Usefulness of Psychiatric Intervention in a Joint Consultation for the Treatment of Burning Mouth Syndrome: A Monocentric Retrospective Study

Acta Derm Venereol. 2019 Jul 1;99(9):813-817. doi: 10.2340/00015555-3094.

Abstract

Primary burning mouth syndrome is a term used for chronic oral mucosal pain with no identifiable organic cause. The aim of the study was to evaluate the usefulness of a psychiatric intervention for treating burning mouth syndrome based on a joint consultation with a psychiatrist and a dermatologist. The study was proposed to all patients who visited this consultation group between 2001 and 2017 for the treatment of primary burning mouth syndrome. The patients answered a questionnaire that was administered via mail. Of the 57 patients diagnosed with primary burning mouth syndrome, 38 were included. Seven patients (18.4%) no longer had pain; 8 (21.1%) estimated that the pain had decreased by greater than 50%; 11 (28.9%) estimated the decrease at between 30 and 50%, and 12 (31.6%) estimated a less than 30% decrease. Only 14 patients (36.8%) remained under treatment with antidepressants, as compared to 63.2% before the psychiatric intervention. This psychiatric intervention could be considered a valuable tool in the global burning mouth syndrome treatment strategy.

Keywords: antidepressant; anxiety; depression; psychiatric intervention; burning mouth syndrome.

MeSH terms

  • Adult
  • Aged
  • Burning Mouth Syndrome / diagnosis
  • Burning Mouth Syndrome / psychology
  • Burning Mouth Syndrome / therapy*
  • Dermatologists*
  • Female
  • France
  • Humans
  • Interdisciplinary Communication
  • Male
  • Middle Aged
  • Pain Measurement
  • Patient Care Team*
  • Psychiatry*
  • Referral and Consultation*
  • Remission Induction
  • Retrospective Studies
  • Specialization
  • Treatment Outcome