difficult case of burning in a old lady

this was a very intresting and difficult case.we completely missed the diagnosis..
this lady came with the complaint of continous burning from edentulous upper alveolar arches since 2 months.she was weak,bidi smoker,poor ,70 year old.widow..ex lady sweeper .and not in very gud mental state to coperate us. on examination unhelaed socket were there.pain was not neutralgia like ..but it was present wen we touch the sockets...her muscles of mastications were also mildly tender.so we also think of probability of mpds secondery to ineffisency of chewing the food due to long edentulos span.
we started with topical analgesics,muscle relaxants,gum paints,cessation of habit,and topical antifungals.radiographs were taken to rule out any remaining root piece or sharp bony cusp..but no abnormality detected in radiographs

she came after 15 days with healed sockets with same problem of pain..we were not thinking of neuralgia bcoz although triggers were there but pain was not so severe and was continous..and second reason was we were thinking by keeping her age and overall status in mind that she was little bit overapprehensive..

here we miss the diagnosis..we shud note every sign adequately..we refered the patient for alveloplasty for sharpening of bone in the pain area although clinically we were not able to detectit it.

after sum days i realized she might be a patient of burning mouth syndrome..bcoz this was my first case so i completely missed it..i had no clue at that time.