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

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May 21, 2023 191 likes •237 views

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

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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

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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

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

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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 findings NO PAIN or BURNING Most 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

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Department of Oral Medicine, Sedation & Maxillofacial Imaging

Questions? Comments?

gilad.wasserman@gmail.com

@giladwas

THANK YOU!

Non burning, non painful burning mouth syndrome?