Queixas fonoaudiológicas e verificação da fala de indivíduos com diagnóstico de ardência bucal e xerostomia

Complaints to oral functions and verification of the speech of individuals diagnosed with burning mouth and xerostomia

Resumos

OBJETIVO: Investigar as queixas das funções orais em presença dos sintomas de ardência e secura bucal e analisar as alterações da fala em seu aspecto articulatório. MÉTODOS: Foram avaliados 66 indivíduos com idade entre 30 e 78 anos, divididos em três grupos: grupo ardência bucal, grupo xerostomia e grupo sem sintomas bucais. Foram realizadas entrevistas, exame clínico da cavidade oral e gravação da fala, com utilização de fichário evocativo. RESULTADOS: A característica comum nos dois primeiros grupos foi a presença do sintoma de secura bucal. Na localização dos sintomas, o grupo xerostomia apresentou maior quantidade de estruturas afetadas pelo sintoma. As queixas mais referidas por esse grupo foram cansaço e força na fala e força e engasgos à deglutição. A queixa de força foi significativa, na comparação com grupo de ardência bucal, com aumento do sintoma provocado pela função de fala. Dos sujeitos que se queixaram de boca seca, como sintoma principal, ou associado, a maioria apresentou ruídos durante a fala. O grupo xerostomia apresentou maior ocorrência desse ruído. Não foram evidenciadas alterações fonéticas nos grupos de sintomas bucais. CONCLUSÃO: Das queixas envolvendo as funções orais, falar e deglutir com força foram as mais referidas pelos indivíduos do grupo xerostomia. Observou-se a presença de estalidos na fala da maioria dos sujeitos com o sintoma de secura bucal. Apesar das sintomatologias apresentadas e do número de estruturas orais afetadas, não houve evidência de alteração fonética nos indivíduos com sintomas bucais.

Síndrome da Ardência Bucal; Xerostomia; Fonética; Fala; Medicina Bucal

PURPOSE: To investigate complaints related to oral functions in the presence of burning mouth and dry mouth, and analyze changes in the manner of articulation of speech. METHODS: There were 66 participants, age range 30-78 years, arranged in three groups: burning mouth group, xerostomia group, and group of individuals without oral symptoms. Interviews, as well as a clinical exam of the oral cavity and the recording of the subjects' speech based on a pre-set list of words, were carried out. RESULTS: Dry mouth was found as a common characteristic for the first two groups. Regarding symptom localization, the xerostomia group described a larger amount of structures affected by the symptom. The complaints that were most frequently reported by this group were tiredness and struggle to speak, and struggle and choke during deglutition. The struggle complaint was significant in comparison with the burning mouth group, and the symptom was aggravated in presence of speech. Most of the subjects reporting dry mouth either as the main symptom or as an associated symptom gave off clicks during speech. A higher incidence of those clicks was found in the xerostomia group. No evidence of phonetic changes were found in the symptomatic groups. CONCLUSION: Regarding the complaints involving the oral functions, struggle speaking and swallowing were the most frequently reported by the subjects in the xerostomia group. Clicks were found in the speech of the majority of the subjects with dry mouth. Despite the symptomatology identified and the number of affected oral structures. Despite the symptomatology and the number of affected oral structures, no evidence of phonetic changes in the individuals with oral symptoms.

Burning Mouth Syndrome; Xerostomia; Phonetics; Speech; Oral Medicine

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Datas de Publicação

• Publicação nesta coleção
  24 Jan 2014
• Data do Fascículo
  Dez 2013

Histórico

• Recebido
  18 Jan 2013
• Aceito
  04 Set 2013