Burning mouth syndrome, or glossodynia, is a type of unpleasant abnormal sensation known as dysesthesia that affects up to 4% of adults. It is characterized by a burning sensation in the soft tissues of the mouth, most often the tongue and lips. Primary burning mouth syndrome is a diagnosis of exclusion, meaning that laboratory findings and clinical appearance are unable to offer any other diagnosis or cause such as infection, acid reflux, or metal allergy. When a local or systemic cause can be found, the diagnosis is secondary burning mouth syndrome and treatment is directed toward the causative factor.
In the case of primary burning mouth syndrome, the cause is unknown and there is no definitive cure. The theories of its cause include abnormal crosstalk between the trigeminal and facial nerve, damaged small nerve fibers, and a specific loss of inhibition within the central nervous system.
The combination of cognitive behavioral therapy with topical and systemic medications has been shown to provide the greatest benefit for those who suffer from primary burning mouth syndrome. Though no definitive cure exists, Dr. Cebula is dedicated to providing the most effective, up-to-date evidence-based treatment available for his patients.