What is included in the workup of burning mouth syndrome (BMS)?

Updated: Jan 22, 2018
  • Author: Vincent D Eusterman, MD, DDS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

The patient’s history and examination should direct the use of the following tests:

  • Bacterial culture (especially anaerobes)

  • KOH of lingual scraping

  • Fungal culture

  • Biopsy of tongue or mucosa

  • Sialometry

  • Schirmer's test

  • Laryngoscopy or endoscopy if reflux is suspected.

  • Lumbar puncture with gel electrophoresis

  • Patch testing for methylmethacrylate mercury, cobalt chloride, benzoyl peroxide, petrolatum cadmium sulfate, octyl gallate, benzoic acid, propylene glycol, peanuts, chestnuts, cinnamon, sorbic acid, and nicotinic acid among others.


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