Medical history (history of illness) represents an important component in the diagnosis of burning mouth syndrome. Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). What symptoms (e.g., burning tongue (glossodynia) have you noticed? How long have these … Burning Mouth Syndrome: Medical History
Blood, hematopoietic organs-immune system (D50-D90). Iron-deficiency anemia – anemia caused by iron deficiency. Immunodeficiency/deficiency → candidiasis (synonyms: candidasis, candidosis). Pernicious anemia – anemia (anemia) caused by a deficiency of vitamin B12 or, less commonly, folic acid deficiency. Plummer-Vinson syndrome (synonyms: sideropenic dysphagia, Paterson-Brown-Kelly syndrome) – combination of several symptoms caused by mucosal atrophy in the … Burning Mouth Syndrome: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by burning mouth syndrome: Psyche – Nervous System (F00-F99; G00-G99). Anxiety disorders (or anxiety) (in the presence of burning mouth). Depression (in the presence of burning tongue).
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes Oral cavity, tongue and pharynx [burning tongue (glossodynia); itching, tingling or stabbing pain on the tongue; xerostomia (dry mouth)] If necessary, dental examination [due toe.g. decayed … Burning Mouth Syndrome: Examination
2nd order laboratory parameters – depending on the results of the history and physical examination – for differential diagnostic clarification. Small blood count Fasting glucose, oral glucose tolerance test (oGTT) if necessary. Vitamin B6, B12, folic acid Iron, ferritin, transferrin Zinc Epicutaneous test (synonyms: patch test, patch test) – in this test, a patch is … Burning Mouth Syndrome: Test and Diagnosis
The following symptoms and complaints may indicate burning mouth syndrome: Mouth mucosa Permanent burning of the oral mucosa (oral mucosa), with clinically unremarkable mucosa (burning mouth syndrome). Tongue Tongue burning (glossodynia): persistent burning usually on the anterior two-thirds of the tongue [here: idiopathic chronic pain disorder]. Itching, tingling or stabbing pain on the tongue. Xerostomia … Burning Mouth Syndrome: Symptoms, Complaints, Signs
Pathogenesis (development of disease) In primary burning mouth syndrome (BMS), no changes in the tongue or oral mucosa can be identified, as this designation refers exclusively to the idiopathic form. In this context, burning tongue is one of the idiopathic chronic pain disorders. Secondary BMS must be ruled out before a diagnosis of primary BMS … Burning Mouth Syndrome: Causes
Causal therapy depends on the cause. General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Review of permanent medication due topossible effect on the existing disease. Conventional non-surgical therapy methods Local therapy with: Chamomile Myrrh Sage Nutritional medicine Nutritional … Burning Mouth Syndrome: Therapy
Therapeutic target Alleviation of symptoms Therapy recommendations Primary burning mouth syndrome (BMS). Severe cases of xerostomia (dry mouth): saliva substitute solutions (e.g., Artisial, Glandosane, Oralube, Siccasan) as flavored or neutral substitutes, and oil rinses Clonazepam (anticonvulsant / drug used to treat or prevent epileptic seizures); use only for a short time, ie 2-4 weeks (because … Burning Mouth Syndrome: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. 13C-urea breath test – for suspected Helicobacter pylori infection.
To prevent burning mouth syndrome, attention must be paid to reducing individual risk factors. Behavioral risk factors Tongue habit, unspecified More Electrogalvanic voltage differences of dental fillings (amalgam, dentures, plastics). Poorly fitting / unmaintained dentures. Incompatibility of the denture material Tongue habit, unspecified
