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
Referências bibliográficas
- 1 Cherubini K, Maidana JD, Weigert KL, Figueiredo MA. Síndrome da ardência bucal: revisão de 100 casos. Rev Odonto Ciênc. 2005;20(48): 109-13.
- 2 Rodríguez de Rivera Campillo ME, López López J, Chimenos Küstner E, Sabater Recolons MM. Estudio de una muestra de pacientes con síndrome de boca ardiente. Av Odontoestomatol. 2007;23(3): 141-51.
- 3 Marino R, Torretta S, Capaccio P, Pignataro L, Spadari F. Different therapeutic strategies for burning mouth syndrome: preliminary data. J Oral Pathol Med. 2010;39(8): 611-6.
- 4 Silvestre-Rangil J, Silvestre FJ, Tamarit-Santafé C, Bautista D. Burning mouth syndrome: correlation of treatment to clinical variables of the disease. Med Oral Patol Oral Cir Bucal. 2011;16(7): e890-4.
- 5 Gao J, Chen L, Zhou J, Peng J. A case-control study on etiological factors involved in patients with burning mouth syndrome. J Oral Pathol Med. 2009;38(1): 24-8.
- 6 León Espinosa S, LópezJornet P, Frutos Ros R. Síndrome de boca ardiente. Eficacia de la aplicación tópica de capsaicina. Estudio piloto. Av Odontoestomatol. 2004;20(6): 297-304.
- 7 Cavalcanti DR, Birman EG, Migliari DA, Silveira FRX. Burning mouth syndrome: clinical profile of Brazilian patients and oral carriage of Candida species. Braz Dent J. 2007;18(4): 341-5.
- 8 Hershkovich O, Nagler RM. Biochemical analysis of saliva and taste acuity evaluation in patients with burning mouth syndrome, xerostomia and/or gustatory disturbances. Arch Oral Biol. 2004;49(7): 515-22.
- 9 Gleber Netto FO, Diniz IMA, Grossmann SMC, Carmo MAV, Aguiar MCF. Síndrome da ardência bucal: uma revisão sobre aspectos clínicos, etiopatogenia e manejamento. Rev Cuba Estomatol. 2010;47(4): 417-27.
- 10 Lauritano D, Calzavara D, Papagna R, Baldoni M, Bascones A. Evidencia del síndrome neuropático en un estudio neurofisiológico e inmunohistoquímico de las fibras nerviosas en pacientes con síndrome de boca ardiente. Av Odontoestomatol. 2003;19(2): 81-94.
- 11 López Carriches C, Martínez-González JM, Gómes Font R, Leco Berrocal I, Donado Rodríguez M. Estudio clínico-epidemiológico sobre el síndrome de ardor bucal. Av Odontoestomatol. 2003;19(4): 185-91.
- 12 Pedersen AM, Bardow A, Jensen SB, Nauntofte B. Saliva and gastrointestinal functions of taste, mastication, swallowing and digestion. Oral Dis. 2002;8(3): 117-29.
- 13 Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc. 2007;138(suppl): 15S-20S.
- 14 Glore RJ, Spiteri-Staines K, Paleri V. A patient with dry mouth. Clin Otolaryngol. 2009;34(4): 358-63.
- 15 Cho MA, Ko JY, Kim YK, Kho HS. Salivary flow rate and clinical characteristics of patients with xerostomia according to its aetiology. J Oral Rehabil. 2010;37(3): 185-93.
- 16 Gerdin EW, Einarson S, Jonsson M, Aronsson K, Johansson I. Impact of dry mouth conditions on oral health-related quality of life in older people. Gerodontology. 2005;22(4): 219-26.
- 17 Rogus-Pulia NM, Logemann JA. Effects of reduced saliva production on swallowing in patients with Sjogren's syndrome. Dysphagia. 2011;26(3): 295-303.
- 18 Kassan SS, Moutsopoulos HM. Clinical manifestations and early diagnosis of Sjögren syndrome. Arch Intern Med. 2004;164(12): 1275-84.
- 19 Fox PC, Bowman SJ, Segal B, Vivino FB, Murukutla N, Choueiri K et al. Oral involvement in primary Sjögren syndrome. J Am Dent Assoc. 2008;139(12): 1592-601.
- 20 Muñoz MGH, Castelão WCB, Saraiva FMD, Costa JCT, Queiroz MFOV. Síndrome de Sjögren primária: manifestações exócrinas e não exócrinas. Rev Bras Reumatol. 2004;44(2): 129-38.
- 21 Farsi NMA. Signs of oral dryness in relation to salivary flow rate, ph, buffering capacity and dry mouth complaints. BMC Oral Health. 2007;7(15): 1-6.
- 22 Villa A, Abati S. Risk factors and symptoms associated with xerostomia: a cross-sectional study. Aust Dent J. 2011;56(3): 290-5.
- 23 Alpöz E, Güneri P, Onder G, Cankaya H, Kabasakal Y, Köse T. The efficacy of Xialine in patients with Sjögren's syndrome: a single-blind, cross-over study. Clin Oral Investig. 2008;12(2): 165-72.
- 24 Suh KI, Lee JY, Chung JW, Kim YK, Kho HS. Relationship between salivary flow rate and clinical symptoms and behaviours in patients with dry mouth. J Oral Rehabil. 2007;34(10): 739-44.
- 25 Pijpe J, Kalk WW, Bootsma H, Spijkervet FK, Kallenberg CG, Vissink A. Progression of salivary gland dysfunction in patients with Sjögren's Syndrome. Ann Rheum Dis. 2007;66(1): 107-12.
- 26 Kaplan I, Zuk-Paz L, Wolff A. Association between salivary flow rates, oral symptoms, and oral mucosal status. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(2): 235-41.
- 27 Roh Jl, Kim HS, Kim AY. The effect of acute xerostomia on vocal function. Arch Otolaryngol Head Neck Surg. 2006;132(5): 542-6.
- 28 Ishijima T, Koshino H, Hirai T, Takasaki H. The relationship between salivary secretion rate and masticatory efficiency. J Oral Rehabil. 2004;31(1): 3-6.
- 29 Allec LDR, López XH, Porras JBA, Ramos RV, Pacheco del Valle JC, García AIP. Alteraciones de la voz, el habla y la deglución en pacientes con síndrome de Sjögren. Acta Otorrinolaringol Esp. 2011;62(4): 255-64.
- 30 Gomes SGF, Cury, AADB, Garcia RCMR. Effect of hyposalivation on mastication and mandibular movements during speech. Braz Oral Res. 2011;25(4): 351-6.
Datas de Publicação
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Publicação nesta coleção
24 Jan 2014 -
Data do Fascículo
Dez 2013
Histórico
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Recebido
18 Jan 2013 -
Aceito
04 Set 2013