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Burning mouth syndrome

D Grinspan1, G Fernández Blanco, M A Allevato

  • 1Department of Dermatology, University of Buenos Aires School of Medicine, Argentina.

International Journal of Dermatology
|July 1, 1995
PubMed
Summary

Burning mouth syndrome (BMS) is a psychosomatic condition causing long-term oral burning and pain, primarily in older women. Effective treatment involves tranylcypromine, anxiolytics, hypnotics, and psychotherapy.

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Area of Science:

  • Oral medicine
  • Psychosomatic disorders
  • Clinical diagnosis

Background:

  • Burning mouth syndrome (BMS) presents significant diagnostic and therapeutic challenges.
  • Existing treatments for BMS often yield unsatisfactory results.
  • The etiopathogenesis of BMS remains a subject of debate.

Purpose of the Study:

  • To establish a consensus on the definition of Burning mouth syndrome.
  • To investigate the underlying causes of BMS.
  • To propose a novel and effective therapeutic regimen for BMS.

Main Methods:

  • Retrospective evaluation of 500 patients presenting with BMS symptoms.
  • Exclusion of patients with secondary stomatodynia due to local or systemic conditions.
  • Application of a specialized study protocol designed for BMS.

Main Results:

  • The study identified a predominant demographic of women over 60 experiencing chronic oral burning, pain, and heat.
  • Patients frequently exhibited anxiety, depression, and a history of failed treatments.
  • A psychosomatic origin was diagnosed for genuine BMS, distinct from symptomatic oral pain conditions.
  • Combination therapy of tranylcypromine, anxiolytics, hypnotics, and psychotherapy proved most effective.

Conclusions:

  • Burning mouth syndrome is characterized as a psychosomatic disorder.
  • The condition manifests as persistent oral dysesthesias lasting months to years.
  • A combined therapeutic approach addressing psychosomatic factors is recommended for effective BMS management.

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