Treatment of Atrophic Glossitis with Burning Sensation of Tongue Mucosa

Clinical Scenario

This protocol is for patients with atrophic glossitis who report a prominent burning sensation of tongue mucosa. This symptom is a defining feature in this population and is the primary complaint guiding treatment.

Clinical Context

Burning sensation of the tongue surface is consistently observed in the large majority of patients with atrophic glossitis, making targeted symptomatic relief a central treatment priority.

Treatment Approach — Partial Overview

The approach for this presentation involves topical corticosteroid therapy applied directly to the affected tongue mucosa. The complete structured regimen — including agent selection, application method, and full sequencing — is detailed in the full protocol.

Primary Treatment Goal

Relief of burning sensation of tongue mucosa.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jfma.2019.04.015

Our previous studies showed burning sensation of tongue mucosa in 100% of 176 AG patients and 98.5% of 1064 AG patients.

For these patients, topical application of corticosteroid (dexamethasone or triamcinolone acetonide) ointment as a thin film 2-3 times per day onto the burning tongue mucosa is usually sufficient to induce temporary relief of burning sensation.

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