BURNING MOUTH SYNDROME

BURNING MOUTH SYNDROME

Case Summary

After diagnosing tooth number 46 with necrotic pulp, I proposed RCT for a 55 year old man. Challenge in this case was to eliminate the chief complaint of the patient  which  was  the sensitivity around the tooth and  of course the underlying pain.

DIAGNOSIS

This case involves a 55-year-old male with  no such extensive medical history. No such history of high blood  pressure, high cholesterol, no diabetes.Sensitive to cold things like ice-cream, cold drinks and also when the tongue hits the lingual surface of tooth some strange amount of sensitivity  is developed. 

TREATMENT PLAN

Focusing on patients chief complaint  RCT was performed. Proper treatment  protocol was taken care. RCT with 46 .
Instrumentation-

CONCLUSION 

The chief complain from the beginning of the patient  was that sensation around the involved tooth which was occurring before the treatment  and after the treatment  was completed  the same problem  was still arising. There was no signs of Tender on Percussion positive ,no signs of any periapical infection, no over or short obturation ,exact working length  with proper lateral condensation  obturation  was done which was confirmed after taking an IOPA for the same tooth. Patient was advised to take anti-inflammatory medication  for next  three  days. After three days patient  reported to the clinic  but the problem  still persisited. All the possible  conditions was looked in for the consideration and there was no signs seen radiographically and also clinically. Still the problem  persisted so I looked down  deep to the surrounding structures of the involved  tooth.From buccal muccosa  to tongue and palate also I checked thoroughly. There were very small rounded like  structure seen on the buccal mucosa. The features were characteriscally for  the condition of Burning mouth syndrome. Patient has earlier reported of some kind of itchiness like spicy food also and discomfort in the surrounding  area of that tooth specially on lingual  side of the tooth. Patient typically presented  all features of burning mouth syndrome and was then diagnosed  as BURNING MOUTH SYNDROME.

BURNING MOUTH SYNDROME 

It is an ongoing or recurrent burning in the mouth with no obvious cause. Often described as burning, painful, scalding or tingling like feeling in the mouth that may occur  every day for months or may be even longer. Dry mouth or an altered taste in the mouth may accompany the pain. 

Mainly found in adults in mid 40s-50s. It  is estimated to be more frequent in women in men.

MANAGEMENT 

There is no specific  test for this condition which makes it hard to diagnose. No specific  treatment works for everyone. However, medication can be prescribed to manage pain, dry mouth  or other symptoms .Just avoid acidic foods, spicy foods.Limit hot beverages. Rinse your mouth to neutralize acid and cool the burning sensation. 

Article written by :

Dental Surgeon , 
Dr. Srishti Dangwal , 
srishtidangwal95@gmail.com