In 70 percent of those affected, where a cause cannot be established, a dentist can help. First, the dentist may recommend chewing gum, sugarless mints or frequent drinks of water to relieve the discomfort of dry mouth, which typically accompanies the burning sensation. Second, anti-fungal medications sometimes still may provide relief, even when there are no visible signs of a yeast infection in the mouth. But we've found that getting people to use capsaicin, the natural chemical in cayenne pepper, often does help. Patients can have a pharmacy make up lozenges containing it, or it is available in a prescription cream.
Patients use the cream on the tongue or under the denture three or four times a day.
While it may be uncomfortable for the first couple of days, it often is found effective with continued use. Other medications used to treat the disorder include antibacterials, analgesics, vitamin and mineral replacements, benzodiazepines such as clonazepam, antihistamines and anti-depressants. It is also thought that hormonal replacement may be another option. Despite the mystery surrounding BMS, individuals with even minor symptoms should seek treatment to ensure that it is not a sign of a more serious condition. A general dentist is the primary care provider for patients of all ages and is responsible for the diagnosis, treatment, management and overall coordination of services related to patient's oral health needs.