Burning in the mouth is a chronic, painful syndrome, characterized by a burning sensation on the tongue, lips, palate, gums, inside the cheeks, on the back of the tongue or throat. These unpleasant sensations cannot easily be linked with any specific physiological phenomena in the mouth, or any of the leading to their illness.
This is a complex and poorly understood disease syndrome of burning mouth affects women seven times more often than men. Most people suffering from this middle age, but among young patients meet and.
Syndrome burning mouth syndrome is also called burning tongue, burning lips, glossodynia, stomatalogia and a syndrome of burning mouth.
There are a number of symptoms associated with the syndrome of burning mouth, especially the sensation of pain or burning. It is a painful feeling in the morning usually moderate, but during the day all increases, reaches a maximum in the evening and night passes. Some patients feel pain and other sensation comes up from time to time. This pain can continue for months and years.
Other symptoms include dry lips, sore or dry mouth, tingling or numbness on the tip of your tongue or mouth, as well as the appearance of bitter or metallic taste.
The exact cause of this phenomenon is still clearly not installed. It is known, however, that burning sensation may appear due to a number of diseases of the oral cavity or in the whole body, or be a symptom. The doctor can put a diagnosis of “syndrome of burning mouth” only after we rule out the presence of these diseases.
Factors contributing to the burning sensation in the mouth include:
- The lack of certain substances in the diet: lack of iron, folate and vitamin B may be to cause a burning sensation in the mouth. Therefore, some types of treatment include supplements of vitamin B and of elements such as zinc and iron (see “Diet and dentistry”).
- Syndrome dry mouth (xerostomia):medications, Sjogren’s syndrome (a type of autoimmune systemic lesions of connective tissue) and many other causes can lead to dry mouth and the associated burning sensation. If you are during the day, drink fluids, use of artificial saliva and/or addressing the causes that led to dry mouth, you can reduce or stop burning.
- Candidiasis of the oral mucosa (aphthous stomatitis): Symptoms of this fungal infection of the mouth is a burning sensation in the mouth, especially when eating acidic or spicy foods, cheesy and education are separating from inner surfaces of the oral cavity. Treatment plan aphthous stomatitis, proposed by the dentist will help get rid of the burning sensation characteristic of this fungal infection of the mouth.
- Diabetes: Diabetics are more susceptible to oral infections (including aphthous stomatitis), which cause a burning sensation. In addition, diabetics are prone to vascular changes that affect the condition of the small vessels located in the mouth and it reduces the pain threshold. The establishment of more strict control condition blood sugar a diabetic can help him to prevent the onset of symptoms of a burning sensation in the mouth or dilute them.
- Menopause: Hormonal changes cause a burning sensation in the mouth of a middle-aged woman. Burning is one of the most common signs of menopause observed in the oral cavity. While hormone therapy helps to eliminate the syndrome of burning mouth only to some patients.
- Anxiety/depression: Psychological problems do not directly cause burning in the mouth, but can enhance these symptoms, or even appear as a result of frustration that patients experience, enduring chronic pain. Alarm or depression can lead to harmful habits such as teeth grinding (bruxism) or protrusion of the tongue, which will only further irritate burning lips and mouth. Stress may also alter the production or composition of saliva, which again will only exacerbate the burning sensation in the mouth.
- Other: Other causes of burning mouth can be physical irritation from dentures, allergic reaction to contact with them (contact stomatitis) or some hygienic products (laurilsulfat sodium in toothpastes), gastro-esophageal reflux (ejection of part of the stomach liquids into the esophagus), the increased levels of hormones in the thyroid gland, certain funds to reduce blood pressure, changes in the composition of saliva, the protrusion of the tongue, cancer treatment.
If you feel a burning sensation in the mouth, it is important to see a dentist as soon as possible to inform him about these symptoms and be examined. The dentist will likely examine your medical history and will conduct a thorough oral examination to find the local cause of the burning sensation in your mouth. If excluded causes such as aphthous stomatitis (fungal infection of the mouth), dry mouth, mouth ulcers or other diseases of the oral cavity or teeth, you may be referred to the physician or dentist specialization for further diagnosis and treatment.
You may need blood tests and other investigations to detect infection, nutritional deficiencies, diabetes, thyroid problems, Sjogren’s syndrome or Allergy. After establishing the exact cause of the syndrome, treatment will be aimed at its elimination.
In the absence of local or systemic causes burning sensation in the mouth, the phenomenon is diagnosed as a syndrome of burning mouth caused by nervous disease or dysfunction of the nerves involved in the transmission of pain and taste sensations from the oral cavity.
Treatment of syndrome of burning mouth aimed at reducing its symptoms. Treatment of the syndrome include the use of various drugs traditionally used to mitigate the phenomena that underlie other diseases such as depression and chronic pain. Tricyclic antidepressants (amitriptyline, trademark elavil), antipsychotics (chlordiazepoxide, trademark — Librium), anticonvulsants (gabapentin, trademark neurontin), analgesics, benzodiazepines (clonazepam, trademark klonopin) and protection of the mucous membrane proved to be effective for some patients.
In addition, local capsaicin (a natural ingredient found in Cayenne pepper) is used for anesthesia of patients suffering from the syndrome of burning mouth.
However, despite the success of these methods in certain situations, there is no universal recipe that would be effective in all cases. Each case is individual and treatment is tailored to the individual patient. The cost of treatment varies depending on what had been prescribed medications (if any) and the duration of their admission.
Additional relief of symptoms of burning mouth can be achieved by following small changes in lifestyle:
- Do not use mouth wash products that contain alcohol;
- Do not use toothpaste containing sodium lauryl sulfate;
- Chew gum sugar-better with the xylitol;
- Refrain from consumption of alcoholic beverages;
- When brushing your teeth use water and baking soda;
- Do not drink beverages with high acidity (fruit juices, coffee, soft drinks);
- Refrain from tobacco;
- Drink water or suck ice cubes.