Burning Mouth Syndrome (BMS) is a chronic and often distressing condition characterized by burning, itching, or stinging sensations in the mouth, without any visible signs of oral lesions or underlying medical conditions. This condition can affect the tongue, lips, gums, palate, and entire oral cavity, and it may also cause a change in taste perception, dry mouth, and a sensation of a foreign body in the mouth.
The exact cause of BMS is still not well understood, but several factors have been associated with the development of this condition, such as:
Nutritional deficiencies, especially vitamin B12, folic acid, or iron
Hormonal changes, particularly in menopausal women
Psychological factors, such as anxiety, depression, or stress
Medications, such as antidepressants, anticonvulsants, or diuretics
Allergic reactions to dental materials, food, or oral care products
Infections, such as oral thrush or candidiasis
Dry mouth (xerostomia), which can be caused by medications, radiation therapy, or Sjögren’s syndrome
Symptoms of Burning Mouth Syndrome
The main symptom of BMS is a persistent burning, itching, or stinging sensation in the mouth, which can range from mild to severe and can last for a few minutes to several hours. Other common symptoms of BMS include:
Change in taste perception, with a metallic or bitter taste in the mouth
Dry mouth and increased thirst
Sensation of a foreign body in the mouth
Pain or discomfort while eating or speaking
Loss of appetite
Fatigue and insomnia
Diagnosis and Treatment of Burning Mouth Syndrome
The diagnosis of BMS is based on the characteristic symptoms and the absence of any visible oral lesions or underlying medical conditions. Your dentist or doctor may perform a physical examination of your mouth, check your oral hygiene, and order blood tests to rule out nutritional deficiencies, infections, or other medical conditions.
The treatment of BMS is based on the underlying cause and the severity of the symptoms, and it may include the following:
Management of underlying medical conditions, such as hormonal imbalances or psychological factors
Avoidance of triggering factors, such as spicy foods, alcohol, or smoking
Use of over-the-counter topical or oral medications, such as antacids, antifungals, or topical numbing agents
Use of mouth rinses, such as baking soda or salt solutions, to relieve dryness and discomfort
Vitamin and mineral supplementation, especially if you have a deficiency
Referral to a mental health professional for counseling or stress management
Behavioral therapies, such as hypnotherapy or biofeedback, to reduce anxiety and stress
Conclusion
Burning Mouth Syndrome is a chronic and often distressing condition that affects the oral cavity and can cause a persistent burning, itching, or stinging sensation, dry mouth, and changes in taste perception. The exact cause of BMS is still not well understood, but it has been associated with several factors, such as nutritional deficiencies, hormonal changes, psychological factors, and medications. The diagnosis of BMS is based on the characteristic symptoms and the absence of any visible oral lesions or underlying medical conditions. The treatment of BMS is based on the underlying cause and the severity of the symptoms, and it may include the management of underlying medical conditions, avoidance of triggering factors, use of medications, vitamin and mineral supplementation, referral to a mental health professional, and behavioral therapies.