Burning tongue webinar with Dr.Susan Sklar

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Burning tongue webinar with Dr.Susan Sklar

  1. 1. Burning Mouth SyndromeReal or Imaginary Syndrome?
  2. 2. BURNING MOUTH SYNDROME• Chronic Pain• Sleep Problems• Food Not Enjoyable• Depression• Frustration• Feel Crazy• Anxiety
  3. 3. WHAT USUALLY HAPPENS• YOU SEE MULTIPLE DOCTORS – ENT – FAMILY PRACTICE – DENTIST – NEUROLOGIST – ALLERGIST – ORAL SURGEON – ALTERNATIVE PRACTITIONERS
  4. 4. WHAT USUALLY HAPPENS• MRI OF HEAD• BIOPSY OF TONGUE• CULTURES FOR YEAST• ALLERGY TESTING• BLOOD TESTS
  5. 5. WHAT USUALLY HAPPENS• ALMOST 3 YEARS FROM START OF SYMPTOMS TO DIAGNOSIS OF BMS• SYMPTOMS PERSIST FOR MONTHS OR YEARS• 20 % GOES AWAY AFTER 6-7 YEARS• USUALLY NEEDS TREATMENT
  6. 6. TREATMENTS RARELY SUCCESSFUL• Psychological Treatment-CBT• Anti-depressants• Topical Klonipin• Mouthwashes• Mouth pastes• Supplements
  7. 7. THE USUAL POINT OF VIEW Traditional Medical Point of View
  8. 8. “A burning sensation for which nodental or medical cause can be found”• International Headache Society, 2004
  9. 9. THE USUAL POINT OF VIEW• EVERYTHING LOOKS FINE• I DON’T SEE ANY CAUSE FOR PAIN• TREATMENTS DON’T WORK THEREFORE….. BMS MUST BE IMAGINARY !
  10. 10. You’ll Have to Live With It
  11. 11. DREAD “Most clinicians dread seeing the patient presenting with a primary complaint of a burning pain…”International Journal of Oral Science, 2 (1): 1-4, 2010
  12. 12. A Challenge, to Say the Least “The patient with a complaint of a burning sensation of the oral mucosa presents one of the most difficult challenges to the care professional.”International Journal of Oral Science, 2 (1): 1-4, 2010
  13. 13. We’ve Got a Problem, Houston
  14. 14. WHAT ARE THE NAMES FOR THIS?• Burning Tongue Syndrome• Burning Mouth Syndrome• Glossodynia= tongue pain• Stomatodynia= mouth pain
  15. 15. WHAT ARE THE SYMPTOMS?• Feeling of being scalded• Feeling of being burnt• Usually every day, but may vary• Worsens through the day• Intensity moderate to severe• Similar to a toothache• May improve with eating, drinking• May interfere with sleep
  16. 16. WHAT ELSE?• Bitter or metallic taste• Dry mouth• Too much saliva
  17. 17. WHERE ARE THE SYMPTOMS?• Often more than one site• Tip of the tongue• Roof of the mouth• Lining of the lower lip• Less Common Sites of Burning: – Throat – Nasal passages – Eyes – Chest – Skin surfaces
  18. 18. CLUES
  19. 19. WHO GETS BMS?• 90% ARE PERIMENOPAUSAL AND MENOPAUSAL WOMEN• 80% of WOMEN WHO HAVE OVARIES REMOVED GET BMS• USUALLY OLDER AGE PEOPLE
  20. 20. WHAT HAPPENS AT PERIMENOPAUSE?Hormone Rollercoaster
  21. 21. WHAT HAPPENS AT MENOPAUSE? Hormones Disappear 54.5 43.5 32.5 21.5 10.5 0 20 years old 30 years old 40 years old 50 years old Progesterone Estrogen
  22. 22. WHAT HAPPENS WITH AGING?45 HORMONES DECLINE4035302520 Testosterone DHEA151050 20 30 40 50 60 years
  23. 23. MORE CLUESARE YOU STRESSED?
  24. 24. Hormones Decline With Stress
  25. 25. WHAT ELSE HAPPENS IN BMS?• ELECTRICAL MALFUNCTION IN NERVES
  26. 26. THE LATEST SCIENTIFIC EVIDENCE: BMS IS A NERVE PROBLEM• FEWER NERVES SEEN ON TONGUE BIOPSY IN BMS• ABNORMAL NERVE FUNCTION IN BMS• ABNORMAL PAIN MEASUREMENTS IN BMS
  27. 27. PERFECT STORM• Hormone Decline – MENOPAUSE – AGING – STRESS• Nerve Damage – TONGUE – BRAIN
  28. 28. The Perfect Storm NERVE DECREASEDHORMONE LEVELS + DAMAGE BMS DEPRESSION ANXIETY
  29. 29. Testimonial From a Dr. Sklar Patient• “Ive noticed increased muscle definition after two months on my hormone program. Im sleeping better. My burning tongue is not nearly as bad. My mood swings are not as intense. I feel great!” J.B., Fitness Professional
  30. 30. Dr. Susan SklarExpert in the medical field of hormone restoration and neurotransmitter balancingFellow of the American Academy of Anti-Aging and Regenerative Medicine
  31. 31. Who Comes To See Me• Men• Women• Weight• Menopause• Depression• Anxiety• Insomnia• Low sex drive
  32. 32. What I DoHelp patients feel better with hormonesHelp patients look and feel youngerHelp patients be happier and more successful
  33. 33. Anti-Aging and Regenerative Medicine• We treat with hormones• We treat with nutritional supplements• Looks at aging as a process to be managed.• An integrative, healthcare approach• Reversal of age-related decline
  34. 34. Anti-Aging & Restorative MedicineProblem SolversUnconventionalScientificCutting Edge Medical Pioneers
  35. 35. Burning Mouth Syndrome
  36. 36. HORMONES NOURISH NERVES
  37. 37. HORMONES HEAL NERVES• NERVE PAIN• DEPRESSION• ANXIETY
  38. 38. HELP IS ON THE WAY
  39. 39. BMS ADVANCED SUPPORT
  40. 40. BMS ADVANCED SUPPORT“The burning and metallic taste diminishedquite a bit. I could taste food again. That wasa big improvement. After 1 ½ months, thenasal itching, burning in my eyes andhoarseness went away.”Ernie
  41. 41. BMS ADVANCED SUPPORTDear Dr. Susan Sklar, A sincere thank you for your support and providing me with relief from my "burning tongue " syndrome . After 3 weeks my symptoms completely disappeared ! It was a very scary and painful situation . I am extremely grateful to have found you and appreciate your follow ups throughout my ordeal.Sincerely,Linda M.
  42. 42. BMS ADVANCED SUPPORT “Burning tongue has dropped to virtually nothing most days. Amazing!”Linda T., BMS for 11 years
  43. 43. IS IT IMAGINARY?
  44. 44. IS THERE RELIEF FOR BMS?
  45. 45. Take Our Burning Tongue Assessment Tool• Click on “Take Me To My Survey” button
  46. 46. THANK YOU!

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