scholarly journals Burning Mouth Syndrome and Other Oral Sensory Disorders: A Unifying Hypothesis

2003 ◽  
Vol 8 (3) ◽  
pp. 133-135 ◽  
Author(s):  
Miriam Grushka ◽  
Joel B Epstein ◽  
Meir Gorsky
Keyword(s):  
Temporomandibular Disorder ◽  
Burning Mouth Syndrome ◽  
Chorda Tympani ◽  
Atypical Odontalgia ◽  
Burning Pain ◽  
Sensory Disorders ◽  
Oral Sensory ◽  
Mucous Membranes ◽  
Central Inhibition ◽  
Burning Mouth

Burning Mouth Syndrome (BMS) is a sensory disorder which results in constant, bilateral burning pain of the tongue, lips, and other oral mucous membranes. Atypical odontalgia (AO) is another sensory disorder, usually defined as a toothache-like pain for which no dental cause can be identified. Previous literature has suggested that AO is often associated with a concomitant temporomandibular disorder (TMD). This hypothesis paper explores the possibility that BMS, AO and TMD can be related through hyperactivity of both the sensory and motor components of the trigeminal nerve following loss of central inhibition as a result of taste damage in the chorda tympani and/or the glossopharyngeal nerves.

scholarly journals 139 Burning Mouth Syndrome After Hemicolectomy and Hyperalimentation

CNS Spectrums ◽  
2018 ◽  
Vol 23 (1) ◽  
pp. 87-88
Author(s):  
Jasmine M. Campbell ◽  
Jasir T. Nayati ◽  
Alan R. Hirsch
Keyword(s):  
Thiamine Deficiency ◽  
Burning Mouth Syndrome ◽  
Dietary Vitamin ◽  
Study Objective ◽  
Vitamin Deficiencies ◽  
Burning Pain ◽  
C Fibers ◽  
Gate Control Theory ◽  
Treatment Research ◽  
Burning Mouth

AbstractStudy ObjectiveBurning mouth syndrome (BMS) is characterized by a burning sensation in the tongue or other oral sites [Grushka 2002]. Vitamin B complex deficiencies have been associated with BMS, including B1 (thiamine) [Lamey 1988]. Replacement with thiamine and other B vitamins was noted to cause relief of BMS in 34 of 150 patients [Lamey 1988]. BMS secondary to vitamin deficiencies have been discussed; however, hemicolectomy and hyperalimentation associated thiamine deficiency inducing chronic BMS has not heretofore been described.MethodsCase Study: A 63 year old female presents with a two year history of BMS pain, two weeks following a hemicolectomy from terminal ileum to transverse colon and five days of hyperalimentation. She describes it as a burning pain, 8/10 in severity, localized to both lips, anterior tongue, and middle tongue. It is aggravated with eating and drinking, increasing to 10/10 on the pain scale. Alleviation of pain is seen when ice, Blistex, or lidocaine-mouthwash is used, decreasing the pain to 4/10. Diurnal variation was noted, wherein the pain is exacerbated later in the evening.ResultsAbnormalities in neurological examination: Motor Examination: abductor pollicis brevis 4/5 bilaterally. Drift testing with bilateral cerebellar spooning and bilateral abductor digiti minimi signs. Cerebellar Examination: rapid alternating movements are decreased in the left upper extremity. Reflex Examination: Deep Tendon Reflexes: Brachioradialis: 3+ bilaterally. Biceps: 3+ bilaterally. Triceps: 3+ bilaterally. Ankle Jerk: 2+ bilaterally with delayed return. Hoffman reflex: positive bilaterally. Serum Thiamine level: 66 nmol/L (normal 70-180 nmol/L).ConclusionAlthough, BMS can be seen with thiamine deficiency [Lamey 1988], it has yet to be described status-post hemicolectomy and hyperalimentation. Thiamine is absorbed systemically in the upper jejunum, as well as in duodenum and ileum in conjunction with folate [Friedamann 1948]. Thiamine deficiency is associated with Wernicke-Korsakoff Syndrome and Wet/Dry Beri-Beri; however, these abnormalities are associated with a significant decrease of serum vitamin B1 [Martin 2004]. Even with near normal levels of thiamine, her BMS pain may be a prodromal syndrome which may act as a biological marker of dietary vitamin deficiency.BMS is highly prevalent in postmenopausal women, wherein trigeminal nerve sensitivity may amplify and worsen pain, given a decrease in estrogen and progesterone [Martin 2007], indirectly influencing her BMS pain. Salivary output and composition can alter due to a drop in estrogen and progesterone as well, allowing baseline reduction of proprioceptive input on the tongue. Ergo, acting through Melzack and Wall’s Gate Control Theory of Pain to disinhibit small C-fibers, it may be perceived as burning pain [Melzack 1965]. Given this case, in those who undergo abdominal surgery or hyperalimentation, query regarding BMS symptoms is warranted.Funding AcknowledgementsSmell and Taste Treatment Research Foundation

scholarly journals Evaluating Burning Mouth Syndrome as a Comorbidity of Atypical Odontalgia: The Impact on Pain Experiences

Pain Practice ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 580-586 ◽  
Author(s):  
Trang T. H. Tu ◽  
Anna Miura ◽  
Yukiko Shinohara ◽  
Lou Mikuzuki ◽  
Kaoru Kawasaki ◽  
...  
Keyword(s):  
Burning Mouth Syndrome ◽  
Atypical Odontalgia ◽  
Burning Mouth ◽  
Pain Experiences ◽  
The Impact

scholarly journals Is Burning Mouth Syndrome Based on a Physiological Mechanism which Resembles that of Neuropathic Pain?

2019 ◽  
pp. 11-14
Author(s):  
Marisol Reyes Sevilla DDS
Keyword(s):  
Neuropathic Pain ◽  
Oral Mucosa ◽  
Treatment Approach ◽  
Physiological Mechanism ◽  
Burning Mouth Syndrome ◽  
Organic Disease ◽  
Subjective Symptoms ◽  
Burning Pain ◽  
Pain State ◽  
Burning Mouth

Burning mouth syndrome (BMS) is a chronic intraoral pain state that has been described as burning pain, tingling or numbness in the oral mucosa, in the absence of any organic disease. Most often affecting the tongue, anterior palate, and/or lips. The diagnosis of primary BMS is purely clinical and based on patients’ description of typical subjective symptoms as well on the exclusion of any systemic or local factors that may give rise to secondary burning pain sensations within the oral mucosa. Relevant studies links BMS to a peripheral neuropathy and BMS patients have revealed distinct abnormalities within the trigeminofacial large and small fiber systems and the trigeminal brainstem complex. Therefore, treatment approach should involve a multidisciplinary character similar to the treatment for neuropathic pain including factors that might also play a role on the BMS etiology and pathophysiology.

Evidence of chorda tympani dysfunction in patients with burning mouth syndrome

2007 ◽  
Vol 138 (5) ◽  
pp. 628-633 ◽  
Author(s):  
Eli Eliav ◽  
Batya Kamran ◽  
Rachel Schaham ◽  
Rakefet Czerninski ◽  
Richard H. Gracely ◽  
...  
Keyword(s):  
Burning Mouth Syndrome ◽  
Chorda Tympani ◽  
Burning Mouth

scholarly journals A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome?

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Takayuki Suga ◽  
Trang T.H Tu ◽  
Junichiro Sakamoto ◽  
Akira Toyofuku
Keyword(s):  
Vestibular Schwannoma ◽  
Surgical Complication ◽  
Surgical Techniques ◽  
Burning Mouth Syndrome ◽  
Burning Sensation ◽  
University Hospital ◽  
Tumour Resection ◽  
Burning Pain ◽  
Oral Pain ◽  
Burning Mouth

Abstract Background Despite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications. Recovery from surgical complications of vestibular schwannoma is often difficult and complications sometimes lead to permanent deficits. However, treatable trigeminal symptoms may be missed in atypical cases. Case presentation A 46-year-old woman complained about burning sensation on her tongue and maxilla for four years before her first visit to our clinic. She visited the neurosurgery department in a university hospital because her facial pain and burning sensation of her tongue were suddenly aggravated. She was diagnosed with vestibular schwannoma and tumour resection was performed. However, her oral pain persisted after surgery. Two months before the initial visit to our clinic, the oral pain became more severe than ever before. When the patient visited a psychiatrist due to a panic attack, the psychiatrist diagnosed her as having somatic symptom disorder and depression and referred her to our clinic. Based on the characteristics of the pain, she was diagnosed as burning mouth syndrome and treated for the same. Within 1.5 months, the pain and burning sensation of the tongue and maxilla almost completely remitted with low dose amitriptyline. Conclusions Our case suggests that there are exceptional cases in which burning mouth syndrome and vestibular schwannoma occur simultaneously. Burning pain after vestibular schwannoma surgery cannot always be considered a complication of surgery.

Burning Mouth Syndrome

2013 ◽  
Vol 56 (9) ◽  
pp. 550
Author(s):  
Jae Won Chang ◽  
Chul-Ho Kim
Keyword(s):  
Burning Mouth Syndrome ◽  
Burning Mouth
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