Call us
Diseases & Conditions

Combat Burning Mouth Syndrome

A burning sensation in the mouth that is ongoing or recurrent without a clear cause is known as burning mouth syndrome (BMS). The discomfort and uneasiness can affect the entire mouth or a particular area inside the mouth like the cheeks, roof of the mouth, gums, tongue, or lips. The burning sensation can range from mild to severe and has been described as a feeling of having scalded the mouth. The condition can either occur suddenly or develop gradually over time and may last for extended periods of time.

Common Symptoms

A painful burning or tingling sensation is the primary symptom of burning mouth syndrome. Other symptoms include a feeling of numbness, changes to the way things taste, and chronic dry mouth.
Burning mouth syndrome often causes pain on a daily basis and the condition may last for months or years. Depending on the individual, pain levels may be consistent or increase throughout the day. Eating or drinking sometimes brings temporary relief.

Diagnostic Methods

Diagnosing BMS is difficult due to the fact that there is no known cause and no specific test for the condition. Patients may be referred to a specialist such as a dentist with an oral medicine specialty or an oral surgeon. A review of the full medical history will be necessary and an oral examination will be completed. Extensive testing may be needed to rule out the presence of other conditions. This may include a blood panel, oral swab, salivary flow test, and an allergy test. Imaging tests and tissue biopsies may also be completed. In certain circumstances, consultations with other specialists including dermatologists, gastroenterologists, or ENT (ear, nose and throat) specialists may be necessary.

Treatment Options          

There is no specific treatment for burning mouth syndrome. A combination of over-the-counter and prescription medications may be recommended for the relief of symptoms. Patients tend to see the best results when the physician and pharmacist work together to create a comprehensive treatment plan.

Medications to Treat Burning Mouth Syndrome

Over-the-Counter Medications:

  • Klonopin
  • Valium  
  • Elavil
  • Prozac
  • Zoloft

Compounded Medications:
We can make gels or oral solutions, suspensions or rinses of the following:

  • Clonazepam
  • Diazepam
  • Amitriptyline
  • Nortriptyline
  • Doxepin
  • Fluoxetine
  • Paroxetine
  • Sertraline
  • Chlordiazepoxide
  • Capsaicin
  • Topiramate
  • "It is rare to find health professionals who are so willing to educate the patient on what they need to know."

    Clair C. | West Hollywood, CA