D e n t a l    F o l l i c l e               

             The        Monthly     E- Journal Of  Dentistry                  Vol -  V    Number-  I I I  August     2010

In this Issue:

  • Editorial

  • News

  • DentistryUnited  Ranks 9   on GOOGLE

  • Laughter - The best Medicine

  • Video Of The Month - Ameloblastoma

  • Burning Mouth Syndrome - Part 2 - Dr.Gazala Danish . United Arab Emirates

  • Neutritis Isn't Neuralgia, It's Different .- Lewiston Daily Sun - Sep 16, 1970


Editorial :

      The July issue continues with the Best of Papers of the past 5 years with Dr.Gazala Danish's Review article on Burning Mouth Syndrome. I have linked the Original Issue published in the Feb 2009 Issue. For the Editorial of the nest issue MARCH 2009 , I received a lot of appreciative mails from "dentists" as well as " non dentists" who read it .

Hope you enjoyed the series. From September We will be back with new papers for yet another journey with all of you as we expand our wings on FaceBook ! 

mailto: dentistryunited at gmail dot com

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Yours truly

Dr. Syed  Nabeel

Editor of Dental Follicle & WebMaster

News :


Hundreds of dentists earn more than £300,000 - Telegraph

Bogus dentists operating in Canada -


CarieScan signs Canadian distribution contract


Detect oral cancer just by a mouth swab - The Times of India 



DentistryUnited @  Ranks 8 on GOOGLE

Laughter - The Best Medicine :

Patient: Doctor, what does the X-ray of my head show?

Doctor: Absolutely nothing!




Burning Mouth Syndrome - Part 2  -

Dr.Gazala Danish . United Arab Emirates




                      Stomatopyrosis , Stomatodynia , Burning Mouth Disease , Oral Dysesthesia ,Oral Galvanism , Glossodynia , Glossopyrosis , Painful Tongue , Burning Tongue , Hot Tongue Syndrome


Definition :

                            International Association for Study of Pain defines glossodynia as burning pain in the tongue, which most often involves the tip and lateral borders of glossal mucosa. Palate, lips and sometimes other buccal mucosa and is often associated with odd taste, dry mouth, uncomfortable bite or denture intolerance.

                         Burning sensation can be seen with a number of inflammatory and ulcerative conditions of the oral mucosa, but the term “Burning Mouth Syndrome” is reserved to a condition where there is oral burning with no detectable cause. There are no mucosal lesions or no known neurological disorders to explain the symptoms and there are no characteristic laboratory findings.


Etiology :

                                           The causes of burning sensation in the mouth are multifactorial and divided into three groups; local, systemic and psychogenic.

Local factors :

Dental treatment

                                              The onset of symptoms, as reported by patients related to previous dental treatment, may be as high as 65%. Conversely Nater et al. found it was not possible to correlate any signs that implicated dentures as a local etiologic agent. Gorsky et al. provided similar conclusions, corroborating that denture difficulties are an uncertain cause in the development of burning mouth syndrome.


Infectious agents


                                               Mucosal diseases like geographic tongue or benign migratory mucositis,


Allergic reactions

                                                Mucosal allergic reactions to allergens like methyl methacrylate monomer, nickle sulfate, cobalt chloride and mercury. Chemicals commonly found in denture materials were evaluated through epicutaneous patch testing in 53 patients who wore dentures by Kaaber et al. In this study 23% of the patients demonstrated an allergic reaction to the substance in denture and the allergy was determined the cause for burning sensation.

                                              Oral allergies to food containing sorbic acid (a preservative found in foods, ointments and creams), cinnamic aldehyde (a flavoring agent in foods and dentifrices), nicotinic acid (used as a rubefacient in toothpaste) and propylene glycol (a food additive) have been reported.

                                              A case where peanut sensitivity was a cause of burning mouth has been reported by Burnett et al. using the serum of 10 peanut allergic subjects, Burnett et al. identified 16 IgE-binding proteins in a raw peanut extract and 7 IgE-binding proteins in a roasted peanut extract by crossed radioimmunoelectrophoresis.


Dysfunction and Parafunction

                                                 Dysfunction and parafunction of the stomatognathic. Parafunctional activities resulting in excessive occlusal or denture wear has been shown in up to 61% of studied patients with burning mouth syndrome. Parafunctional activity of lip licking, lip sucking, lip pressure and mouth breathing are noted in patients with perioral symptoms.


Quantity and quality of saliva

                                                 Oral salivary quantity and quality have been investigated as causative factors in burning mouth syndrome. Irregularities in saliva metabolites as protein, potassium and phosphate concentrations between patients with burning mouth syndrome and control patients have been suggested as causative factors.

Radiation therapy, systemic disease and pharmacotherapeutic agents have been shown to diminish salivary flow rates and may be associated with increased incidences of burning mouth syndrome symptoms.


Neural mechanisms

                                    Burning mouth symptoms may reflect a neuropathic condition possibly involving the central or peripheral nervous system or both. Nerve injury or dysfunction resulting from oral, facial or systemic trauma from medical conditions might be the cause of burning sensations. The constant burning may indicate a tonic efflux from nociceptive primary afferents to the brain. This may be evident in inflammatory conditions or regional nerve trauma (neuroma). Excitatory afferent input could evoke a burning sensation with limited sensory changes such as touch or thermal perception. Hence, the use of topical local anesthetic in the burning oro-facial region did not interrupt the burning pattern. 








                                      Neutritis Isn't Neuralgia, It's Different .


Lewiston Daily Sun - Sep 16, 1970

The Above is from the archieves of dentistry. Do read above what was neuritis /neuralgia/pyorrhea