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Is oral dysaesthesia a somatic symptom disorder?
Kenelm Chun Lam Kwong1, Sue-Ching Yeoh2, Ramesh Balasubramaniam3
1Department of Oral Medicine, Oral Pathology and Special Needs Dentistry, Westmead Hospital, Westmead, NSW, Australia.
Oral dysaesthesia, an unexplained alteration in oral sensation, may be a somatic symptom disorder. Research is exploring its neuropathic origins and psychological connections for better management.
Area of Science:
- Neurology
- Psychiatry
- Oral Medicine
Background:
- Oral dysaesthesia involves altered oral sensations without visible pathology.
- Historically viewed as psychosomatic, recent focus is on neuropathic causes.
- Psychological and psychotropic treatments are common management strategies.
Purpose of the Study:
- To review the literature on the pathogenesis of oral dysaesthesia.
- To explore the potential classification of oral dysaesthesia as a somatic symptom disorder.
Main Methods:
- Literature review of studies on oral dysaesthesia.
- Analysis of research on neuropathic and psychological etiologies.
- Exploration of diagnostic criteria for somatic symptom disorder.
Main Results:
- Uncertainty persists regarding the exact cause of oral dysaesthesia.
- Evidence suggests both peripheral/central neuropathic and psychological factors may be involved.
- The condition's characteristics align with aspects of somatic symptom disorder.
Conclusions:
- Oral dysaesthesia likely involves complex interactions between neurological and psychological factors.
- Further research is needed to clarify its classification and optimize treatment.
- Considering oral dysaesthesia as a somatic symptom disorder warrants further investigation.
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