systemic, and psychological factors. α-lipoic acid, clonazepam, supplemental therapy and cognitive behavior therapy can be prescribed for BMS. Nowdays, many experts focus attention on effect of combination therapy. It is necessary to solve the symptoms of the patients by combination of pharmacological approach and psychotherapy with cognitive behavior therapy considering the factors in various aspects.
주요어 : 구강작열감 증후군; 임상적 특징; 병인; 진단; 치료
Keywords : burning mouth syndrome; clinical features; etiology; diagnosis; treatment


September 2019, 35 (3)
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