Friday, December 10, 2010

Can toothpaste cause Burning mouth syndrome Or Burning Mouth pain? Burning Mouth Pain -Yes.

Recently I read this article
Can toothpaste cause Burning Mouth Syndrome?

 Dear Dr. Gott: I have suffered with Burning Mouth Syndrome (BMS) since 2001. I have worked with my doctor and have had every test the Mayo Clinic recommended, to no avail. Recently, my sister called and told me of an article she read where the patient had suffered for 20 years with the condition and found the cause in toothpaste.

 

Could you please send me any information you have on BMS, including this article with the name of the toothpaste? 

Dear Reader: Burning Mouth Syndrome causes searing pain that can spread throughout the entire mouth - from the lips, gums and tongue to the insides of the cheeks. It can cause a loss of taste, increased thirst, dry mouth, tingling and more. The pattern may be constant, or it might come and go. 

When the specific cause cannot be diagnosed, it is believed linked to problems with the sensory nerves of the peripheral or central nervous system. There may be a nutritional deficiency or an underlying medical condition. 

The condition may be related to medications, primarily those taken for hypertension. It may be caused by hypothyroidism (an underactive thyroid), diabetes, nutritional deficiencies, exposure to contaminants or allergies to food additives. 

People who suffer from BMS should begin by seeing their primary-care physician, who may refer them to a dentist, otolaryngologist or other specialist. Possible causes include oral-thrush medication, lozenges, oral rinses or mouthwashes, a trial with the B vitamins or cognitive behavioral 
intervention. 

On the home front, you should avoid eating spicy foods, or those that contain cinnamon or mint. Refrain from tobacco products, reduce your stress level, and use toothpaste and soaps that are free of sodium laurel sulfate (SLS). This ingredient can cause adverse reactions in some people. Stress can be a factor. Consider practicing yoga, tai chi or another form of relaxation exercise. 
Source of the above article- Here
My Question is- are you sure this is Burning Mouth Syndrome & Not The Condition Named Burning Mouth pain?
Because the information you provided is suggesting that it is type IV Hypersensitivity which is causing Burning mouth pain. We need some oral examination though but it is Burning Mouth pain.
Can toothpaste cause Burning mouth syndrome Or Burning Mouth pain? Burning Mouth Pain -Yes.


Glossodynia or burning mouth syndrome (BMS) (also known as "Burning tongue" and "Orodynia".
This condition characterized by a burning or tingling sensation on the lips, tongue, or entire mouth.
Causes include –
·         nutritional deficiencies,
·         chronic anxiety,
·         depression,
·         Type II Diabetes,
·       Menopause
·        Oral disorder caused by Infection like Oral thrush by Candida Albicans  Or Dry mouth by some medication or systemic disease.
·        Damage to nerves.
Source- here
One cause of
burning mouth pain, which may be often misdiagnosed as burning mouth syndrome, is a contact sensitivity Type IV hypersensitivity ( –delayed type of hypersensitivity) in the oral tissues to common substances such as sodium lauryl sulfate, a surfactant commonly used in household products, cinnamon aldehyde or dental materials. There are now several toothpastes on the market specifically without sodium lauryl sulfate or other preservatives which have been found to be associated with sensitivities.
Toothpastes without sodiumlaural sulfate- here
[Both Sodium Lauryl Sulfate (SLS) and its close relative Sodium Laureth Sulfate (SLES) are commonly used in many soaps, shampoos, detergents, toothpastesand other products that we expect to "foam up". Both chemicals are very effective foaming agents, chemically known as surfactants.
SLS and SLES are esters of Sulphuric acid - SLS is also known as "Sulfuric acid monododecyl ester sodium salt", however there are over 150 different names by which it is known - see them here. In fact, SLES is commonly contaminated with dioxane, a known carcinogen.
Although SLES is somewhat less irritating than Sodium Lauryl Sulfate, it cannot be metabolised by the liver and its effects are therefore much longer-lasting.
A report published in the Journal of The American College of Toxicology in 1983 showed that concentrations as low as 0.5% could cause irritation and concentrations of 10-30% caused skin corrosion and severe irritation. National Institutes of Health "Household Products Directory" of chemical ingredients lists over 80 products that contain sodium lauryl sulfate. Some soaps have concentrations of up to 30%, which the ACT report called "highly irritating and dangerous".
Shampoos are among the most frequently reported products to the FDA. Reports include eye irritation, scalp irritation, tangled hair, swelling of the hands, face and arms and split and fuzzy hair. The main cause of these problems is sodium lauryl sulfate.]
Source- here

Treatment for burning mouth syndrome-
Low dosages of benzodiazepines, tricyclic antidepressants or anticonvulsants may prove to be an effective treatment.
Alpha-Lipoic Acid 600 to 800 mg administered daily in three or four doses has been found to reduce symptoms. Trials have been small, but alpha-lipoic acid may be an appropriate adjunctive treatment option.



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