Clinical study of 50 patients with glossodynia.

Segawa Kiyoshi, Ishioka Takahiro, Seki Katsunori, Kudo Keigo

doi:10.11268/jjpsd1986.14.91

Glossodynia is a clinical condition chiefly characterized by a painful tongue. It is reportedly associated with psychosomatic medical factors but patients with this condition are likely to visit departments of dentistry and oral surgery.<BR>The subjects of this study were 50 patients who were clinically diagnosed as having glossodynia at our department during a 4 -year period from March 1993 to February 1997.<BR>The patients ranged in age from 29 to 82 years (mean age 56.5 years), with those in their 50s and 60s accounting for 66% of the study population. The study population consisted of 5 males and 45 females, showing female predominance as reported by other authors (maleto-female ratio 1: 9). Of the 50 patients, 19 (38%) had been referred to our department: 16 by dentists, 2 by internists, and 1 by a neurosurgeon. Smarting was the most frequently reported kind of pain. The pain was located in the lateral margin of the tongue in 18 patients (36%), dorsum in 12 (24%), and tip in 8 (16%). Systemic factors that may predispose a patient to glossodynia include nutritional imbalance, such as iron or vitamin deficiency, and hormonal imbalance. 16 patients (32%) had cancerophobia and 13 of 20 female cases (65%) had experienced gynecological surgery under general anesthesia in the past, so psychological factors, such as anxiety and cancerophobias, may have played a significant role. Many patients were treated by psychotherapy and medication. Remarkable responses and changes were observed in 29 out of 50 patients.

Clinical study of 50 patients with glossodynia.

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