Gilad Wasserman DMD/MSc Department of Oral Medicine, Sedation, and - PowerPoint PPT Presentation

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

Non burning, non painful burning mouth syndrome? 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 C B. Daily: >2 hours; >3 months C. Pain is burning and felt superficially Treatment: Challenging & Frustrating! ICHD-3 Cephalalgia 2018, Vol. 38(1) 1 – 211 • α -Lipoic acid • Clonazepam (topical) Clinical Features • Capsaicin(topical) • Mild upon awakening, worsening throughout the day • Gabapentin • Alleviated during eating • CBT • Associated with taste disturbance and xerostomia. • LLLT • more, more, more … . No predictable Tx Klasser et al, Oral Maxillofacial Surg Clin N Am 28 (2016) 381 – 396 Kim et al, J Clin Exp Dent. 2018;10(4):e321-6. Dr. G Wasserman

Non burning, non painful burning mouth syndrome? Department of Oral Medicine, Sedation & Maxillofacial Imaging 8 Patients - 4 M, 4F ; mean age 6 2 (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 findings NO PAIN or BURNING Most were normosmic and normogeusic upon chemosensory workup. 3 cases benefited, at least partially, from topical clonazepam. New entity or subtype of BMS? Dr. G Wasserman

Non burning, non painful burning mouth syndrome? Department of Oral Medicine, Sedation & Maxillofacial Imaging Questions? Comments? THANK YOU! gilad.wasserman@gmail.com @giladwas