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Management of burning mouth Syndrome: A position paper of the Chinese Society of Oral Medicine
Author(s) -
Chen Qianming,
Shi Yujie,
Jiang Lu,
Zhou Yu,
Dan Hongxia,
Jin Xin,
Sun Silu,
Zeng Xin
Publication year - 2020
Publication title -
journal of oral pathology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.887
H-Index - 83
eISSN - 1600-0714
pISSN - 0904-2512
DOI - 10.1111/jop.13082
Subject(s) - medicine , grading (engineering) , guideline , position paper , dilemma , alternative medicine , complaint , evidence based medicine , medline , clinical practice , evidence based practice , physical therapy , family medicine , intensive care medicine , pathology , philosophy , civil engineering , epistemology , political science , law , engineering
Background Burning mouth syndrome is a syndrome with tongue as the main affected site and burning pain as the main complaint. Although a variety of therapies have been reported to treat BMS, there is a lack of widely recognized therapies and it is still a dilemma for clinicians to treat BMS. Objective To develop the position paper and provide the references for clinical practice of BMS in China. Methods Under the guidance of WHO (World Health Organization) Handbook for Guideline Development, we used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach as a tool to develop this position paper in the following steps: setting up the groups, formulating the clinical questions and choosing the outcomes, retrieving and synthesizing of evidence, assessing the evidence, investigating the patients' values and preferences, developing the recommendations, reviewing the recommendations, and writing the position paper. Results The 27 recommendations were formed from the following 7 aspects: pre‐treatment examination, removal of stimuli, medication, physical therapy, psychological therapy, and antipsychotics. There are 3 strong recommendations and 12 weak recommendations in pre‐treatment examination and removal of stimuli, as well as 12 weak recommendations in therapies. Conclusion The Chinese position paper for management of BMS has been developed, which could provide the references for clinical practice of BMS in China. Twenty‐seven recommendations were formed based on consensus of experts on the balance of benefits vs side effects, evidence, cost, and patients’ values and preferences, although the quality of evidence is relatively low.