Therapeutic Options in Idiopathic Burning Mouth Syndrome: Literature Review

Miziara, Ivan Dieb; Chagury, Azis Arruda; Vargas, Camila; Freitas, Ludmila; Mahmoud, Ali

doi:10.1055/s-0034-1378138

Cited by 32 publications

(33 citation statements)

References 27 publications

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“…In addition, patients demonstrating symptom reduction but not total or adequate resolution may benefit from psychological intervention to supplement medical/dental treatment. Although cognitive behavioral therapies have been recommended as part of a multidisciplinary intervention for BMS patients, the empirical literature regarding the effectiveness of psychological interventions is limited to studies of group therapies [63,64]. For example, in an early study, BMS patients were randomized into a cognitive therapy group that met weekly for 12 weeks to 15 weeks or into an attention control group [65].…”

Section: Treatment Considerationsmentioning

confidence: 99%

Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders

Tait¹,

Ferguson²,

Herndon³

2017

Pain Manage Med

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Chronic orofacial pain is a symptom associated with a wide range of neuropathic, neurovascular, idiopathic, and myofascial conditions that affect a significant proportion of the population. While the collective impact of the subset of the orofacial pain disorders involving neurogenic and idiopathic mechanisms is substantial, some of these are relatively uncommon. Hence, patients with these disorders can be vulnerable to misdiagnosis, sometimes for years, increasing the symptom burden and delaying effective treatment. This manuscript first reviews the decision tree to be followed in diagnosing any neuropathic pain condition, as well as the levels of evidence needed to make a diagnosis with each of several levels of confidence: definite, probable, or possible. It then examines the clinical literature related to the idiopathic and neurogenic conditions that can occasion chronic orofacial pain, including burning mouth syndrome, trigeminal neuralgia, glossopharyngeal neuralgia, post-herpetic neuralgia, and atypical odontalgia. Temporomandibular disorders also are examined as are other headache conditions, even though they are not neurologic conditions, because they are common and can mimic symptoms of the latter disorders. For each of these conditions, the paper reviews literature regarding incidence and prevalence, physiologic and other contributing factors, diagnostic signs and symptoms, and empirical evidence regarding treatments. Finally, in order to improve the quality and accuracy of clinical diagnosis, as well as the efficiency with which effective treatment is initiated and delivered, criteria are offered that can be instrumental in making a differential diagnosis.

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Section: Treatment Considerationsmentioning

confidence: 99%

Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders

Tait¹,

Ferguson²,

Herndon³

2017

Pain Manage Med

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“…Thus, the patients are oriented with several therapies, with results not always satisfactory that vary from tongue protectors to prescription drugs 15 .…”

Section: Introductionmentioning

confidence: 99%

“…In an attempt to minimize the adverse effects, the use of topical clonazepan was evaluated, with reduction of 70% in the burning sensation 15 . However, the study performed by Moraes et al 16 observed that even in topical form, some patients reported side effects, such as drowsiness, xerostomia, and increased burning sensation in the mouth in some cases.…”

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics and therapeutic response in patients with Burning Mouth Syndrome: accompanying 2 years

Carvalho

Gallo

Sugaya

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A Síndrome de Ardência Bucal (SAB) é uma condição caracterizada pelo sintoma de ardência na mucosa oral na ausência de qualquer sinal clínico. Sua etiologia ainda é desconhecida e, até o momento, não dispõe de tratamento efetivo. Objetivo: Avaliar o perfil do paciente portador de SAB, as terapias instituídas e seus resultados em estudo retrospectivo. Material e método: Foram coletados os dados clínicos e terapêuticos dos prontuários de pacientes diagnosticados com SAB, no período de janeiro de 2013 a abril de 2015, no Ambulatório da Disciplina de Estomatologia Clínica da Faculdade de Odontologia da Universidade de São Paulo. Os critérios para o diagnóstico utilizados se basearam nos estabelecidos pela International Headache Society em 2013 e foram observadas as terapêuticas empregadas e seus resultados. Resultado: Doze pacientes foram diagnosticadas com SAB neste período, todas do sexo feminino, média de idade 61,18 anos, e a principal região acometida pelo sintoma de ardor foi o ápice de língua. O tempo de duração deste sintoma variou de 6 meses a 25 anos. As terapias utilizadas para o controle de sintomas da SAB foram capsaicina, clonazepan tópico, laserterapia e homeopatia. Dentre as terapias instituídas, a capsaicina apresentou efeito imediato na redução dos sintomas. Conclusão: O presente estudo demonstrou que os desafios que circundam a obtenção de um tratamento efetivo para a SAB são diversos e estão principalmente relacionados ao desconhecimento da etiopatogenia da doença. O perfil demográfico dos pacientes aqui estudados foi semelhante ao descrito na literatura disponível, entretanto, as variáveis representadas por sintomas secundários (história médica, níveis de ansiedade e depressão) podem constituir fatores modificadores da resposta terapêutica e da própria etiopatogenia da doença. Descritores: Síndrome da Ardência Bucal; tratamento; dor neuropática AbstractIntroduction: Burning Mouth Syndrome (BMS) is a condition characterized by burning symptom of the oral mucosa in the absence of clinical signs. Its etiology is still unknown and, and to date there is no effective treatment. Purpose: The aim of this study was to evaluate patients with BMS profile and the therapies results in a retrospective study. Material and method: Clinical and therapeutic data were collected from records of patients with BMS diagnosed between January 2013 to April 2015 at the Clinic of Stomatology Clinic, Faculdade de Odontologia of Universidade de São Paulo, according to the criteria established by the International Headache Society in 2013. The therapies used for BMS control were also evaluated. Result: Twelve patients were diagnosed with BMS at this period. All of them were women with a mean age of 61.18 years and the apex of the tongue was the most common affected site and the duration of the burning sensation ranged from 6 months to 25 years. Many therapies were prescribed for BMS control, such as topical capsaicin, topical clonazepan, low level laser therapy and homeopathy. Among the established therapie...

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“…Two variants of BMS have been described, the primary form, which is idiopathic and is defined according to the criteria above, and the secondary form, which is observed when a local or systemic causal agent is present [2][3][4][5][6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Burning Mouth Syndrome –Latest update

Tomattis¹,

Munerato²

2016

Int J Dentistry Res

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Introduction: Burning mouth syndrome (BMS) is characterized by a recurrent daily burning sensation with no evidence lesions in the oral mucosa. It is accompanied by subjective dry mouth and dysgeusia. The tongue is the most commonly affected site, but the condition also affects other sites in the mouth. Its etiopathogeny is multifactorial and its diagnosis is made by exclusion. Objective: This article reviews the literature about the epidemiology, etiopathogeny, and diagnosis of BMS in the past 15 years. Articles were selected from PubMed/MEDLINE, and included clinical assays, case reports, and reviews. We found 509 articles, and only 136 were chosen. The key words were: burning mouth syndrome (BMS), review, etiopathogeny, diagnosis. Conclusions: BMS remains an important diagnostic challenge, though the disease is considered a neuropathy characterized by damage to trigeminal peripheral nervous fibers, which triggers central sensitization. In addition to BMS and secondary BMS, it seems relevant to include complicated BMS, in which symptoms persist despite the elimination of local and systemic causes. BMS should be investigated by a transdisciplinary team that will take into account all aspects active in the mental and physical dimensions of the condition, in the most detailed way. Therefore, QST, imaging investigations, various evaluation scales of mental health and of the impact of BMS on quality of life as well as the investigation of sleep disorders and changes in circadian rhythm could be useful tools in the development of treatment strategies based on findings and observing the characteristics of each BMS patient in light of specifics of diagnosis.

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Therapeutic Options in Idiopathic Burning Mouth Syndrome: Literature Review

Cited by 32 publications

References 27 publications

Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders

Chronic Orofacial Pain: Burning Mouth Syndrome and Other Neuropathic Disorders

Clinical characteristics and therapeutic response in patients with Burning Mouth Syndrome: accompanying 2 years

Burning Mouth Syndrome –Latest update

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