Past Issues
The Rôle of Psychiatric Treatment on Burning Mouth Syndrome:A Case Report
Horng-Maw Chen, Chung-Hung Lee, Tso-Jen Wang, Ching-Ming Cheng
Patients with burning mouth syndrome
(BMS) have a burning sensation in mouth, including
lips, tongue, as well as soft and hard palate
without gross oral-mucosal abnormality. BMS
usually presents itself among perimenopausal or
menopausal women in their 50’s to 70’s of age.
Dysgeusia and xerostomia usually accompany
BMS, in as many as 46% and 75.7% of cases, respectively
[1]. Comorbidities of BMS include
psychiatric disorders, such as depressive disorder,
anxiety disorder, personality disorder, and somatoform
disorder [2]. Mignogna et al. (2005)
reported that an average of 3.1% medical or dental
practitioners misdiagnose the oral pain in each patient.
Because of the erroneous stigma about visiting
psychiatrists, these patients often fi rst present
themselves in general clinics and are seldom evaluated
formally by psychiatrists or psychological
experts. Psychiatric intervention should be considered
as a part of the management plan, not
merely because of the possibility of misdiagnosis,
but also the necessity of a multidisciplinary approach
on the biopsychosocial basis [3].
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