Featured Research

from universities, journals, and other organizations

Burning Mouth Syndrome is often difficult to diagnose

Date:
October 23, 2013
Source:
Case Western Reserve University
Summary:
Oral pain that feels like a scalded mouth and can last for months has baffled dental researchers since the 1970s, when burning oral sensations were linked to mucosal, periodontal, and restorative disorders and mental or emotional causes.

Oral pain that feels like a scalded mouth and can last for months has baffled dental researchers since the 1970s, when burning oral sensations were linked to mucosal, periodontal, and restorative disorders and mental or emotional causes.

It's called burning mouth syndrome (BMS), and it's gaining the attention of such dental researchers as oral pain expert Andres Pinto, who recently joined Case Western Reserve University's School of Dental Medicine faculty.

What's frustrates patients and doctors alike, said Pinto, is that the mouth and gums appear normal with BMS, so its diagnosis is difficult. Patients often find themselves having to visit several doctors before finally arriving at BMS as the cause.

Pinto, new chair and associate professor in the Department of Oral Diagnosis and Radiology at the dental school and an oral medical specialist in the Department of Oral and Maxillofacial Surgery at UH Case Medical Center, encourages people with persistent mouth pain to check for the following symptoms that might be caused by BMS:

• Persistent burning tongue and oral pain with no apparent dental cause • Abnormal taste or dry feeling in the mouth • Symptoms that disappear when eating • Burning sensations may migrate across several oral areas

Even if oral pain is present without these symptoms, Pinto recommended consulting a dentist for a thorough exam of the teeth, gums, mouth and throat.

Between two and five percent of the U.S. population acquires BMS, he said, but the syndrome especially strikes women between age 50 and 70, and from three years before to 12 years after menopause.

Early research in BMS explored the association with local oral changes that could be corrected by dentists, and the observed comorbidity with psychogenic disorders. Changes in neurologic sensory function in patients with BMS and reported cases of secondary BMS to anemia, diabetes, vitamin deficiency, and thyroid disorders, triggered further exploration into peripheral neural changes and central nervous system (brain) mechanisms that could contribute to the causes of this condition.

Although the exact cause of BMS is unknown, the suspected origin is deterioration of the nerves beneath the oral lining. The deterioration isn't visible, which explains why the mouth appears normal when examined and can delay diagnosis, Pinto explained. Still unproven is the role hormones may play in BMS, given the link to menopause.

The pain from BMS often results in quality of life issues, from poor nutrition to the sufferer withdrawing from social situations. In some cases, the pain is so severe it has driven people to commit suicide, Pinto said.

Patients can receive relief with special mouthwashes, analgesics and other topical and systemic treatments.

Pinto recently joined a research team to learn what postgraduate programs in dental schools are teaching about BMS. The researchers report in the October issue of the Journal of the American Dental Association that BMS is being taught but more needs to be done.


Story Source:

The above story is based on materials provided by Case Western Reserve University. Note: Materials may be edited for content and length.


Journal Reference:

  1. Gary D. Klasser, Andres Pinto, Jonathan M. Czyscon, Carl K. Cramer, and Joel Epstein. Defining and diagnosing burning mouth syndrome: Perceptions of directors of North American postgraduate oral medicine and orofacial pain programs. Journal of the American Dental Association, October 2013

Cite This Page:

Case Western Reserve University. "Burning Mouth Syndrome is often difficult to diagnose." ScienceDaily. ScienceDaily, 23 October 2013. <www.sciencedaily.com/releases/2013/10/131023100957.htm>.
Case Western Reserve University. (2013, October 23). Burning Mouth Syndrome is often difficult to diagnose. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2013/10/131023100957.htm
Case Western Reserve University. "Burning Mouth Syndrome is often difficult to diagnose." ScienceDaily. www.sciencedaily.com/releases/2013/10/131023100957.htm (accessed July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com
$23.6 Billion Awarded To Widow In Smoking Lawsuit

$23.6 Billion Awarded To Widow In Smoking Lawsuit

Newsy (July 20, 2014) Cynthia Robinson claims R.J. Reynolds Tobacco Company hid the health and addiction risks of its products, leading to the death of her husband in 1996. Video provided by Newsy
Powered by NewsLook.com
Tooth Plaque Provides Insight Into Diets Of Ancient People

Tooth Plaque Provides Insight Into Diets Of Ancient People

Newsy (July 19, 2014) Research on plaque from ancient teeth shows that our prehistoric ancestor's had a detailed understanding of plants long before developing agriculture. Video provided by Newsy
Powered by NewsLook.com
Contaminated Water Kills 3 Babies in South African Town

Contaminated Water Kills 3 Babies in South African Town

AFP (July 18, 2014) Contaminated water in South Africa's northwestern town of Bloemhof kills three babies and hospitalises over 500 people. The incident highlights growing fears over water safety in South Africa. Duration: 02:22 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins