Glossalgia

Glossalgia - hyperesthesia and paresthesia of the tongue. The occurrence is associated with chronic diseases of the gastrointestinal tract, hormonal changes and changes in the psychoemotional sphere. The irritation of the tongue with the sharp edge of the carious cavity, the root of the tooth, the denture, etc. are also important. It also occurs as a manifestation of a contact allergy to filling and denture materials.

Symptoms. Unpleasant sensations, burning sensation, tingling, mainly in the tip or root of the tongue, more often than one half. These sensations in the tongue arise regardless of the meal, usually in the evening. Often dryness in the mouth. Sometimes paresthesia of the lips and other parts of the mucous membrane of the mouth and facial skin is noted. The disease can be accompanied by carcinophobia. There are no distinct changes in the mucous membrane of the tongue. The onset of the disease is often associated with oral interventions (tooth extraction, tooth filling, dental prosthetics, etc.). Sometimes complaints arise after identifying patients with any anatomical features of the language. During the examination, skin allergic tests with a 1% solution of potassium chromate in denture wear holders made of steel, with 1% solution of gold chloride with dental prostheses or gold fillings are performed. When using dental prostheses from plastic, it is necessary to exclude sensitization to acrylic plastics.

Treatment is strictly individualized based on the patient's examination data, often with the participation of an endocrinologist, neuropathologist, gynecologist and other specialists. An indispensable condition-elimination of Vg. Exacerbating factors, removing allergens from the oral cavity in the form of dentures and seals. Assign drugs that increase salivation (1% pilocarpine solution for 4-5 drops 1-2 times a day), psychotropic drugs - andaxin, diazepam (seduxen), etc. Psychotherapy is important. With localized sensations, a repeated novocain blockade. Vitamins C, B1, B2, B12, A, PP are useful. Physical methods: sinusoidal modulated currents at the cervical sympathetic nodes, galvanic collar over the Scherbak.

The prognosis is usually favorable, the disease is not associated with disability.