J Korean Pain Soc.  2003 Dec;16(2):217-220.

Treatment of Burning Mouth Syndrome: A report of 2 cases

• Kim BS
• Sung CH
• Yoon KJ
• Lee DW
• Yang SY
• Park CM
• Moon DE

Abstract

Burning mouth syndrome is a clinical entity characterized by a painful, burning sensation in the oral area, with no visual mucosal abnormalities on clinical examination. Affected patients often present with multiple oral complaints, including burning, dryness and taste alternations. No clear consensus currently exists on the etiology, pathogenesis or treatment of burning mouth syndrome. Two cases of burning mouth syndrome, with severe unbearable pain of the tongue, upper palate and gum were experienced. The patients also complained of insomnia, anxiety and diminished appetite, which had led to weight loss. They were treated with antidepressants, gabapentin and stellate ganglion block. After several months of treatment, the pain and depressive signs, such as insomnia, anhedonia, diminished appetite, decreased.

Keyword

Burning mouth syndrome; Gabapentin; Stellate ganglion block

MeSH Terms

Anhedonia
Antidepressive Agents
Anxiety
Appetite
Burning Mouth Syndrome*
Burns*
Consensus
Gingiva
Humans
Palate
Sensation
Sleep Initiation and Maintenance Disorders
Stellate Ganglion
Tongue
Weight Loss
Antidepressive Agents