Usually in menopausal women

Clinical:

• Pain and burning sensation in mouth
• Dysgeusia (altered taste)
• Xerostomia

Diagnosis & treatment:

1. Candidiasis – Brush/ incisional biopsy – Antifungals
2. Xerostomia – Drug/ anxiety history – Oral lubricants
3. Nutritional deficiency – Levels of vitamin B, iron, zinc – Dietary supplements
4. Abnormal tongue habit – History – Topical corticosteroids
5. Depression – Psychiatry – Tricyclic antidepressants
6. Pernicious anemia – Specialist
7. DM – Specialist
8. Hormonal imbalance – Specialist