Evidence map›Paper›PMID 40905465›Full record

SynthesisJournal of oral rehabilitation2025

Morpho-Histo-Cytological Evaluation of Oral Tissues in Burning Mouth Syndrome: A Systematic Review.

André Luís Porporatti, Ângela Graciela Deliga Schroder, Ashley Lebel, Nathan Moreau, Annabelle Réaux-Le Goazigo, Ihsène Taïhi, Heike Rittner, Tara Renton, Yves Boucher

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

André Luís PorporattiUniversité Paris Cité and Sorbonne Paris Nord, Montrouge, France.
Ângela Graciela Deliga SchroderNARSM (Núcleo de Revisão Sistemática e Meta-Análise), Tuiuti University, Curitiba, Brazil.
Ashley LebelUniversité Paris Cité and Sorbonne Paris Nord, Montrouge, France.
Nathan MoreauUniversité Paris Cité and Sorbonne Paris Nord, Montrouge, France.
Annabelle Réaux-Le GoazigoSorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France.
Ihsène TaïhiUniversité Paris Cité and Sorbonne Paris Nord, Montrouge, France.
Heike RittnerUniversitätsklinikum, University of Würtburg, Würzburg, Germany.
Tara RentonCentre for Oral, Clinical & Translational Sciences, Kings College, London, UK.
Yves BoucherUniversité Paris Cité and Sorbonne Paris Nord, Montrouge, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurning Mouth Syndrome (BMS) is an idiopathic condition characterised by chronic oral burning pain without clinically evident lesions. Despite its prevalence and impact on quality of life, the pathophysiology of BMS remains poorly understood, limiting diagnostic and therapeutic options.

objectiveTo systematically review histological, morphological and cytological changes in oral tissues of BMS patients, with a focus on epithelial cells and nerve fibres, to identify potential biomarkers and inform future research directions.

methodsA systematic search of electronic databases and grey literature was conducted through October 2024, identifying case-control studies assessing histological or cytological features of oral tissues in adults diagnosed with BMS according to validated criteria. Risk of bias was assessed using the Joanna Briggs Institute tool, and evidence quality was evaluated with GRADE.

resultsFourteen studies involving 214 BMS patients and 130 controls were included. Findings consistently reported reduced epithelial nerve fibre density and increased expression of nociceptive markers such as TRPV1, NGF and P2X3 in BMS tissues. Subepithelial alterations, including increased keratinisation and altered expression of cannabinoid receptors (CB1/CB2), were also observed. Methodological heterogeneity and risk of bias were notable, precluding meta-analysis. The overall quality of evidence was very low.

conclusionHistological evidence supports neuropathic changes in BMS, involving both neuronal and non-neuronal cells. While these biomarkers hold promise for understanding BMS pathogenesis, standardisation of techniques and further research, including development of animal models, is needed to establish diagnostic and therapeutic utility.

Indexed as

Burning Mouth SyndromeMouth MucosaBiomarkersHumansNerve FibersBiomarkersbiopsyburning mouth syndromehistologicalmeta‐analysismorphologicalsystematic review

Identifiers

PMID40905465
PMCPMC12624195

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.