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Treatment Options for Burning Mouth Syndrome

  • Writer: Dr. Chandrashekhar
    Dr. Chandrashekhar
  • Sep 28
  • 4 min read

Burning Mouth Syndrome (BMS) is a perplexing condition that causes a persistent burning sensation in the mouth. It can affect the tongue, lips, gums, palate, or the entire mouth. This discomfort often feels like scalding or tingling, and it can seriously impact daily life. Understanding the available treatment options is crucial for anyone seeking relief. Let’s explore the various approaches that can help manage and reduce the symptoms of this challenging condition.


Understanding Burning Mouth Treatment Approaches


When it comes to managing burning mouth syndrome, there is no one-size-fits-all solution. Treatment often depends on the underlying cause, which can range from nutritional deficiencies and hormonal changes to nerve damage or dry mouth. Because of this complexity, a thorough evaluation by a healthcare professional is essential.


Here are some common burning mouth treatment approaches:


  • Nutritional Supplements: Deficiencies in vitamins such as B12, folate, or iron can contribute to symptoms. Supplementing these nutrients may provide relief.

  • Saliva Substitutes and Hydration: Dry mouth often worsens burning sensations. Using saliva substitutes or increasing water intake can help soothe the mouth.

  • Medications: Certain medications, including topical anesthetics, antidepressants, or anticonvulsants, may reduce nerve pain and discomfort.

  • Oral Hygiene Adjustments: Avoiding irritants like spicy foods, alcohol, and tobacco can prevent symptom flare-ups.

  • Stress Management: Since stress and anxiety can exacerbate symptoms, relaxation techniques and counseling might be beneficial.


Each of these approaches targets different aspects of the syndrome, and often a combination is necessary for effective relief.

Close-up view of a glass of water and vitamin supplements on a wooden table
Nutritional supplements and hydration for burning mouth relief

Identifying the Root Causes for Better Treatment


Before diving into treatment, pinpointing the root cause of burning mouth syndrome is vital. Sometimes, the burning sensation is a symptom of another condition. For example:


  • Hormonal Changes: Menopause can trigger BMS in some women.

  • Oral Infections: Fungal infections like oral thrush may cause burning.

  • Medication Side Effects: Some drugs can cause dry mouth or irritation.

  • Neuropathic Factors: Damage or dysfunction in the nerves supplying the mouth.


By identifying these triggers, healthcare providers can tailor treatment plans more effectively. For instance, treating an oral infection with antifungal medication can eliminate the burning sensation if that is the cause.

Regular dental check-ups and medical evaluations are essential steps. They help rule out other oral health issues and ensure that the treatment plan addresses the correct problem.


Eye-level view of a dental clinic examination room with dental chair and equipment
Dental clinic setup for oral health evaluation

What are the New Treatments for Burning Mouth Syndrome?


Recent advances in medical research have introduced promising new treatments for burning mouth syndrome. These innovations focus on targeting nerve pain and improving quality of life without invasive procedures.


  • Low-Level Laser Therapy (LLLT):  Low-level laser therapy (photobiomodulation) may reduce peripheral nerve hyperexcitability and improve mucosal sensitivity. This non-invasive treatment uses laser light to reduce pain and inflammation in the mouth.  Studies show it can provide significant relief for some patients. However, patients may not benefit with this modality unless combined with other therapies.

  • Topical/ Systemic Medications: Small doses of medications (anticonvulsant, antidepressants, anxiolytics, etc ) can help calm neuropathic pain pathways. Treatment should be tailored to each patient’s symptoms and tolerance.

  • Capsaicin Therapy: Derived from chili peppers, capsaicin can desensitize nerve endings when applied topically, reducing the burning sensation over time. However, the initial increase in burning becomes the challenge.

  • Cognitive Behavioral Therapy (CBT): Since psychological factors can influence BMS, CBT helps patients manage stress and anxiety, which may lessen symptoms.

  • Neuromodulation Techniques: Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) have shown potential in modulating central pain pathways and reducing oral burning sensations.


These new treatments are often used alongside traditional methods, creating a comprehensive approach to managing burning mouth syndrome.

High angle view of a laser therapy device in a clinical setting
Low-level laser therapy device used for nerve pain treatment

Practical Tips for Managing Symptoms Daily


Living with burning mouth syndrome can be frustrating, but there are practical steps to ease discomfort day-to-day:


  1. Avoid Irritants: Steer clear of spicy, acidic, or salty foods that can aggravate the mouth.

  2. Maintain Good Oral Hygiene: Use SLS-free toothpaste and avoid mouthwashes with alcohol.

  3. Stay Hydrated: Sip water regularly to keep the mouth moist.

  4. Use Soothing Products: Over-the-counter gels or rinses designed for active mouth sores may provide temporary relief. LLLT can aid in calming pain due to active sores.

  5. Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or gentle exercise.

  6. Regular Medical Follow-Up: Keep appointments with your healthcare provider to monitor symptoms and adjust treatment / medications as needed.


These simple lifestyle changes can make a significant difference in comfort and quality of life.


Seeking Professional Help for Lasting Relief


If you or someone you know is struggling with persistent burning sensations in the mouth, it’s important to seek professional evaluation. The treatment for burning mouth syndrome offered by specialized clinics like us- Advanced TMJ Maxillofacial Pain & Sleep Center in Seattle focuses on evidence-based approaches. Our expertise in nerve pain and facial discomfort ensures a personalized plan that addresses the root causes and symptoms effectively.


Early intervention can prevent symptoms from worsening and improve overall well-being. Don’t hesitate to reach out for help and explore the options available.


Burning mouth syndrome may be complex, but with the right knowledge and support, relief is within reach. Whether through nutritional adjustments, innovative therapies, or lifestyle changes, there are many paths to comfort.

Taking the first step toward treatment can transform daily life and restore the joy of eating, speaking, and smiling without pain.

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