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A Population-Based Study of the Incidence of Burning Mouth Syndrome
Affiliation:1. Pathology Department, Faculty of Medical Sciences/UNICAMP, Campinas-SP, Brazil;2. International Research Center, AC Camargo Cancer Center, São Paulo-SP, Brazil;3. Head and Neck Surgery Department, Faculty of Medical Sciences/UNICAMP, Campinas-SP, Brazil;4. Oral Pathology Department, Piracicaba Dental School/UNICAMP, Piracicaba-SP, Brazil;5. Head and Neck Surgery Department, AC Camargo Cancer Center, São Paulo-SP, Brazil;6. Department of Genetics and Evolutionary Biology, Institute of Biosciences, USP, São Paulo-SP, Brazil;1. Department of Oral and Maxillofacial Surgery, Buddhist Tzu Chi General Hospital, Taichung Branch, Taichung, Taiwan;2. Department of Dental Laboratory Technology, Shu-Zen Junior College of Medicine and Management, Kaoshiung, Taiwan;3. Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan;4. Department of Nuclear Medicine, E-DA Hospital, Kaohsiung, Taiwan;5. Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan;6. Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan;7. Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taichung, Taiwan;8. Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan;1. Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, 67 President Street, Charleston, SC 29425, USA;2. Division of Oral Pathology, College of Dental Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA;3. Ralph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401, USA
Abstract:ObjectiveTo calculate the incidence of burning mouth syndrome (BMS) in Olmsted County, Minnesota, from 2000 through 2010.Patients and MethodsBy using the medical record linkage system of the Rochester Epidemiology Project, we identified newly diagnosed cases of BMS from January 1, 2000, through December 31, 2010. Diagnoses were confirmed through the presence of burning pain symptoms of the oral mucosa with normal oral examination findings and no associated clinical signs. Incidence was estimated using decennial census data for Olmsted County.ResultsIn total, 169 incident cases were identified, representing an annual age- and sex-adjusted incidence of BMS of 11.4 per 100,000 person-years. Age-adjusted incidence was significantly higher in women than in men (18.8 [95% CI, 16.4-22.9] per 100,000 person-years vs 3.7 [95% CI, 2.6-5.7] per 100,000 person-years; P<.001). Postmenopausal women aged 50 to 89 years had the highest incidence of the disease, with the maximal rate observed in women aged 70 to 79 years (70.3 per 100,000 person-years). After the age of 50 years, the incidence of BMS in men and women significantly increased across age groups (P=.02). Study participants residing in Olmsted County, Minnesota, were predominantly white, which is a study limitation. In addition, diagnostic criteria for identifying BMS in the present study may not apply for all situations because no diagnostic criteria are universally recognized for identifying BMS.ConclusionTo our knowledge, this is the first population-based incidence study of BMS reported to date. The data reveal that BMS is an uncommon disease highly associated with female sex and advancing age.
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