BURNING MOUTH SYNDROME (STOMATOPYROSIS, GLOSSOPYROSIS, GLOSSODYNIA)

Question 1

ETIOLOGY

Answer 1

• UNKNOW (DIAGNOSIS OF EXCLUSION)
• POST-MENOPAUSAL WOMEN

Question 2

INTRAORALLY CLINICALLY

Answer 2

• LINING MOUTH SCALDED (burned) - COMPLETELY NORMAL
• TONGUE MOST COMMONLY

Question 3

DIAGNOSIS

Answer 3

• DETAILED HISTORY, CLINICAL EXAMINATION, LABORATORY STUDIES, EXCLUSION OTHER ORAL PROBLEMS
• BURNING SENSATION OCCURS (ABSENCE CLINICAL/LABORATORY FINDINGS): PRIMARY OF IDIOPATHIC BMS
• SECONDARY BMS: ASSOCIATED WITH UNDERLING LOCAL (XEROSTOMIA, CHRONICA MOUTH BREATHING, CHRONIC TONGUE THRUST HABIT, CHRONIC MECHANICAL TRAUMA, ORAL CANDIDIASIS) OR SYSTEMIC FACTORS (VITAMIN B DEFICIENCY, DIABETES MELLITUS, CHRONIC GASTRITIS, ESTROGEN DEFICIENCY, ANXIETY, STRESS, DEPRESSION)

Question 4

TREATMENT

Answer 4

• CORRECTING UNDERLYING/SYSTEM CAUSE IF PRESENT
• PHARMACOLOGIC THERAPIES: ANXIOLYTICS, ANTIOXIDANTS (ALPHA LIPOIC ACID), ANTIDEPRESSANTS AND/OR ANTICONVULSANTS ALONE/CONBINATION
• COGNITIVE BEHAVIORAL THERAPY USEFUL IN PATIENTS WITH UNDERLYING PSYCHOLOGICAL FACTORS