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BURNING MOUTH
SYNDROME
SYNONYM : STOMATOPYROSIS , GLOSSOPYROSIS.
GLOSSODYNIA
DEFINITION
• Burning Mouth Syndrome is a neuropathic condition
with burning or stinging of the mucous , lips , and
tongue , in the absence of visible mucosal lesions .
• Causes are multifactorial and remain poorly
understood.
• Age : > 50 yrs
• Sex predilection : female ( mainly post menopause)
 It is related to problems with both the sensory and
the special sensory particularly taste .
 It is due to the hyperactivity of the sensory
component of the trigeminal nerve.
 It is associated with xerostomia and dysgeusia (
altered taste ) , it is called burning mouth syndrome
.
Types
Etiology
Local causes :
 Xerostomia
 Mucosal disorders – geographic tongue, lichen planus
 Trauma to oral mucosa due to ill fitting denture
 Repetitive oral habits such as tongue thrusting
 Gastroesophagal reflux disease
 Sensory nerve damage due to trauma
Systemic causes :
 Vitamin B12, iron deficiencies
 Medications like ACE inhibitors
 Alergic reations
 Sjogren syndrome
 Depression, anxiety
 Diabetes mellitus
Clinical feature
 Continous or intermitted discomfort
 Mucosal pain
 Burning dorsum of the tongue – highest at the anterior
1/3 rd
 Irritated or raw feeling
 Dysguesia
 persistent unpleasant taste mostly bitter or metallic
 50 % of BMS patient have associated sensation of dry
mouth
 Increased thirst
 Drinking or eating can temporarly reduce the severity of
symptoms .
 Asssociated anxiety or depression
Treatment
 Antidepressant
 Vitamins
 Dietary supplements like alphalipoic acid
 Analgesic sprays
 Mouthwashes such as benzydamine hydrochloride
 In post menopausal females , hormonal replacement or
topical estrogen
 For dry mouth , saliva supplements may be considered .
Reference
SHAFERS TEXTBOOK OF ORAL PATHOLOGY
BURNING-MOUTH-SYNDROME.doc

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BURNING-MOUTH-SYNDROME.doc

  • 1. BURNING MOUTH SYNDROME SYNONYM : STOMATOPYROSIS , GLOSSOPYROSIS. GLOSSODYNIA
  • 2. DEFINITION • Burning Mouth Syndrome is a neuropathic condition with burning or stinging of the mucous , lips , and tongue , in the absence of visible mucosal lesions . • Causes are multifactorial and remain poorly understood. • Age : > 50 yrs
  • 3. • Sex predilection : female ( mainly post menopause)  It is related to problems with both the sensory and the special sensory particularly taste .  It is due to the hyperactivity of the sensory component of the trigeminal nerve.  It is associated with xerostomia and dysgeusia ( altered taste ) , it is called burning mouth syndrome .
  • 5. Etiology Local causes :  Xerostomia  Mucosal disorders – geographic tongue, lichen planus  Trauma to oral mucosa due to ill fitting denture  Repetitive oral habits such as tongue thrusting  Gastroesophagal reflux disease  Sensory nerve damage due to trauma
  • 6. Systemic causes :  Vitamin B12, iron deficiencies  Medications like ACE inhibitors  Alergic reations  Sjogren syndrome  Depression, anxiety  Diabetes mellitus
  • 7. Clinical feature  Continous or intermitted discomfort  Mucosal pain  Burning dorsum of the tongue – highest at the anterior 1/3 rd  Irritated or raw feeling  Dysguesia
  • 8.  persistent unpleasant taste mostly bitter or metallic  50 % of BMS patient have associated sensation of dry mouth  Increased thirst  Drinking or eating can temporarly reduce the severity of symptoms .  Asssociated anxiety or depression
  • 9. Treatment  Antidepressant  Vitamins  Dietary supplements like alphalipoic acid  Analgesic sprays  Mouthwashes such as benzydamine hydrochloride  In post menopausal females , hormonal replacement or topical estrogen
  • 10.  For dry mouth , saliva supplements may be considered . Reference SHAFERS TEXTBOOK OF ORAL PATHOLOGY