Treatment and management for Burning mouth syndrome?
Burning mouth syndrome (BMS) is a clinical diagnosis made via the exclusion of all other causes. No universally accepted diagnostic criteria, laboratory tests, imaging studies or other modalities definitively diagnose or exclude burning mouth syndrome (BMS).
@abhideep Studies of burning mouth syndrome (BMS) have focused more on etiology than treatment. Currently, no definitive cure exists; many treatments have been tried with variable success. Attempting combinations of therapies may be appropriate; in particular, cognitive therapy may be synergistic with other agents. Additionally, it may be worth empirically treating for other conditions that cause secondary burning mouth syndrome (BMS) based on the nature of symptoms or exam findings. Because burning mouth syndrome (BMS) is a chronic pain syndrome, patients must have realistic expectations of the natural course of their condition. For patients with primary burning mouth syndrome (BMS), an estimated 50-66% may have improvement in symptoms after 6-7 years. A small study of 32 patients reported near universal improvement in symptoms within 16 weeks for patients receiving ongoing multidisciplinary treatment. Spontaneous remission is rare but does occur in roughly 3% of patients. These findings are similar to other idiopathic chronic pain syndromes and support the idea that treatment should be individualized based on symptoms. Continued follow-up is also likely help patients with management of symptoms.