Constant  burning sensation on anterior tongue and palate of females without any sign of tissue damage-inflammation-lesions.

An affliction no one wants have and no one wants treat ! Like most diseases, there are mild cases and moderated cases. Most have seen cases which responds to medications and fail to treat the underlying cause. Even the patients have trouble believing that one of major causes in hidden high anxiety.

Burning Mouth Syndrome (BMS) is small fiber neuropathy caused by abnormal high neural inputs through sympathetic system & pain system for long periods time from high anxiety, multiple sources inflammation, hyper stimulation trigeminal nerve, and decrease nerve healing ability

3.7  to 5.0 percent of the population suffer from BMS. 92% BMS patients suffer from high anxiety, emotional hyjacking, PTSD, OCD, mood disorders.

Before you call Orofacial Pain Specialiste to request help for BMS, I need to inform you it will be hardest job you ever undertake ? An investment in health, similar to commitment to marriage, parent hood, astronaut, or olympics.

TYPES BURNING MOUTH: 1) Easy-short term-patient reduces anxiety or reduces dry mouth drugs 2) Moderate-Dentist or PCP treats w/ medication 3) Complex; high anxiety, high inflammation, nerve damage

Orofacial pain specialist, patient, and team are required to manage complex cases. It takes every tool, every professional on team, and passionate patient to be successful. The toughest disease you will every treat. Come prepared to work hard.

BMS Complex disease:

1. Demanding quick fix in chronic pain
2. Reliance medication alone
3. Reducing impulses in anxiety system
4. Treating symptoms not causes
5. Desensitizing hidden triggers of anxiety
6. Emotional triggers hidden in emotional brain
7. Unwilling to trust science, doctor, ourselves
8. Reliance on single tools
9. Ignoring nerve impulses from grind-clench
10. Team professionals communicate
11. Need for Integrative team
12. Reduce nerve impulses trigeminal nerve
13. read "Body Keeps The Score" or "Emotional Intelligence"
14. Many of 10 drugs you take cause dry mouth
15. Poor health habits

Orofacial pain specialist utilizes:

1. Every tool to reduce grind-clench
2. Highly trained team
3. Reduction impulses in damage nerve
4. Reduction impulses in anxiety system
5. Understanding complexity pain system
6. Improvement in health habits
7. Reduction from 10 dugs to 3 drugs
8. Resolution emotional hyjacking

WARNING: NO quick fix. 1) You must address known sources of Stress and anxiety 2) Research "your" emotional hyjacking & PTSD 3) Implement anti-anxiety tools rapidly possible 4) Medications alone fail over time 5) You must be passionate about your health 6) There is no one doctor that can help you with BMS 7) Hidden sources anxiety are most dangerous 8) Must reduce "all" pain impulses simultaneously 9) No financial help chronic pain from greedy Insurance

Why medications are ineffective BMS?

1. Only reduce pain by 10-20%
2. loose its effectiveness higher anxiety
3. Effective dosing causes major side effects
4. Proper Dosing requires slow titration
5. Anxiety is hard treat, especially emotional hyjacking
6. BMS is neuropathic disease not dental disease
7. Patient are unwilling invest Integrative tools
8. Patient denies existence of certain anxieties

Incredible suffering from burning  mouth syndrome because patient will not participate in chronic pain team to degree necessary for success and most doctors/dentist have no training in this type neuropathy.

What is the price of suffering from all those years w/ tormenting burning mouth as compared to cost of successful care under OROFACIAL PAIN TEAM? Besides, the cost of BMS therapy is not really the money. The work on the anxiety system takes every ounce courage you can muster to change the computer (brain) pre programming.

Burning Mouth

1. Substantial Anxiety causing nerve impulses
2. Anxiety system wires to pain system
3. Inflammation head/neck region causing pain impulses
4. Overstimulaiton 5th cranial nerve by grind/clench
5. Poor health habits = poor nerve healing
6. Loss of inhibitory-dampening-filtering pain impulses
7. Creates runaway or out control nerve pain

Multiple impulses going through Anxiety System:

• PTSD
• Emotional Hyjacking
• Panic Attacks
• Undiagnosed-Unmedicated Bipolar
• Child Abuse
• Mood disorders
• Negative thinking
• Paranoia

An important member of team in Burning Mouth is biofeedback to help begin discovery the triggers of emotional hyjacking. You may need seek Christian Counseling or Professional Counseling to build on controlling these preprogramming from childhood.

Poor health habits affect nerve healing; Sleep, Exercise, Nutrition, Negative Thought

Multiple pain sources adding impulses in pain system:

1. Repetitive virus-fungal-bacterial infections damage nerves
2. Multiple joint-muscle ligament inflammations
3. Specialized organs
4. Destructive Grind clench
5. Breathing system
6. Tissue healing system
7. Chemical sensitivities

Barriers BMS Care:

1. Insurance denies complex testing
2. Insurance limits team communication
3. Insurance discriminates against chronic pain
4. Insurance denies test for chemical sensitivities
5. Insurance limits managing anxiety
6. Patients unwilling accept anxiety as aggravator
7. Limited science and training

Nerve Trauma:

• Needle damage
• Surgical
• Entrapment
• Glycerol injection
• Gamma knife
• Laceration

CAUTION to Patient: BMS therapy should never be requested w/o patient understanding hard work, studying, passion, trust, team dynamics, coaching, investment required to be successful. As pig said to breakfast, "I am all in"

Increase chance of success BMS:

1. Biofeedback specialist reduce tension muscles
2. psychologist for coaching
3. Psychiatrist biochemical stabilization to assist at stabilizing the emotional brain to down regulate anxiety system.

Orofacial pain specialist utilizes a chronic pain team to treat causes of burning mouth.

Incredible suffering from burning  mouth syndrome because patient will not participate in chronic pain team to degree necessary for success. Most patient do not even sign up for team, or if they sign up they do only tools “they” want to use.

Burning Mouth

1. Substantial Anxiety causing nerve damage
2. Anxiety system wires to pain system
3. Poor health habits = poor nerve healing
4. Loss of inhibitory-dampening-filtering pain impulses
5. Creates runawaynerve pain