Non burning, non painful burning mouth...
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Department of Oral Medicine, Sedation & Maxillofacial Imaging Non burning, non painful burning mouth syndrome? Gilad Wasserman DMD/MSc Department of Oral Medicine, Sedation, and Maxillofacial Radiology The Center for Diagnosis of Taste and Smell Disorders Hadassah-Hebrew University Faculty of Dental Medicine and Hadassah Medical Center
Transcript of Non burning, non painful burning mouth...
Department of Oral Medicine, Sedation & Maxillofacial Imaging
Non burning, non painful burning mouth syndrome?
Gilad Wasserman DMD/MScDepartment of Oral Medicine, Sedation, and Maxillofacial Radiology
The Center for Diagnosis of Taste and Smell DisordersHadassah-Hebrew University Faculty of Dental Medicine and Hadassah Medical Center
Department of Oral Medicine, Sedation & Maxillofacial Imaging
Burning mouth syndrome (BMS)• Intraoral burning or dysaesthetic sensation• NO evident causative lesions.
Diagnostic criteria:A. Oral pain fulfilling criteria B and CB. Daily: >2 hours; >3 monthsC. Pain is burning and felt superficially
ICHD-3 Cephalalgia 2018, Vol. 38(1) 1–211
Clinical Features• Mild upon awakening, worsening throughout the day• Alleviated during eating• Associated with taste disturbance and xerostomia.
Klasser et al, Oral Maxillofacial Surg Clin N Am 28 (2016) 381–396
Non burning, non painful burning mouth syndrome?
Treatment: Challenging & Frustrating!• α-Lipoic acid• Clonazepam (topical)• Capsaicin(topical)• Gabapentin• CBT• LLLT• more, more, more…. No predictable Tx
Kim et al, J Clin Exp Dent. 2018;10(4):e321-6.Dr. G Wasserman
Department of Oral Medicine, Sedation & Maxillofacial Imaging
8 Patients - 4M, 4F ; mean age 62 (range 24-94)Similar presentation:• Phantom taste (foul, bitter, or sour) • Daily: >2 hours; >3 months • Mild symptoms upon awakening, worsening throughout the day • Alleviated during eating
NO contributory medical history or clinical findingsNO PAIN or BURNINGMost were normosmic and normogeusic upon chemosensory workup.3 cases benefited, at least partially, from topical clonazepam.
Non burning, non painful burning mouth syndrome?
New entity or subtype of BMS?
Dr. G Wasserman
Department of Oral Medicine, Sedation & Maxillofacial Imaging
Questions? Comments?
[email protected]@giladwas
THANK YOU!
Non burning, non painful burning mouth syndrome?
