The disorder known as “burning mouth syndrome” (BMS) is characterised by a long-lasting burning sensation in the mouth. Oral dysesthesia, stomatodynia, and glossodynia are other names for it. BMS sufferers’ quality of life and dental health may be greatly impacted.
Symptoms
A scorching or scalding feeling in the mouth is the main sign of burning mouth syndrome. However, people may also have additional symptoms, such as:
mouth ache
metallic or unpleasant flavour
Numbness or tingling in the mouth
Modification of flavour
discomfort or pain in the mouth
heightened thirst
difficulty swallowing or eating
Causes
Identifying the precise aetiology of burning mouth syndrome is frequently challenging. It is frequently regarded as being idiopathic, which means that the exact reason is unknown. However, a number of elements and underlying issues have been linked to the emergence of BMS, including:
harm or malfunction to the nerves
hormonal adjustments, such as menopause
nutritional inadequacies, such as those related to iron, zinc, or vitamin B12.
Oral infections (such as candidiasis or oral thrush)
reflux of acid
responses to certain foods or dental materials that cause allergies
psychological elements like anxiety, stress, or sadness
Drugs (such as ACE inhibitors, oral contraceptives, or certain diuretics, for example)
Pathophysiology
Burning mouth syndrome’s precise mechanism is not fully understood. However, it is thought to be caused by a problem with the mouth’s sensory nerves. The development of the enduring burning sensation may be influenced by modifications in the perception and processing of pain signals. The abnormal sensory processing may be caused by elements such as nerve injury, hormone imbalances, or dietary inadequacies.
Diagnosis
Burning mouth syndrome must be diagnosed by thoroughly examining the symptoms, medical background, and eliminating any other potential causes. A dentist or other oral medicine specialist may conduct a number of tests, such as an oral examination to look for mouth lesions, infections, or other oral health disorders.
blood tests to detect underlying diseases or nutritional deficits
Measurement of salivary flow rate to assess generation of saliva
Testing for allergies to find probable allergens
Biopsy (in rare instances) to rule out further oral conditions
Treatment
The goal of treating burning mouth syndrome is to minimise symptoms and, if possible, deal with any underlying causes. Depending on the person and the alleged cause, the strategy may change. Options for treatment include:
Symptom alleviation techniques: using topical oral treatments, such as mouth rinses, numbing agents, or saliva substitutes, to ease discomfort.
Medications: Anticonvulsants, tricyclic antidepressants, or benzodiazepines may be prescribed to treat symptoms and control pain.
replacement hormone treatment Hormone replacement therapy may be a possibility when hormonal changes are a contributing issue.
addressing underlying issues addressing any underlying issues that have been found, such as dietary deficits and oral infections.
Prognosis
Individuals with burning mouth syndrome may experience different outcomes. While the symptoms may in some cases last for years, in others they may go away on their own or after receiving the right care. It is crucial to remember that BMS is a chronic condition, meaning that full symptom relief might not always be attainable. However, many people notice improvements in their symptoms over time with appropriate care.
Complications
Usually, the burning mouth condition itself does not result in life-threatening complications. However, the ongoing discomfort and agony brought on by BMS can have a serious impact on a person’s quality of life. Chronic discomfort and pain can make it difficult to eat, speak, and carry out everyday tasks, which can result in emotional anguish, worry, and depression.
It could contain:
further oral infection
food insufficiency
disruptions in sleep
emotional health.
In ayurveda, burning mouth condition
The condition of continuous discomfort or a burning feeling in the tongue is known as glossdynia in Ayurveda and is known as “Jihva Prakshalana.” Jihva refers to the tongue, and Prakshalana denotes washing or purifying. Jihva Prakshalana is an Ayurvedic therapeutic method that involves renewing and cleaning the tongue in order to treat tongue-related conditions including glossdynia. This method attempts to boost general oral health while balancing the body’s doshas (energetic forces). To alleviate the symptoms of glossdynia, it may require a variety of methods, including tongue scraping, herbal rinses, and Ayurvedic formulations.
Nidana
A buildup of Ama (toxic chemicals) on the tongue or an imbalance of the doshas (Vata, Pitta, and Kapha) that impacts oral health can be the major nidana in the context of Jihva Prakshalana.
Poorvaroopana
The prodromal or premonitory symptoms that appear before the start of a specific disease are referred to as poorvaroopana. Jihva Prakshalana’s poorvaroopana symptoms can include a coated tongue, unpleasant breath, a metallic or bitter aftertaste, mouth dryness, or alterations in taste perception.
Samprapti
Samprapti is the Sanskrit term for the pathogenesis, or the sequential development of a disease. The accumulation of Ama and the escalation of doshas in the mouth cavity are both examples of samprapti in the context of Jihva Prakshalana, causing a variety of oral health problems.
Lakshana
Lakshana describes the warning signs and symptoms of a specific sickness or condition. Jihva Prakshalana defines lakshana as having a coated or discoloured tongue, bad breath, changed taste perception, excessive or dry salivation, and a heavy or uncomfortable feeling in the mouth.
Prognosis
Curable
Chikitsa
External
External Chikitsa for Jihva Prakshalana:
Tongue Cleaner: The main external technique for Jihva Prakshalana is tongue scraping or cleaning. Typically, it is a U-shaped piece of stainless steel, copper, or silver metal. From back to front, gently scrape the tongue’s surface to get rid of the coating and dirt. Repeat this process until the tongue feels clean by rinsing the scraper after each swipe.
Internal
Herbal Mouthwash: For internal cleaning of the tongue and oral cavity, Ayurveda advises using herbal mouthwashes or gargles. Neem, triphala, or tulsi (holy basil) are some herbs you can use to make a decoction or infusion. Gargle for a few minutes with it after letting it cool to a comfortable temperature, being sure to swish the liquid all over your mouth and tongue. After that, spit out the mouthwash.
Oil Pulling: Oil pulling, also known as Gandusha or Kavala Graha, is another technique used internally. Swish a spoonful of organic, cold-pressed oil in the mouth for 10 to 15 minutes, preferably sesame or coconut oil. As you move the oil about, make sure it touches the tongue and every other part of the mouth. Spit the oil out and wash your mouth with warm water afterward.
Organic Toothpowder: Use ayurvedic herbal tooth powders like Triphala Churna to wash your teeth and lightly scrub your tongue. Brush your teeth and tongue gently in circular strokes with a wet toothbrush that has been coated in tooth powder. After that, give your mouth a good rinse.
Commonly used medicine
Neem (Azadirachta indica): Neem is well known for having antibacterial qualities that can help clear the tongue of microorganisms. Neem toothpaste or twigs can be used to scrape the tongue.
The three fruits Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula) make up the traditional Ayurvedic remedy known as triphala. It is frequently utilised for a variety of medical needs, including dental care. You can make a paste by combining a small amount of Triphala powder and water, then use it to scrape your tongue.
The antibacterial and anti-inflammatory properties of turmeric (Curcuma longa) may be advantageous for dental health. You can apply a paste made from a little amount of turmeric powder, water, and/or coconut oil to the tongue before scraping.
Sesame oil: In Ayurveda, oil pulling—a technique that includes swishing oil in the mouth—is frequently done using sesame oil. Even though it is unrelated to tongue scraping, you may want to try sesame oil pulling before doing Jihva Prakshalana to enhance your oral hygiene.
Brand available
Dadur
Baidyanath
Himalaya herbals
Kottakkal
Avp
Zandu
Patanjali
Home remedies
Purchase a high-quality tongue scraper. These are typically made of copper or stainless steel and cost money. Remove any coating or dirt by gently scraping your tongue from back to front. To keep the scraper clean, rinse it after each use.
Warm Saltwater Rinse: To rinse your mouth, combine a teaspoon of salt with a glass of warm water. For around 30 seconds, focus on the tongue while you swish the solution throughout your mouth. After you’ve rinsed your mouth with ordinary water, spit out the combination.
Natural mouthwash can be made by scalding herbs like peppermint, cloves, or neem leaves in water. The mixture can be strained, let to cool, and then used as mouthwash. Before spitting it out, swirl it about in your mouth for a few minutes, paying specific attention to the tongue.
Gel made from aloe vera: Aloe vera has antibacterial qualities that can help with dental health. Fresh aloe vera gel should be applied sparingly to the tongue, allowed to sit for a minute or two, and then rinsed off with water.
Diet
Drink enough water throughout the day to keep your body hydrated if you’re on a diet. This supports the maintenance of salivary flow and promotes the natural cleaning of the tongue.
Fruits, vegetables, whole grains, and legumes are fantastic dietary fibre sources.
Reduce your intake of packaged and processed foods, which frequently contain extra sugar, harmful fats, and artificial additives.
Limit your intake of sugary foods and drinks because too much of them can cause tooth decay and other oral health problems.
Foods high in probiotics: Include probiotic foods like yoghurt, kefir, sauerkraut, and kimchi in your diet.
Include fresh herbs and spices in your meals, such as turmeric, neem, cloves, and cinnamon.
Reduce your alcohol and caffeine intake as much as possible to prevent oral health issues like dry mouth, poor breath, and other oral health issues.
Adequate chewing: Give your food the time it needs to be completely chewed, as this encourages salivation and aids in naturally cleaning the tongue.
Yoga Halasana (Plough practise): Halasana is a restorative yoga practise that stimulates the thyroid gland and can help with better digestion. By enhancing general oral and digestive health, it indirectly supports Jihva prakshalana.
Matsyasana, sometimes known as the “Fish Pose,” is a yoga posture that extends the chest, neck, and throat. It might aid in throat opening, improving the advantages of Jihva prakshalana.
Simhasana (Lion’s Pose):
Simhasana is a yoga pose that is perfect for supporting Jihva prakshalana since it stretches the muscles of the mouth, throat, and face.
Research link
[Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342883/]
[Link: https://pubmed.ncbi.nlm.nih.gov/32215929/]
[Link: https://pubmed.ncbi.nlm.nih.gov/26561088/]
The Food and Drug Administration, United States has not evaluated these statements. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
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