What is burning mouth syndrome?

Burning mouth syndrome (glossalgia, stomatodynia, stomatopyrosis) is a burning pain in the mouth without visible pathological changes of oral mucosa. The patient may also complain about change in taste, bad mouth odor and dry mouth. The most commonly are affected women between 55 and 60 years of age. Burning pain often occurs at the tip of the tongue. In patients with dentures as well on the hard palate, lips and gums. It rarely occurs on cheek mucosa, floor of the mouth or throat.

What are the causes?

The causes can be local, systemic and psychological. At the same time there can be present several causal factors. Local causes include inadequate prosthesis, allergic-toxic reactions to denture material, candidiasis, certain food ingredients (spices), tobacco and alcoholic beverages. When denture triggers pain, this occurs on oral mucosa that is in contact with denture, and usually disappears, if the patient removes dentures. Systemic causes may be climacteric, diabetes, lack of vitamin B complex and minerals (iron, zinc). Psychological conditions can cause a severe burning sensation in the mouth, where intensity during the day does not change. It can be associated with depression, anxiety, cancerophobia or stressful event in life.

What is the treatment?

Dentist will talk with patient, do a thorough clinical exam of the oral cavity and determine the appropriateness of prosthetic materials. If necessary, patient can also be referred to a specialist.

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