Diagnosis

BMS has been classified as an underdiagnosed and often poorly managed oral sensory disturbance.8 Recognition of the condition and clinical approaches to ensure a correct diagnosis and appropriate management are vital for client comfort. One study reviewed the expansion of the traditional role of oral health care professionals in the context of overall oral and general health and concluded that BMS demands intensive assessment, open discussions with the affected client, and a carefully planned long-term management strategy.8 Identification of this condition is often through a default diagnosis, or one of exclusion. It has been defined as a neuropathic condition perpetuated by systemic medical, local oral, and psychological con-tributing factors.2 Therefore, local, systemic, and environmental factors must be assessed to identify the predisposing influences.