Fadilah Tyas Widarti Pangastuti
Faculty of Dentistry, University of Jember, Jember, Indonesia
Erna Sulistiyani
Department of Oral Medicine, Faculty of Dentistry, University of Jember, Jember, Indonesia
Iin Eliana Triwahyuni
Department of Oral Medicine, Faculty of Dentistry, University of Jember, Jember, Indonesia
DOI: https://doi.org/10.19184/stoma.v23i1.60002
ABSTRACT
Glossodynia is a multifactorial chronic idiopathic orofacial pain disorder. Clinically, it presents with burning, painful, or uncomfortable oral sensations that may impair quality of life. Its urgency stems from the need for accurate diagnosis and comprehensive management given overlapping systemic and psychological factors. This study aims to describe a clinical case of glossodynia associated with postmenopausal hormonal changes, antihypertensive and statin therapy (ARB, BB, CCB), and psychological stress, and to outline its management. A 56-year-old postmenopausal woman presented with a four-month history of painful, burning, and rough tongue sensations. She had a history of hypertension treated with multiple medications and reported psychological stress. Examination revealed poor oral hygiene and a thin white plaque on the posterior tongue. The patient was managed with oral hygiene education, stress reduction guidance, and neurotropic multivitamins (B1, B6, B12). Antifungal therapy was also administered. Symptoms improved within one week, with reduced pain and discomfort. Glossodynia requires a comprehensive approach addressing systemic, psychological, and local factors. In this case, management led to a favorable prognosis.
Keywords: Antihypertensive, Glossodynia, Menopause, Psychological, Statin.