glossalgia - it neyrostomatologicheskaya pathology manifests the appearance of a healthy person pain in the projection of the tongue and do not show morphological changes of the language.When glossalgia extends to the surrounding structure of oral language should use the term "stomalgiya." primary genesis glossalgia is not proven, so there is every reason to believe that this pathology has always develops on the background of the main disease.
glossalgia prevalence in the overall incidence of oral cavity, is not less than 30%.Since glossalgia significantly worsens the quality of life of patients suffering this pathology, glossalgia problem should be considered not only medical but also social.
Originator in consideration of such diseases as "glossalgia" should be considered as scientific works and Buisson Weiss, published in 1838, after which attracted the attention of physicians changes in the human body in this pathology.
disease "glossalgia" belongs to
debut glossalgia clinical manifestations most often the period of post-traumatic effects on the oral mucosa, which provokes circulatory problems at the level of capillaries, and the development of concomitant stagnation of blood in the mucous membranes.As a traumatic impact may be a hit in the mouth of a foreign object, incorrectly lead sealed dental prostheses channels and installed, as well as the very rapid benefit tooth extraction.
glossalgia The development may affect the unsatisfactory condition of the gastrointestinal tract, circulatory and endocrine systems.Thus, in 75% of cases glossalgia patient has a concomitant decrease in the secretory function of the stomach, and in 70% of these changes are accompanied by the development of chronic colitis.
Recent scientific studies on the etiology of such diseases as glossalgia language ended the conclusions that the main role in the development of the disease plays a pathological change in the hypothalamus.Indirect impact of the hypothalamus in this situation is a violation of the structures of the autonomic nervous system, which regulates all metabolic processes in the body and endocrine glands.It is not excluded as the negative impact of emotional stress on the development of glossalgia.
glossalgia favorable for the development of the disease is considered the background any organic pathology of the central nervous system, as well as ischemic brain damage occurring in stroke.In this situation, the patient has formed the deterioration of sensitivity and distortion of perception in response to the stimulus in the form of appearance of paresthesia and pain.
Almost 100% of the bulbar syndrome manifested defeat vagus, glossopharyngeal nerve, observed the development glossalgia.When the pathology of the patient formed a false sense of language in the projection on the background of the total absence of external stimuli.
glossalgia peak incidence in women accounted for menopause, during which the female body undergoes some changes in the thyroid gland, autonomic centers and vasomotor system.As a result of a kind of "vegetative-endocrine storm" that occurs during menopause significantly reduces the excitability of sensory nuclei of the trigeminal nerve.Anemia iron deficiency type is often accompanied by the development glossalgia.
In some situations with severe allergic reactions in humans can occur glossalgia that often occurs when using toothpaste containing cinnamic aldehyde and using the chewing gum.This type glossalgia not need medical correction and self-leveled after the removal of the allergen.
Symptoms and signs glossalgia
glossalgia language manifests itself in patients burning, tingling and rawness of the tongue, and these symptoms can be both temporary and permanent.Many patients in the description of symptoms glossalgia compare their feelings with burning tongue when taking sharp food.
More than half of patients glossalgia, note excessive dryness in the mouth, worse after excessive psychological and emotional activity.In a situation where disease "glossalgia" is short-lived, patients always note a clear dependence onset of symptoms and nervous experience.A notable fact is that the symptoms are reduced in intensity glossalgia or may disappear altogether after a meal, that 70% of causes of alimentary obesity and bulimia.
If we consider the localization of the pain of glossalgia, the maximum severity of pain is observed on the side areas, as well as on the tongue, while at the root of the tongue pain are completely absent.Pathognomonic symptom in glossalgia is a constant variability of the pain.
In some situations, the disease "glossalgia" the patient may regress on their own, but in most cases this pathology is recurrent in nature.
An objective examination of a patient suffering glossalgia not observed morphological changes in the mucous membrane of the tongue, although in some cases there may be a slight hypertrophy of the papillae and the presence of white bloom.In the elderly, who are at risk for this disease, an objective examination often fails to detect varicose veins language.
pathognomonic signs glossalgia is to reduce sensitivity to pain in the affected area, as well as degeneration of the salivary glands, accompanied hypoptyalism.
paresthesias and pain in most cases are symmetrical and precisely localized.Some patients in glossalgia complained of heaviness in the tongue, especially at long conversation, which becomes the cause of dysarthria.
In the long glossalgia patients develop psycho-emotional disorders in the form of a tendency to depression, anxiety and suspiciousness.The difficulty in treating patients with glossalgia is that most of these individuals suffer from psychoneurotic diseases and the fear of iatrogenic.
Due to the fact that glossalgia symptoms are largely similar to symptoms of other diseases of the oral cavity, making a qualitative differential diagnosis of the patient's existing clinical signs must precede destination regimens.
glossalgia symptoms similar to a so-called malocclusion, or other organic disease of language.Glossalgia principal difference in this situation is the absence of morphological changes of the mucous membrane of the mouth and tongue.
Given the total absence of therapeutic interventions disease "glossalgia" becomes protracted course and can last for many years.Separate glossalgia disappearance of the signs are the exception to the rule, in this connection, the use of drug therapy in this disease is mandatory.
priority measures of therapeutic profile when glossalgia is carrying out a full rehabilitation of the oral cavity, without excluding dentures.For relief of pain in glossalgia used local anesthetics in the form of Novocain, Lidocaine, an alcoholic solution of propolis.
basis of pathogenetic treatment glossalgia must first be therapeutic measures etiological orientation, that is, eliminate the root cause of the disease state.A necessary component of therapy at glossalgia is quality psycho-correction, since most of the development of this disease is accompanied by psycho disorders exacerbate glossalgia.As the events of psycho-correction is permissible to use a variety of techniques (hypnosis, suggestion, reflexology).
first priority dentist at existing patient glossalgia, is the elimination of the traumatic effects on the surface of the tongue, which is used for the replacement of defective seals, grinding sharp edges of teeth.
In a situation where glossalgia is only a manifestation of a chronic disease available to patients, etiological treatment is to carry out treatment of the underlying disease, and then displays glossalgia can self-leveled.
Medical treatment for glossalgia is used to normalize the homeostatic processes, elimination of neuropsychiatric disorders, as well as the relief of severe pain syndrome, if the patient says.
for the normalization of psycho-emotional sphere patient glossalgia advisable to designate a small tranquilizer (Adaptol orally at a daily dose of 500 mg).The course of vitamin therapy duration of 10 days with the use of injectable forms of B vitamins also has a good effect in eliminating manifestations glossalgia.
When an existing patient expressed pain syndrome at glossalgia shows the use of the lingual nerve blockade by administration trimekainovyh drugs.A beneficial effect on the healing process glossalgia keratoplasty use of drugs such as rosehip oil, which prevents the spread of the pathological process in the mouth.
To eliminate excessive dryness of mucous membranes of the oral cavity is a pathogenetically justified the appointment of drugs that increase salivation.
in the form of physical therapy techniques focus when glossalgia often used galvanotherapy, electric, iontophoresis.
duration of therapy in glossalgia depends on the individual abilities of the patient and an average of at least two months.
Most patients suffering from long-term glossalgia, note the beneficial effects of combined treatment of this pathology, which includes not only the reception of drugs, but also the use of non-traditional recipes of treatment, the role of which often serve herbal teas and vegetable oils.
good calming effect has lovage herb broth, which is necessary for the preparation of 2 tablespoonschopped grass to fill with cold water in a quantity of two cups and boil for 15 minutes, after which another infuse for 15 minutes.This broth is used as a solution for rinsing the mouth.Moreover, as a solution for rinsing the oral cavity can be used broth oak bark with dissolved natural honey.
For indoor reception at glossalgia recommended the use of freshly fruit and vegetable juices with the addition of olive oil or fish oil.
glossalgia - a doctor will help ?If you have or suspect a development glossalgia should immediately consult a doctor such as a dentist, the psychotherapist.