Burning mouth syndrome support

Burning mouth syndrome (BMS) is a condition where pain or discomfort is felt in the mouth. This is often described as a burning sensation. It might be continuous, or come and go.

You might have other symptoms such as an unpleasant taste or a dry mouth.

It is important that you know that we believe your symptoms. We do not think that they are imaginary, or that you are exaggerating the pain and discomfort you feel.

Causes of BMS

The causes of a burning sensation might be a disease, or sometimes medicines.

It is thought to be associated with changes in the nerve endings in the mouth, which transmit signals to the brain.

It is not caused by mouth cancer, and is not contagious. Although more common in women, it can affect men too.

Treating BMS

During your first appointment, you will have an examination and investigation to make sure that there is nothing else causing your symptoms.

This might include blood tests and a spit (saliva) sample.

For some people, medicine such as nortriptyline or gabapentin might help with the pain. However, there is not always a medical solution to relieve the sensations.

BMS can be a long-term condition, but the symptoms can fade significantly for some people over time.

How to help yourself

We know that stress, and moods like sadness and frustration, can affect your symptoms and increase your sensitivity to pain.

Read our information about how mouth pain and unpleasant sensations can affect your life.

BMS support sessions

Information session

People with BMS, who are being treated at Guy's and St Thomas' hospitals, might be invited to a single group information session, held online or in the hospital.

It involves a talk by a doctor, and a psychologist, and the opportunity to talk to other people with the same condition.

It is a free service, and you do not need to take anything with you, except a pen and paper if you want to take notes.

At your appointment in the dental department, your dental team will talk to you about this support, and refer you if necessary.

A short group course

After the information session, you might be invited to a short course. This course will help you to cope better with your symptoms.

It involves a 2-hour group session each week, for 4 weeks. There is also a booster session several weeks later.

The group course is based on the principles of acceptance and commitment therapy (ACT). ACT teaches you to respond differently to your pain so you can live with your symptoms more easily.

Individual therapy

If needed, you might be invited for an appointment with a psychologist for individual therapy (this might be a remote appointment).