Burning Mouth Syndrome

Presnted by : Abdulaziz aljaloud

Observed by : dr. Manog komar

Definition

• Burning Mouth Syndrome (BMS) is an intra-oral burning sensation for which no medical or

dental cause can be found. *

* International Headache Society

Epidemiology

• BMS is fairly common worldwide, and affects up to five individuals per 100,000 general population. People with BMS are more likely to be middle aged or elderly

• females are three to seven times more likely to have BMS than males.

• Asian and native American people have considerably higher risk

Clinical Features

• Pain in the mouth that is burning, scalding, or tingling which affect the

tongue, lips, or roof of the mouth

• Xerostomia .

• Erythema

• Edema of papillae on the tip of the tongue.

Clinical Features

• Altered taste sensation such as bitter or metallic taste

• Geographic tongue

• Difficulty in speaking, nausea .

Diagnosis

• BMS is hard to diagnose , but we have

to review your medical history and make

intra-oral examination , beside some tests like :• Blood tests

• Oral swab tests

• Salivary flow test

• Biopsy of tissue

• Allergy test

Classification • Primary BMS: If tests do not reveal an underlying

medical problem, the diagnosis is primary BMS

• Secondary BMS: Certain medical conditions can cause BMS. Treating the medical problem will cure the secondary BMS.

Treatment • Low dose amitryptiline

• chlordiazepoxide 10-30 mg/day (start with 5 mg and increase the dose to 5 mg

every 4-7 days until oral burning is relieved )

• Clonazepam 0.5-1 mg. 2-3 times daily, for 4 days

• Alpha lipoic acid – as mouth rinse

References

• Oral & maxillofacial pathology (2nd ed.). by Bouquot, Brad W. Neville

• Burket's oral medicine diagnosis & treatment (10th ed.) by Greenberg

Thank You Easy peasy