Burning Mouth Syndrome - Burning Mouth Syndrome & Anxiety Prevention

Burning Mouth Syndrome

Also called: Scalded Mouth Syndrome, BMS, Stomatodynia
- Summary
- About burning mouth syndrome
- Signs and symptoms
- Diagnosis methods
- Treatment and prevention
- Questions for your doctor

Reviewed By:
Andrew M. Sicklick, D.D.S.

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Treatment and prevention of BMS

Treatment for burning mouth syndrome (BMS) varies significantly depending on the cause of the disorder. For example, treatment for thrush, dry mouth (xerostomia) or other conditions that cause BMS may also relieve BMS symptoms.

On the other hand, BMS that results from depression or anxiety is often best treated by having the patient seek mental health counseling. Certain medications that treat these conditions, such as benzodiazepines (e.g., clonazepam, chlordiazepoxide) and tricyclic antidepressants, may also alleviate BMS symptoms. Nutritional deficiencies can be treated with supplements or changes in diet, whereas allergies may be treated by avoiding foods and additives that trigger symptoms.

Other techniques that can help relieve symptoms associated with BMS include:

Ask about alternative medications. Patients whose BMS is triggered by use of certain medications are urged to ask their physician about any alternative drugs or therapies that may be less likely to cause BMS.

Avoid potential irritants. Substances such as alcohol-based mouthwashes, products with cinnamon or mint, and cigarette smoke can exacerbate BMS. Acidic liquids such as some fruit juices, sodas and coffee can worsen BMS.

Smooth sharp edges on teeth or fillings. Rough areas of teeth or dental restorations can be smoothed by a dentist so they do not irritate the mouth.

Suck on ice chips or chew sugar-free gum. These substances often reduce symptoms associated with BMS. It is important to note that gum with sugar may make BMS worse.

Brush with baking soda instead of toothpaste. Patients should not use this approach without first consulting their dentist.

Remove dentures from the mouth at night.
Topical anesthetics appear to be of limited value in alleviating BMS symptoms. Some research has indicated that use of capsaicin (a natural chemical found in cayenne pepper) in pill form is effective in the short term. However, significant gastrointestinal side effects may prohibit its long-term use. This chemical is also available in lozenge, cream or mouth rinse forms. However, more studies are needed to verify its effectiveness in treating BMS

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