[Burning mouth].
Various conditions of the oral mucosa can give rise to a burning sensation. Candidosis, geographic tongue (erythema migrans), mucocutaneous conditions and stomatitis can all cause mouth burns with visible changes to the oral mucosa. The so-called 'burning-mouth syndrome' (BMS) is a fairly rare but extremely unpleasant condition characterised by a bilateral burning sensation of the oral mucosa in the absence of clinically visible mucosal changes. Frequently-associated symptoms include dry mouth and loss or change of taste. The aetiology is unknown, even though most of the literature focuses on the role of a possible underlying psychogenic disorder. Several mucosal disorders can cause symptoms similar to BMS. Therefore, careful oral examination is required before establishing the diagnosis of BMS. Additional laboratory tests or a specialist examination rarely yield abnormal findings of relevance. Reassurance and understanding are important keywords in the management of patients suffering from BMS. Unless clearly indicated dental or medical treatment should be avoided, even if the patient insists on it, since such treatment is rarely effective.
van der Waal
I
I
VU Medisch Centrum/ACTA, afd. Mondziekten en Kaakchirurgie/-pathologie, Postbus 7057, 1007 MB Amsterdam. i.vanderwaal@vumc.nl
D000928:Antidepressive Agents; D002054:Burning Mouth Syndrome / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy; D003937:Diagnosis, Differential; D006801:Humans; D009061:Mouth Mucosa / Q000473:pathology*; D016896:Treatment Outcome
D000928:Antidepressive Agents