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Related Experiment Videos

Burning mouth syndrome.

Lisa A Drage1, Roy S Rogers

  • 1Department of Dermatology, Mayo Clinic, 200 First Street SW Rochester MN 55905, USA. drage.lisa@mayo.edu

Dermatologic Clinics
|March 8, 2003
PubMed
Summary
This summary is machine-generated.

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Burning mouth syndrome (BMS) involves oral pain despite a normal exam. A systematic evaluation identifying correctable causes, including psychiatric factors, is key to effective management.

Area of Science:

  • Oral Medicine
  • Dermatology
  • Psychiatry

Background:

  • Burning mouth syndrome (BMS) presents as oral pain with normal mucosal examination.
  • Etiologies are multifactorial, including organic, psychologic, psychiatric, local, systemic, and idiopathic factors.
  • Commonly associated conditions include psychiatric disorders, xerostomia, nutritional deficiencies, allergic contact dermatitis, candidiasis, denture issues, and parafunctional behaviors.

Purpose of the Study:

  • To outline a systematic approach for evaluating patients with burning mouth syndrome.
  • To emphasize the importance of identifying and addressing correctable causes before considering psychiatric etiologies.
  • To highlight the benefits of a multidisciplinary treatment strategy.

Main Methods:

  • Thorough patient history, including medications and psychiatric background.

Related Experiment Videos

  • Comprehensive oral examination to rule out local diseases.
  • Selected laboratory tests and patch testing to identify potential etiologies.
  • Assessment for associated conditions like xerostomia, nutritional deficiencies, and candidiasis.

    • Main Results:

    • A structured evaluation can identify correctable causes in a significant portion of BMS patients.
    • Approximately 70% of patients experience improvement with thoughtful, structured evaluation.
    • Remaining patients may benefit from empiric chronic pain protocols and supportive care.

    Conclusions:

    • A systematic and comprehensive evaluation is crucial for diagnosing and managing burning mouth syndrome.
    • Multidisciplinary collaboration involving various medical and dental specialists improves patient outcomes.
    • Tailored treatment plans, addressing identified causes and providing supportive care, are essential for managing BMS.