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Burning mouth syndrome: a guide for the general practitioner
Andres Pinto1, Eric T Stoopler, Scott S DeRossi
1Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, USA.
Burning mouth syndrome (BMS) causes oral burning without visible abnormalities, often affecting middle-aged women. Its multifactorial causes and varied treatments are examined for general dentists.
Area of Science:
- Oral Medicine
- Dental Diagnosis
- Pain Management
Background:
- Burning mouth syndrome (BMS) is a chronic oral pain condition frequently misdiagnosed.
- Characterized by burning sensations in the mouth without observable mucosal lesions.
- Predominantly affects middle-aged women, indicating potential hormonal or demographic links.
Purpose of the Study:
- To review the complex etiology of burning mouth syndrome.
- To discuss associated systemic and oral conditions linked to BMS.
- To provide an overview of current and potential treatment strategies for general dentists.
Main Methods:
- Literature review of studies on burning mouth syndrome.
- Analysis of multifactorial causes including psychological and nutritional factors.
- Examination of treatment modalities and their reported efficacy.
Main Results:
- BMS etiology is multifactorial, involving factors like anxiety, depression, and nutrient deficiencies (iron, folate, B vitamins).
- Oral habits such as tongue thrusting and bruxism are also associated with BMS.
- Limited controlled clinical trials exist to validate the efficacy of various described treatments.
Conclusions:
- Burning mouth syndrome requires a comprehensive diagnostic approach.
- Understanding associated factors is crucial for effective management.
- Further research with controlled trials is needed to establish definitive treatment protocols.
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