Contemporary management of Burning Mouth Syndrome
Authors: Mario Milkov, Plamen Nedev, Tsvetan Tonchev, Hristina Madzhova
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Burning mouth syndrome is characterized by a bilateral burning sensation in the oral mucosa and perioral areas, taste disorders, oral dryness and absent objective findings. It is difficult to diagnose and manage as well. Three main therapeutic approaches are nowadays used: behavioural interventions, topical medications and systemic medications. The first one includes cognitive behavioural therapy, group psychotherapy and electroconvulsive therapy. Topical drugs belong to several groups such as benzodiazepines, anesthetics, atypical analgesics, tricyclic antidepressants, nonsteroidal anti-inflammatory drugs, antimicrobials and mucosal protectors. System drugs additionally include anticonvulsants, selective inhibitors the reuptake of serotonin and norepinepherine, antioxidants, dopamine agonists, histamine-2 receptor antagonists, herbal medicines and salivary stimulants as well. Lowenergy laser therapy can be successfully applied, too.