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Tables 89: Pain & Taste Problems


Tables 89 Content: Click on the Table of your choice.

Table 89a: Facial or Cephalic Neuralgias
Table 89b: Local and systemic factors associated with burning tongue syndrome (glossopyrosis).
Table 89c: Local and systemic factors associated with altered taste sensations (dysgeusia).
Table 89d: Examples of pharmaceutical agents which may be associated with altered taste.
Table 89e
: Classification of temporomandibular disorders.


Table 89a: Facial or Cephalic Neuralgias:                

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Table 89b: Local and systemic factors associated with burning tongue syndrome (glossopyrosis).

Local Factors

Systemic Factors

Xerostomia Vitamin B deficiency
Chronic mouth breathing Vitamin B1 or B2 deficiency
Chronic tongue thrust habit Pernicious anemia (B12)
Chronic mechanical trauma Pellagra (niacin; B4)
Referred pain from teeth/tonsils Folic acid deficiency (B6)
Trigeminal neuralgia Diabetes mellitus
Atypical facial pain/neuralgia Chronic gastritis/regurgitation
Angioedema (angioneurotic edema) Chronic gastric hypoacidity
Moeller's glossitis Hypothyroidism
Oral candidiasis Mercurialism
Temporomandibular dysfunction Estrogen deficiency
Oral submucous fibrosis Psychosomatic disorder/depression
Fusospirochetal infection AIDS
Contact stomatitis (allergy)
Trauma to the lingual nerve

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Table 89c: Local and systemic factors associated with altered taste sensations (dysgeusia).

Local Factors

Systemic Factors

Oral candidiasis Vitamin A deficiency
Oral trichomoniasis Vitamin B12 deficiency
Desquamative gingivitis        Zinc deficiency
Oral galvanism Nutritional overdose (zinc, Vit A, pyridoxine)
Periodontitis/gingivitis Sjögren's syndrome
Chlorhexidine rinse Food sensitivity or allergy
Oral lichen planus Anorexia/cachexia/bulimia
Liver dysfunction
Crohn's disease
Cystic fibrosis
Addison's disease
Turner's syndrome
Alcoholism
Psychosis/depression
Pesticide ingestion
Lead/copper/mercury poisoning
Temporal arteritis
Migraine headaches
Temporal lobe CNS tumor
Nerve trauma, gustatory nerves
Herpes zoster, geniculate ganglion
Upper respiratory infection
Chronic gastritis/regurgitation
Systemic medications
Bell's palsy
Radiation therapy to head & neck
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Table 89d: Examples of pharmaceutical agents which may be associated with altered taste.

Pharmaceutical Action

Example(s)

Anticoagulant Phenindione
Antihistamine Chlorpheniramine maleate
Antihypertensive/Diuretic Captopril, Diazoxide, Ethancrynic Acid
Antimicrobial Amphotericin, Ampicillin, Griseofulvin,Idoxuridine, Lincomycin, Metronidazone,Streptomycin, Tetracyclines, Tyrothrycin
Antineoplastic/Immunosuppressant Doxorubicin, Methotrexate, Azathioprine, Carmustine, Vincristine
Antiparkinsonian agent Baclofen, Chlormezanone, Levodopa
Antipsychotic/Anticonvulsant Carbamazepine, Lithium, Phenytoin
Antirheumatic Allopurinol, Colchicine, Gold, Levamisole, Penicillamine, Phenylbutazone
Antiseptic Hexetidine, Chlorhexidine
Antithyroid agent Carbimazole, Methimazole, Thiouracil
Hypoglycemic Glipizide, Phenformin
Opiate Codeine, Morphine
Sympathomimetic Amphetamines, Phenmetrazine, Theoclate
Vasodilator Oxyfedrine, Bamifylline

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Table 89e: Classification of temporomandibular disorders.

I. Muscular Disorders:

   A. Hyperactivity, spasm & trismus
   B. Inflammation (myositis)
   C. Trauma
   D. Myofacial pain & fibromyalgia
   E. Atrophy or hypertrophy

II. Arthrogenic Disorders:

   A. Disc displacement (internal derangement)
   B. Hypomobility of the disc (adhesions, scars)
   C. Dislocation & subluxation
   D. Arthritis
   E. Infections
   F. Metabolic disease (gout, chondrocalcinosis)
   G. Capsulitis/synovitis
   H. Ankylosis (fibrous, bony)
    I. Fracture
   J. Condylar hyperplasia, hypoplasia, aplasia
   K. Neoplasia

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