{"id":8982,"date":"2020-07-27T10:18:14","date_gmt":"2020-07-27T17:18:14","guid":{"rendered":"https:\/\/www.mynewsmile.com\/blog\/?p=8982"},"modified":"2020-07-31T14:20:05","modified_gmt":"2020-07-31T21:20:05","slug":"burning-mouth-syndrome-zirconia-allergy","status":"publish","type":"post","link":"https:\/\/www.mynewsmile.com\/blog\/burning-mouth-syndrome-zirconia-allergy\/","title":{"rendered":"Is this burning mouth syndrome or a zirconia allergy?"},"content":{"rendered":"<p>Dr. Hall,<br \/>\nI had 2 zirconia crowns put in during December 2019. Since then I\u2019ve had a dry sticky tongue along with a burning in my throat. I\u2019ve been to 3 ENT Doctors. Acid reflux was ruled out, mouthwash ruled out and the 3rd doctor said it\u2019s burning mouth syndrome. My dentist said there\u2019s been no allergy associated with zirconia. It\u2019s now July 2020 and if anything it\u2019s gotten worse. I need more dental work but that\u2019s out of the question. I had lingual nerve damage that took a year to go away caused by dental work. I wish someone here had ideas. This has caused not only discomfort and pain but also depression.<\/p>\n<p>One additional comment. During this last procedure a laser was used for tooth extension. Drilling of course was also done During this procedure a lot of water was used to protect surrounding teeth. I had difficulty breathing and had to stop the procedure as I regurgitated water. This put a great strain on my throat and I\u2019m wondering if a connection is there. This has also affected speech. Please go away!<\/p>\n<p>&#8211; Jeff<\/p>\n<p>(See Dr. Hall&#8217;s answer below.)<\/p>\n<div class=\"responsive-post-content\">\n<div class=\"post-left-column\">\n<script>\/\/ <![CDATA[\n(function(d, s, id) {\n  var js, fjs = d.getElementsByTagName(s)[0];\n  if (d.getElementById(id)) return;\n  js = d.createElement(s); js.id = id;\n  js.src = \"\/\/connect.facebook.net\/en_US\/all.js#xfbml=1\";\n  fjs.parentNode.insertBefore(js, fjs);\n}(document, 'script', 'facebook-jssdk'));\n\/\/ ]]><\/script><br \/>\n<span style=\"font-family: Arial; font-size: small;\">We thank our advertisers who help fund this site.<\/span><\/p>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Square for mns blog - 2020 --><br \/>\n<ins class=\"adsbygoogle\"\n     style=\"display:block\"\n     data-ad-client=\"ca-pub-4419877247826466\"\n     data-ad-slot=\"6484616093\"\n     data-ad-format=\"auto\"\n     data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script>\n<\/div>\n<div class=\"post-right-column\">\n<p>Jeff,<br \/>\nI would be careful ever telling any patient that allergy to some dental material is impossible. Rare, but I wouldn&#8217;t ever want to say impossible. There are some weird allergies out there that are extremely rare. And I have seen some reports of allergy to zirconia, though those are unconfirmed. (Click here to read this report of an <a href=\"https:\/\/www.facialart.com\/2015\/09\/zirconia-ceramic-nonmetallic-dental-implant-sensitivity-allergy-oral-surgeon-bethesda\/\" rel=\"noopener noreferrer\" target=\"_blank\">allergic reaction to zirconia implants<\/a>. The report sounds credible on a superficial level, but it would be nice if they had documented where this case came from. They don&#8217;t say whether this happened in their office or someplace else, so I wonder if this is just a rumor they heard. The lack of documentation leaves me having to categorize this report as hearsay.)<\/p>\n<p>Having said this, to me your case sounds to be most likely <a href=\"https:\/\/www.mynewsmile.com\/blog\/allergic-to-crowns\/\">burning mouth syndrome<\/a>, so I am agreeing with the third ENT doctor. While I have heard it said that the cause of <a href=\"https:\/\/www.mynewsmile.com\/blog\/tag\/burning-mouth-syndrome\/\">burning mouth syndrome<\/a> is unknown, I have consistently seen a clear pattern of connection to traumatic dental experiences and dental anxiety. You not only have all the symptoms of burning mouth syndrome, your experience points clearly to that. You had this previous damage to your lingual nerve which would make you very anxious about the dental procedure and add greatly to the stress you would feel. You mention a high level of difficulty with the water and the great strain on your throat during the procedure. And now you have lingering problems with speech as well as depression.<\/p>\n<p>Look at the comments numbers 8, 9, and 10 on the post I linked to burning mouth syndrome, and you&#8217;ll see a couple of people sharing stories of dry mouth and burning tongue after highly stressful dental experiences.<\/p>\n<p>My recommendation? In my experience, a high level of dental anxiety is best treated with conscious sedation. If your dentist doesn&#8217;t offer that, I would find one that does. Your anxiety may even be great enough that you need IV sedation. This could achieve a successful, anxiety-free dental experience. I have seen that be a tremendous relief to many patients. In some cases it has totally cured their anxiety. In all the others, it has reduced it, usually greatly. You said you need further dental work&mdash;that would be the way to do it.<\/p>\n<p>I wish you well.<\/p>\n<p>Dr. Hall<\/p>\n<p>Do you have a comment or anything else to add? We&#8217;d love to hear from you. Enter your comment below. Or click here to <a href=\"https:\/\/www.mynewsmile.com\/askdr.htm\">ask Dr. Hall a question.<\/a><\/p>\n<p><iframe loading=\"lazy\" style=\"border: currentColor; width: 450px; height: 80px; overflow: hidden;\" src=\"https:\/\/www.facebook.com\/plugins\/like.php?href=http%3A%2F%2Fwww.mynewsmile.com&amp;layout=standard&amp;show_faces=true&amp;width=450&amp;action=like&amp;colorscheme=light&amp;height=80\" width=\"300\" height=\"150\" frameborder=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Hall, I had 2 zirconia crowns put in during December 2019. Since then I\u2019ve had a dry sticky tongue along with a burning in my throat. I\u2019ve been to 3 ENT Doctors. Acid reflux was ruled out, mouthwash ruled out and the 3rd doctor said it\u2019s burning mouth syndrome. My dentist said there\u2019s been [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[40],"tags":[827,1214,1278,86,1279,1208,280,522],"class_list":["post-8982","post","type-post","status-publish","format-standard","category-dental-crowns","tag-acid-reflux","tag-burning-mouth-syndrome","tag-conscious-sedation","tag-dental-anxiety","tag-iv-sedation","tag-zirconia-allergy","tag-zirconia-crowns","tag-zirconia-implants","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Is this burning mouth syndrome or a zirconia allergy? - Cosmetic Dentistry Blog<\/title>\n<meta name=\"description\" content=\"Dr. Hall says Jeff&#039;s burning in throat after zirconia crowns is most likely burning mouth syndrome and suggests the cause and a solution for him.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mynewsmile.com\/blog\/burning-mouth-syndrome-zirconia-allergy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is this burning mouth syndrome or a zirconia allergy? - Cosmetic Dentistry Blog\" \/>\n<meta property=\"og:description\" content=\"Dr. Hall says Jeff&#039;s burning in throat after zirconia crowns is most likely burning mouth syndrome and suggests the cause and a solution for him.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mynewsmile.com\/blog\/burning-mouth-syndrome-zirconia-allergy\/\" \/>\n<meta property=\"og:site_name\" content=\"Cosmetic Dentistry Blog\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-27T17:18:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-31T21:20:05+00:00\" \/>\n<meta name=\"author\" content=\"David A. 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