My BMS started in Dec. 2019 after I had a tooth pulled and a dental implant put in. It was a process, building up the bone. The periodontist knows nothing about it and of course, tried to blame it on Sjogren's Syndrome, which I was tested for 5 separate times and in-depth testing in March of 2021 at Johns Hopkins. Salty foods trigger mine and sometimes alcohol. I chew sugarless bubble gum.