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Aspectos psiconeurobiológicos del síndrome de la boca ardiente y el liquen plano oral: una revisión narrativa

  • 0Department of Oral Medicine, Study of Dental Medicine, School of Medicine, University of Split, 21000 Split, Croatia.

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Resumen

Este resumen es generado por máquina.

El síndrome de la boca ardiente (BMS) y el liquen plano oral (OLP) son trastornos complejos influenciados por sistemas psicológicos y biológicos. Un enfoque del sistema inmunológico psiconeuroendocrino (PNEI) ofrece un mejor diagnóstico y un tratamiento personalizado para estas afecciones orales crónicas.

Área De La Ciencia

  • Medicamento para uso oral
  • Psiconeuroinmunología
  • Salud sistémica

Sus Antecedentes

  • El síndrome de la boca ardiente (BMS) y el liquen plano oral (OLP) son trastornos orales crónicos desafiantes.
  • Ambas condiciones implican interacciones complejas entre factores psicológicos, neurológicos, endocrinos e inmunológicos.
  • Los tratamientos actuales a menudo se centran en los síntomas, descuidando los problemas sistémicos subyacentes.

Objetivo Del Estudio

  • Resaltar las limitaciones del diagnóstico y el tratamiento convencionales para BMS y OLP.
  • Para enfatizar la interconexión de los sistemas biológicos y psicológicos en estos trastornos.
  • Abogar por un enfoque integral del sistema inmunológico psiconeuroendocrino (PNEI).

Principales Métodos

  • Revisión de la literatura existente sobre la fisiopatología de BMS y OLP.
  • Análisis de factores sistémicos comunes, incluido el desequilibrio de cortisol, los patrones de citoquinas y las comorbilidades psicológicas.
  • Desarrollo de un marco conceptual basado en los principios del PNEI.

Principales Resultados

  • BMS implica un procesamiento alterado del dolor y el estrés emocional, potencialmente vinculado a la función cerebral.
  • La OLP, en particular las formas erosivas, muestra una comorbilidad psicológica significativa.
  • Los trastornos sistémicos superpuestos son sugeridos por características compartidas como la desregulación hormonal y inmunológica.

Conclusiones

  • Una perspectiva PNEI es crucial para la comprensión de BMS y OLP.
  • Es necesaria una atención integrada centrada en el paciente y centrada en todo el sistema.
  • Este enfoque puede conducir a una intervención más temprana, mejores diagnósticos y terapias personalizadas.

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