What are the treatment options for primary 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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The following treatments for primary burning mouth syndrome (BMS) have been suggested with unfortunately variable and conflicting evidence to support their use [56] :

  • Clonazepam (low-dose) dissolvable wafers (may be better than tablets) [57, 58]

  • Alpha-lipoic acid [57]

  • Intermittent oral capsaicin [59]

  • Psychotherapy (cognitive behavioral modification, relaxation) [57]

  • Topical capsaicin [6, 60]

  • Hormone replacement therapy

  • SSRIs

  • Tricyclic antidepressants

  • Oral lidocaine

  • Near infrared irradiation of the stellate ganglion, to inhibit sympathetic discharge and improve blood flow to the tongue in glossodynia (still experimental) [61]

  • Topiramate [62]

  • Olanzapine [63]

  • Acupuncture (uncontrolled studies) [64, 65]

Source Article: Burning Mouth Syndrome: Treatment & Management

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