BURNING MOUTH SYNDROME: EVALUATION OF CLINICAL AND LABORATORY FINDINGS

Background: Burning mouth syndrome (BMS) is a chronic idiopathic oral dysaesthesia that presents as a burning sensation in the oral cavity usually without any specific oral lesions or laboratory findings. Burning sensations may appear on the buccal mucosa, hard and soft palate, tongue and lips. BMS appears to be more prevalent in postmenopausal women. The term menopause is often used for a condition in which the permanent cessation of the primary function of the ovaries in humans that occurs especially in middle-aged women. Available evidence suggested that BMS is a multifactorial disorder with physiological basis. Pathophysiology of BMS remains unclear. The etiopathogenesis in most patients who complain of burning sensations have interactions with several factors such as local, systemic, and/ or psychogenic factors. The aim of this literature review was to assess and evaluate the management of BMS comprehensively.Discussion: The therapy of BMS including hormone replacement therapy,systemically therapy, such as antidepressants, clonazepam and topical medication (clonidine and capsaicin) and reassurance as the stress management.Conclusion: Proper management of the BMS involves the combination of pharmacologic treatment and psychotherapy, as well as reassurance is an important thing

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Burning mouth syndrome – a burning enigma

Medicina Fluminensis ◽

10.21860/medflum2021_365333 ◽

2021 ◽

Vol 57 (1) ◽

pp. 4-16

Author(s):

Ana Andabak Rogulj ◽

Ivana Škrinjar ◽

Danica Vidović Juras ◽

Vanja Vučićević Boras † ◽

Božana Lončar Brzak

Keyword(s):

Current Knowledge ◽

Salivary Flow ◽

Burning Mouth Syndrome ◽

Burning Sensation ◽

Unknown Etiology ◽

Laboratory Findings ◽

Chronic Pain Condition ◽

Appropriate Treatment ◽

Oral Mucosal Lesions ◽

Burning Mouth

Burning Mouth Syndrome (BMS) is a chronic pain condition characterized by an intraoral burning sensation and an absence of oral mucosal lesions and disturbances in laboratory findings. Burning symptoms usually affect the anterior two-thirds of the tongue, its lateral borders, hard palate and labial mucosa, but other oral cavity sites may also be affected. Taste alterations and a decrease in the salivary flow rate frequently accompany the burning symptoms. This condition mostly affects peri- and postmenopausal women. To date, the etiology of BMS remains unclear. This unknown etiology means that no appropriate treatment is currently available. A large number of the treatments and medications have been tried for BMS, but treatment management remains unsatisfactory in some patients. The purpose of this article is to present current knowledge on the treatment of BMS.

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Burning Mouth Syndrome: A Review

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v34i3.32348 ◽

2017 ◽

Vol 34 (3) ◽

pp. 151-159

Author(s):

SM Anwar Sadat ◽

Naim Mahmud Chowdhury ◽

Redwan Bin Abdul Baten

Keyword(s):

Psychological Factors ◽

Tricyclic Antidepressants ◽

Hormone Replacement ◽

Symptomatic Treatment ◽

Burning Mouth Syndrome ◽

Oral Lesions ◽

Aged Patients ◽

Laboratory Findings ◽

Physical Examinations ◽

Burning Mouth

Burning Mouth Syndrome (BMS) is characterized by chronic oro-facial pain in the absence of specific oral lesions & clinically apparent mucosal alterations. It is more commonly observed in middle aged patients & postmenopausal women. It often affects tongue, cheek, lip, hard & soft palate. Usually symptoms are better observed in morning, worsen during the day and typically subside at night. The condition is multifactorial origin, often idiopathic and its etiopathogenesis remain largely enigmatic. Associated medical conditions may include neurologic and metabolic disorder, gastrointestinal, urogenital as well as drug reactions. BMS are of two types, primary & secondary. Primary BMS is essential or idiopathic where secondary BMS is caused by local, systemic and/or psychological factors. Clinical diagnosis depends on the careful history taking, physical examinations and laboratory findings. Vitamin, Zinc or Hormone replacement therapy has been found to be effective with deficiency of the corresponding factors. The drug therapy with alpha-lipoic acid, capsaicin, clonazepam, benzodiazepines, tricyclic antidepressants, anticonvulsants may be effective in symptomatic treatment of BMS. But the treatment is still unsatisfactory and there is no definitive cure.J Bangladesh Coll Phys Surg 2016; 34(3): 151-159

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