Burning Mouth Syndrome (BMS) is a perplexing and painful condition characterized by a burning sensation in the mouth, often without any visible signs of irritation. It can affect the tongue, lips, gums, palate, throat, or even the entire mouth. Before treating burning mouth syndrome, it is important to distinguish primary versus secondary burning mouth syndrome. Secondary burning mouth syndrome presents due to an underlying condition, disease or disorder. It may also be related to medications. By contrast, primary burning mouth syndrome is not believed to be caused by a systemic condition. It is important to visit an orofacial pain specialist to help diagnose the cause of burning mouth syndrome. There are several treatment options for burning mouth syndrome. While many are prescription, here’s a list of some of the over the counter effective options:
1. Saliva Substitutes and Moisturizers
BMS is often accompanied by dry mouth, so saliva substitutes may provide relief. These products, available as sprays, gels, or lozenges, mimic natural saliva, keeping your mouth moist and reducing discomfort. Look for alcohol free ones with xylitol, which not only stimulate salivary flow but also helps prevent cavities.
2. Mouth Rinses with Mild Anesthetics
Over-the-counter mouth rinses containing mild anesthetics, such as benzocaine or lidocaine, can numb the affected areas temporarily, providing relief from the burning sensation. However, these should be used sparingly, as overuse may lead to irritation.
3. Alpha Lipoic Acid (ALA) Supplements
ALA is a powerful antioxidant that may have some promise in reducing symptoms of BMS. It's available over the counter in capsule form and may help by reducing oxidative stress in nerve cells, potentially calming the burning sensation.
4. Capsaicin-Containing Creams
Though it may seem counterintuitive, capsaicin—the active component in chili peppers—may desensitize nerves and reduce pain when applied topically. Look for over-the-counter capsaicin creams and apply them carefully to the affected areas. Be sure to follow instructions, as misuse may cause irritation.
5. Vitamin B Complex
Deficiencies in certain B vitamins, particularly B12, B6, and folic acid, have been linked to BMS. Taking a vitamin B complex supplement can help replenish these nutrients and may alleviate symptoms over time. Vitamin deficiencies can be diagnosed by a healthcare provider and may be have several underlying causes. This is why it is important to see an orofacial pain specialist if you have burning mouth syndrome.
6. Zinc Supplements
Low zinc levels have also been associated with BMS. Zinc supplements, available over the counter, might help improve symptoms, especially if you're deficient. Always check with your healthcare provider before starting any supplement regimen.
What to Consider
While these over-the-counter remedies can provide relief, it’s important to remember that BMS can have various underlying causes, ranging from nutritional deficiencies to autoimmune conditions. Before starting any new treatment, it’s advisable to consult with a board certified orofacial pain specialist to ensure it’s appropriate for your situation. Additionally, if symptoms persist or worsen, seeking medical advice is crucial to rule out other potential conditions.
Burning Mouth Syndrome can be challenging to manage, but with the right approach, you can find relief and improve your quality of life.
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