Experiencing a persistent burning sensation in your mouth can be unsettling and disruptive. Many patients wonder about the underlying cause of this discomfort, often asking: “Is my Burning Mouth Syndrome actually Oral Lichen Planus?” At Melbourne Oral Medicine and Facial Pain Centre, we understand these concerns. Dr. Suhaib Alqudah, a registered Oral Medicine Specialist with a PhD in Oral Lichen Planus, offers specialist consultations Australia-wide via secure video to help diagnose and manage these complex oral conditions.
Burning Mouth Syndrome (BMS) is a chronic pain condition characterised by a burning, scalding, or tingling sensation in the mouth, often without any visible lesions or obvious physical cause. It commonly affects the tongue, lips, and roof of the mouth. Patients may also experience altered taste, a dry mouth sensation, or numbness. While the exact cause of primary BMS is not fully understood, it is believed to involve nerve dysfunction. It is often diagnosed after other potential causes of oral burning have been ruled out. (Hyposalivation and Xerostomia and Burning Mouth Syndrome, 2022; Burning Mouth Syndrome, 2020; Burning Mouth Syndrome, 2023)
Oral Lichen Planus (OLP) is a chronic inflammatory condition that affects the lining of the mouth. It is considered an immune-mediated condition, meaning the body's immune system mistakenly attacks cells in the oral mucosa. OLP can manifest in various forms, including white lace-like patterns (reticular OLP), red, inflamed patches (erythematous OLP), or open sores (erosive OLP). While some forms of OLP may be asymptomatic, others, particularly the erythematous and erosive types, can cause significant burning, soreness, sensitivity to spicy foods, and discomfort. (Oral lichen planus - Differential diagnoses, 2018; Oral Lichen Planus: An Update on Diagnosis and Management, 2024)
The key difference lies in the presence of visible oral lesions. Primary Burning Mouth Syndrome is characterised by a burning sensation without any clinically apparent changes in the mouth lining. In contrast, Oral Lichen Planus always presents with distinct visual signs, even if they are subtle. However, the burning sensation caused by OLP can sometimes be so prominent that patients initially suspect BMS. Other conditions that can cause burning sensations include nutritional deficiencies (e.g., iron, B vitamins), dry mouth (xerostomia), fungal infections, medication side effects, and nerve-related pain. (Hyposalivation and Xerostomia and Burning Mouth Syndrome, 2022; Xerostomia of Various Etiologies, 2016)
If you are experiencing persistent burning, soreness, or any unusual changes in your mouth, it is important to seek professional evaluation. Red flags include visible white or red patches, ulcers that don't heal, or a burning sensation that significantly impacts your ability to eat, speak, or sleep. An accurate diagnosis is crucial because the management strategies for BMS and OLP differ. While BMS often focuses on symptom management and addressing potential neuropathic components, OLP management typically involves immune-modulating therapies to control inflammation and prevent progression.
Melbourne Oral Medicine offers secure video (telehealth) consultations Australia-wide, providing convenient access to specialist expertise without the need for travel. Dr. Suhaib Alqudah, with his extensive experience and PhD in Oral Lichen Planus, is highly skilled in diagnosing and managing both Burning Mouth Syndrome and Oral Lichen Planus, as well as other complex oral and maxillofacial conditions. During your online assessment, Dr. Alqudah will conduct a thorough history and visual examination via video. He can then provide a specialist opinion, guiding you on whether your symptoms are likely due to BMS, OLP, or another condition. This may involve recommending specific blood tests, imaging, or a local biopsy (if required, coordinated with your local practitioner) to confirm a diagnosis. This remote assessment allows for accurate triage and a tailored management plan, ensuring you receive the right care from the comfort of your home.
It is possible to experience symptoms of burning from Oral Lichen Planus. In some cases, a person might have OLP and also develop features of Burning Mouth Syndrome, although primary BMS is usually diagnosed when no other cause is found. A specialist evaluation is essential to differentiate or identify co-existing conditions.
While Burning Mouth Syndrome is not life-threatening, it can significantly impact a person's quality of life due to persistent discomfort, altered taste, and associated anxiety or depression. Early diagnosis and management can help alleviate symptoms and improve well-being.
During your secure video consultation with Dr. Alqudah, you will discuss your symptoms, medical history, and any medications you are taking. Dr. Alqudah will visually assess your oral cavity and provide an expert opinion, offering reassurance and guiding you through the necessary diagnostic steps and potential treatment options or referrals.
If you are experiencing persistent burning in your mouth or have concerns about Oral Lichen Planus, we encourage you to get in touch. Book a secure video consultation with Melbourne Oral Medicine today to receive specialist assessment and care from Dr. Suhaib Alqudah, no matter where you are in Australia.
#Burningmouthsyndrome #Orallichenplanus #Oralpain #Telehealthaustralia #Oralmedicinespecialist #Mouthhealth
Have a question? Our team can help — book a consultation or explore our services. Book a consultation or explore our services.
Add Comment