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Burning mouth syndrome: a diagnostic challenge
Jacob E Freilich1, Michal Kuten-Shorrer2, Nathaniel S Treister3
1Harvard School of Dental Medicine, Boston, MA, USA.
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
|November 4, 2019
Summary
Patients with burning mouth syndrome (BMS) face diagnostic delays and misdiagnoses, often receiving ineffective treatments despite seeking care. This study highlights pitfalls in BMS diagnosis and management.
Area of Science:
- Oral Medicine
- Diagnostic Process Evaluation
Background:
- Burning Mouth Syndrome (BMS) is a complex condition often presenting diagnostic challenges.
- Patients frequently experience prolonged symptom duration before accurate diagnosis.
Purpose of the Study:
- To characterize the diagnostic journey of patients with Burning Mouth Syndrome (BMS).
- To identify critical pitfalls in the workup and management of BMS.
Main Methods:
- Retrospective chart review of 102 BMS patients at an Oral Medicine clinic (January 2014 - April 2017).
- Data abstracted included provider consultations, symptom details, diagnostic tests, and treatments received prior to referral.
Main Results:
- Median diagnostic delay was 12 months, with patients consulting a median of 3 providers.
- 30.4% underwent diagnostic tests; 63.7% received a provisional diagnosis.
- Candidiasis was the most common misdiagnosis (25.5%); antifungal therapy was frequently prescribed (27.5%).
Conclusions:
- Patients with BMS experience significant delays in diagnosis and appropriate management.
- Misdiagnosis, unnecessary testing, and ineffective treatments are common issues in BMS care.
- Improved diagnostic strategies are needed to optimize patient outcomes for Burning Mouth Syndrome.
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