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Mouth Diseases

Burning in mouth and pain

11/08/2005

Question:

I have seen several dentists and been to the pain clinics at USC and UCLA. I have been on differant medication everything from val trex, trileptal, indomethacin and gabapentin. My recent visit the doctor suggested o.5 MG klonopin three times aday. It is to to disslove on my tongue and swish around and spit out. No help. The burning comes and goes and well as the pain. Is there something I missed or someone else I can see in Calif. Thanks

Answer:

What you are describing is fairly typical for patients with burning mouth syndrome. Unfortunately, there is no medically proven treatment for this condition, although all of the medications that you've been given have been suggested as possible "cures." None of these medications has been shown in a scientific fashion (double-blind, placebo-controlled trial) to have an effect on burning mouth syndrome that is any greater than what one would expect with a placebo ("sugar pill").

Most of the evidence suggests that burning mouth syndrome is an annoying, but otherwise harmless, problem that is due to improper functioning of the nerves that supply sensory information (pain, taste, texture) to the brain. No one has any medicines that can fix nerves, although for over half of the patients with this problem, the disorder eventually just goes away on its own after a period of time that can range from weeks to years.

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Response by:

The Ohio State University Carl M. Allen, DDS, MSD
Professor & Director, Oral & Maxillofacial Surgery and Pathology
Dental Faculty Practice
Section of Oral and Maxillofacial Pathology
College of Dentistry
The Ohio State University
Carl M. Allen, DDS, MSD