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Author Spotlight: Oral Candida Diagnosis to Advance Clinical Treatment Regimen for pSS Patients
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Burning Mouth Syndrome.

Tara Renton1

  • 1Professor in Oral Surgery, Kings College Dental Institute, Kings College Hospital, London SE5 9RS.

Reviews in Pain
|November 4, 2015
PubMed
Summary

Burning Mouth Syndrome (BMS) may stem from neuropathic pain, causing significant distress. While cognitive behavioral therapy is effective, exploring distinct patient subgroups could improve management strategies for this chronic pain condition.

Area of Science:

  • Neurology
  • Pain Management
  • Psychiatry

Background:

  • The etiology of Burning Mouth Syndrome (BMS) is largely unknown, presenting a diagnostic challenge.
  • Emerging evidence points towards a neuropathic origin, potentially linking BMS to vulvodynia.
  • Chronic pain in BMS significantly impacts patients' functional abilities and psychological well-being.

Purpose of the Study:

  • To explore the potential neuropathic basis of Burning Mouth Syndrome.
  • To investigate the functional and psychological repercussions of chronic pain in BMS patients.
  • To evaluate current management strategies and identify potential for subgroup-specific treatments.

Main Methods:

  • Review of novel evidence suggesting a neuropathic basis for BMS.
  • Analysis of the impact of chronic pain on patient function and psychology.
Keywords:
Burning mouth syndromediagnosisglossalgiamechanismspain intractablereviewtherapy

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  • Assessment of the efficacy and limitations of current treatments like cognitive behavioral therapy and pharmacotherapy (Tricyclic antidepressants, SSRIs, SNRIs).

    • Main Results:

    • Novel evidence suggests a neuropathic etiology for BMS, possibly explaining co-occurring vulvodynia.
    • BMS-associated chronic pain leads to considerable functional and psychological distress.
    • Current treatments, including cognitive behavioral therapy and certain antidepressants, show limited efficacy or compliance issues due to side effects.

    Conclusions:

    • A neuropathic basis is increasingly suspected for Burning Mouth Syndrome.
    • Effective management of BMS requires addressing both the pain and its psychological sequelae.
    • Evidence suggests the existence of three distinct BMS subgroups, necessitating tailored management approaches.