Does smoking cause burning mouth syndrome like symptoms?

It can: Smoking irritates nerve endings, destroys tissue integrity, and dries tissues. It causes cancer of the lips, tongue, throat, esophagus, lungs, gums, and oral mucosa. It makes the skin on your face age prematurely. Don't try to diagnose yourself. See an Oral Surgeon or an ENT immediately.

Aggravating Factor: The exact cause of burning mouth syndrome is unknown. Smoking, alcohol use, and hot and spicy foods are aggravating factors that may cause mouth dryness and occasional burning sensation. BTW, quitting smoking is always a great idea.

Yes, but: Yes, but not primary cause. Complex problem. Often no great solution. See oral surgeon for evaluation and recommendations.