Burning mouth syndrome is more common in Parkinson's disease. Management - Reassurance and occasionally psychiatric consultation, vitamins, or antidepressants may be indicated, but they are not reliably effective. Desquamative gingivitis Widespread erythema, particularly if associated with soreness, is usually caused by desquamative gingivitis. This is an ill defined entity that includes burning mouth syndrome, atypical facial pain, atypical odontalgia, and the syndrome of oral complaints. The pain is often of a dull, boring, or burning type of ill defined location.
Most patients are women who are middle aged or older.
They typically have constant chronic discomfort or pain, rarely use analgesics, sleep undisturbed by pain, have consulted several clinicians, have no objective signs and have negative investigations, and have recent adverse life events such as bereavement or family illness and also multiple psychogenic related complaints. Causes of orofacial pain Management - Attempts at relieving pain by restorative treatment, endodontia, or exodontia are usually unsuccessful. Many patients lack insight and will persist in blaming organic diseases for their pain. Some patients are depressed or hypochondriacal and may respond to fluoxetine or dosulepin hydrochloride. However, many refuse drugs or psychiatric help.