Burning mouth syndrome

BMJ Clin Evid. 2016 Jan 7:2016:1301.

Abstract

Introduction: Burning mouth syndrome mainly affects women, particularly after the menopause, when its prevalence may be 18% to 33%.

Methods and outcomes: We conducted a systematic overview, aiming to answer the following clinical question: What are the effects of selected treatments for burning mouth syndrome? We searched: Medline, Embase, The Cochrane Library, and other important databases up to January 2015 (Clinical Evidence overviews are updated periodically; please check our website for the most up-to-date version of this overview).

Results: At this update, searching of electronic databases retrieved 70 studies. After deduplication and removal of conference abstracts, 45 records were screened for inclusion in the overview. Appraisal of titles and abstracts led to the exclusion of 25 studies and the further review of 20 full publications. Of the 20 full articles evaluated, one systematic review and nine RCTs were added at this update. We performed a GRADE evaluation for five PICO combinations.

Conclusions: In this systematic overview, we categorised the efficacy for six interventions based on information about the effectiveness and safety of alphalipoic acid, benzodiazepines, benzydamine hydrochloride, cognitive behavioural therapy (CBT), selective serotonin re-uptake inhibitors (SSRIs), and tricyclic antidepressants.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Antidepressive Agents, Tricyclic / therapeutic use
  • Benzodiazepines / therapeutic use
  • Benzydamine / therapeutic use
  • Burning Mouth Syndrome / therapy*
  • Cognitive Behavioral Therapy
  • Humans
  • Selective Serotonin Reuptake Inhibitors / therapeutic use
  • Treatment Outcome

Substances

  • Antidepressive Agents, Tricyclic
  • Serotonin Uptake Inhibitors
  • Benzodiazepines
  • Benzydamine