RESUMEN
Burning Mouth Syndrome (BMS) is a chronic disorder that predominately affects middle-aged women in the postmenopausal period. The condition is distinguished by burning symptoms of the oral mucosa and the absence of any clinical signs. The etiology of BMS is complex and it includes a variety of factors. Local, systemic and psychological factors such as stress, anxiety and depression are listed among the possible causes of BMS. BMS may sometimes be classified as BMS Type I, II or III. Although this syndrome is not accompanied by evident organic alterations and it does not present health risks, it can significantly reduce the patient's quality of life. This study analyzes the available literature related to BMS, and makes special reference to its therapeutic management. The pages that follow will also discuss the diagnostic criteria that should be respected, etiological factors, and clinical aspects. We used the PubMed database and searched it by using the keywords "burning mouth syndrome", "BMS and review", and "burning mouth and review", in the title or abstract of the publication. BMS treatment usually steers towards the management of the symptoms; however, the specific local factors that could play a significant role in worsening the oral burning sensation should be eradicated. The most widely accepted treatment options that show variable results include tricyclic antidepressants, benzodiazepines and antipsychotic drugs; nevertheless there are other therapies that can also be carried out. Professionals that work in the field of dentistry should formulate standardized symptomatic and diagnostic criteria in order to more easily identify the most effective and reliable strategies in BMS treatment through multidisciplinary research.
RESUMEN
Bifid mandibular condyle is a rare anomaly; there are several theories about its etiology, and it has been studied in both prehistoric and historic skulls, as well as in living human beings. It is a frequent, although unexpected, finding in asymptomatic individuals during radiological treatment. Presented here is a review of the literature over the past 10 years and two new cases of unilateral bifid condyle. Computerized tomography is usually considered the test of choice for establishing the differential diagnosis, although in certain cases, its use seems questionable. The distinction between bifid condyle and condylar notch or cleft has been described in the literature, it is proposed a criteria for defining bifid condyle depending on the level of the two heads. It is suggested that further testing such as MRI or CT be carried out only in cases where the therapeutic approach involves an active treatment. It is proposed that bifid condyle is described as that which presents two condylar heads emerging from the neck of the condyle or further down.