Psikiyatrik bakış açısı ile oral dizestezi

Öz

Oral dizestezi, organik nedenlerle açıklanamayan karıncalanma, yabancı cisim hissi, tat değişiklikleri, ağrı ve yanma gibi oral bölgelerde hissedilen anormal duyumları tanımlar. Oral dizestezinin bir varyantı olarak kabul edilen yanan ağız sendromu, atipik odontalji ve persistan idiopatik yüz ağrısı orofasiyal bölgede ağrı hissi ve anormal duyumla karakterize sendromlardır. Oral dizestezinin ve varyantlarının birçoğu idiopatik olup altta yatan patogenez henüz net değildir. Litaratürde somatoform bozukluk başta olmak üzere birçok psikiyatrik hastalıkla birlikteliğinin olabileceği gösterilmiştir. Psikiyatrik eş tanının sıklığına rağmen oral dizestezisi olan hastalar, başta diş klinikleri olmak üzere psikiyatri dışı branşlara başvurmakta olup olası psikiyatrik tanılar atlanabilmekte ve semptomların kronikleşmesine neden olabilmektedir. Bu açıdan oral dizestezi yakınmaları olan hastaların psikiyatrik açıdan da ele alınması gerekli görünmektedir.

Anahtar Kelimeler

• oral dizestezi
• Yanan Ağız Sendromu
• Atipik Odontalji
• psikiyatri
• persistan idiopatik yüz ağrısı

Oral dysesthesia with a psychiatric perspective

Öz

Oral dysesthesia defines unusual sensation like inexplicable tingling sensation that could not be explained by organic causes, foreign body feeling, taste changes, oral burn, and pain in the oral area. Burning mouth syndrome, atypic odontalgia, persistent idiopathic facial pain are considered a variant of oral dysesthesia and they are characterized by pain in the orofacial area and abnormal sensation. Many of the oral dysesthesia and variants are idiopathic and the underlying pathogenesis is not yet clear. It has been shown that it can coexist with many psychiatric diseases, especially somatoform disorder. Despite the frequency of psychiatric comorbidity, patients with oral dysesthesia apply to non-psychiatric branches, especially dental clinics, and possible psychiatric diagnoses may be skipped. This can cause symptoms to become chronic. In this regard, patients with oral dysesthesia and their complaints also need to be handled psychiatricly.

Anahtar Kelimeler

• oral dysesthesia
• psychiatry
• Burning Mouth Syndrome
• Atypic Odontalgia
• Persistent İdiopathic Facial Pain

Kaynakça

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