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oral burning in tongue or other oral mucous membranes no detectable cause, do not follow anatomic pathways, no mucosal lesions or known neurologic disorders & no laboratory abnormalities
*BMS
stomatodynia
glossodynia glossopyrosis
Cause unknown
Lokal
*Pseudomembranous & erythematous
candidiasis BMS
Systemic
Various systemic factors BMS many of these conditions require further study to verify the correlation
*Lamey et al
replacement therapy of vitamin B1, B2 & B6 effective in treating BMS in 88% patients management & correction do not lessen BMS
Psychological
*Personality & mood changes psychogenic
problem
*Lamb et al 60%
BMS patients psychological factors & anxiety was most difficult to control
evaluated for the possibility of a salivary gland disorder mucosa dry & difficulty swallowing dry foods without sipping liquids evaluation of trigeminal & other cranial nerves eliminate neurologic source of pain
*Burning persists after management of systemic or local oral conditions diagnosis of BMS can be considered
*First exclude other disease *Sources of pain must be dealt with not
too much expectation
*Benzodiazepines clonazepam (benzodiazepine derivative) GABA (gammaaminobutyric acid) receptor agonist effective for various orofacial pain disorder