Canker sores, known medically as aphthous ulcers, are fairly common among people. Lasting for about a week or so, these mouth sores are usually more irritating than painful. But about a quarter of the population, especially women, frequently suffer from an acute form that doesn't often respond well to over-the-counter remedies.
A typical canker sore is usually round with a yellow-gray center ringed by a reddened "halo." They can be preceded by tingling or painful sensations at the site a few hours or so before breaking out. Recurrent aphthous stomatitis (RAS) is the more severe form of canker sore, often with outbreaks of multiple painful sores. While the more common sore is usually less than a centimeter in diameter, RAS sores are often much larger.
Canker sores often arise during periods of stress or anxiety, and seem to be connected with eating certain acidic foods like tomato sauce, citrus fruits or spicy dishes. RAS also seems to be related to underlying systemic conditions like vitamin deficiencies, anemia or digestive disorders. Besides managing diet and stress, people with regular canker sores and milder cases of RAS can often find relief with non-prescription numbing agents often found in stores and pharmacies.
For more severe RAS, though, you may need the help of your dentist or physician with treatments like prescription steroids or other medications that come in gel or rinse form or through injections. The goal of any treatment approach is to decrease pain severity and shorten healing times after an outbreak.
While most mouth sores, including RAS, aren't dangerous to your health, you should still take any sore seriously. You should especially seek medical evaluation if a sore doesn't heal after a couple of weeks, if they seem to come more frequently and are more severe, or if you don't seem to ever be without a sore in your mouth. These could indicate a serious underlying problem that needs to be addressed.
One thing's for sure: there are ways to ease your suffering if you have frequent bouts with regular canker sores or even RAS. Talk to your dentist about ways to minimize your discomfort from these irritating mouth sores.
If you would like more information on aphthous ulcers or canker sores, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Mouth Sores.”
When you’re going through hard economic times, the natural thing to do is cut areas of spending you believe you can do without. Unfortunately, many people include regular dental care in this low-priority category.
But even if your finances have become strained you should still try to maintain your dental care if at all possible. Saving a few dollars now could cost you a lot more in the long run.
Of course, this may mean focusing on just the basics for a while and prioritize your treatment options with a strong emphasis on preventive care. To put together a plan you should first undergo a thorough dental exam to learn your mouth’s current level of health, as well as take a look at your dietary practices, family history and hygiene practices to gauge your risk for tooth decay or periodontal (gum) disease.
From there, it’s a good idea to make changes in habits and lifestyle that will improve your teeth and gums’ long-term health, a prudent thing to do financially as well. Eat a nutritious diet high in fresh fruits, vegetables and dairy products and low in added sugar. Practice daily brushing and flossing to remove bacterial plaque from tooth surfaces, a primary cause of dental disease. And, keep to a schedule of regular dental office cleanings and checkups to remove any deep-seated plaque and identify developing dental disease before it becomes too serious.
Even when we find problems, there are usually treatment options within most people’s financial ability, like newer, less-expensive tooth filling materials that are both attractive and longer lasting than older types.Â At the very least you may benefit from temporary measures that postpone a permanent restoration until you’re in a better position financially to handle it.
And, don’t hesitate to ask us for help in working out a care strategy that fits your current finances and insurance coverage. By creating these long-term goals, we can help you get the most out of your financial resources now that can save money — and provide you better oral health — in the future.
If you would like more information on managing dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Cost-Saving Treatment Alternatives.”
Most people associate bacteria with disease and ill health. But the real story about the trillions of microscopic organisms now living in and on your body is a bit more complicated. With recent advances in genetic code research scientists are learning that many of these microorganisms you’re hosting are actually beneficial for you — including your teeth and gums.
Beginning at birth and throughout your lifetime you are continually developing a distinct microbiome — actual communities of bacteria and other microorganisms that inhabit your body. As your microbiome develops it helps train your immune system to distinguish between “good” bacteria that help with digestion and other bodily processes and “bad” bacteria that cause disease.Â And it continually adapts to changes in what we eat, the pets we acquire or the drugs we take.
But lifestyle choices like diet can also have a detrimental effect, causing harmful bacteria to become dominant. This seems to be the case with Streptococcus mutans, the bacterial strain most associated with tooth decay. Scientists have analyzed biofilm (plaque deposits on teeth) from the pre-industrial era before 1900 and compared it with modern biofilm samples. They’ve found Streptococcus mutans levels to be much higher in modern biofilm, which they directly attribute to the modern Western diet.
As we gain a better understanding of these findings and of the role of bacteria in our lives, it could change many health recommendations not only about diet but about medications too. In the fight against disease, for example, we’ve used antibiotics to eradicate infection-causing microorganisms, but with a broad destructive ability that can also kill many beneficial strains of bacteria. It’s hoped as our knowledge grows we’ll be able to create newer drugs that more narrowly target harmful microorganisms while not affecting beneficial ones.
There’s a new appreciation emerging for bacteria’s role in our lives. As a result efforts to rebalance a person’s microbiome when they become sick may eventually become a critical element in healthcare treatment strategies. The benefits of this strategy for health, including for our teeth and gums, could be quite impressive.
If you would like more information on the role of bacteria in oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “New Research Shows Bacteria Essential to Health.”
What's an actor's most important feature? According to Vivica A. Fox, whose most recent big-screen role was in Independence Day: Resurgence, it's what you see right up front.
"On screen, your smile and your eyes are the most inviting things that bring the audience in" she said. "Especially if you play the hot chick."
But like lots of people, Vivica reached a point where she felt her smile needed a little help in order to look its best. That's when she turned to a popular cosmetic dental treatment.
"I got veneers years ago," Ms. Fox told Dear Doctor magazine in a recent interview, "just because I had some gapping that probably only I noticed."
What exactly are dental veneers? Essentially, they are thin shells of lustrous porcelain that are permanently attached to the front surfaces of the teeth. Tough, lifelike and stain-resistant, they can cover up a number of defects in your smile — including stains, chips, cracks, and even minor spacing irregularities like the ones Vivica had.
Veneers have become the treatment of choice for Hollywood celebs — and lots of regular folks too — for many reasons. Unlike some treatments that can take many months, it takes just a few appointments to have veneers placed on your teeth. Because they are custom made just for you, they allow you to decide how bright you want your smile to be: anywhere from a natural pearly hue to a brilliant "Hollywood white." Best of all, they are easy to maintain, and can last for many years with only routine care.
To place traditional veneers, it's necessary to prepare the tooth by removing a small amount (a millimeter or two) of its enamel surface. This keeps it from feeling too big — but it also means the treatment can't be reversed, so once you get veneers, you'll always have them. In certain situations, "no-prep" or minimal-prep veneers, which require little or no removal of tooth enamel, may be an option for some people.
Veneers aren't the only way to create a better smile: Teeth whitening, crowns or orthodontic work may also be an alternative. But for many, veneers are the preferred option. What does Vivica think of hers?
"I love my veneers!" she declared, noting that they have held up well for over a decade.
If you’re taking medication to regulate your blood pressure, you may be familiar with some of the general side effects, like nausea, drowsiness or dizziness. But some blood pressure drugs might also cause complications with your oral health.
This is true of one class of drugs in particular used for blood pressure regulation. Calcium channel blockers (CCBs) are used to regulate blood pressure by dilating (relaxing) blood vessels, making it easier for the heart to pump blood. They’re often prescribed to patients who can’t tolerate beta blockers, another common blood pressure drug.
Besides other general side effects, CCBs can also cause gingival hyperplasia (gum overgrowth) and mouth dryness. The former condition occurs when the gum tissues grow and extend beyond their normal size over the teeth. Besides pain and discomfort, hyperplasia creates an abnormal appearance which can be embarrassing. Research findings also indicate that hyperplasia development from CCB use is also linked to poor hygiene habits, which give rise to periodontal (gum) disease.
Mouth dryness is defined as less than normal saliva flow. Besides discomfort, the condition may increase your risk of dental disease: saliva is a key part in keeping bacterial levels low and maintaining the mineral content of enamel. Inadequate saliva flow can’t maintain this balance, which increases the bacterial population in the mouth and the risk of infection leading to gum disease or tooth decay.
To avoid both of these side effects, it’s important first to let us know if you’re taking blood pressure medication and what kind. You may also need more frequent dental visits, especially if you’re displaying symptoms of dental disease. Studies have found that frequent dental visits to remove bacterial plaque and calculus (hardened plaque deposits) may significantly reduce gum overgrowth in patients taking a CCB. You should also maintain a recommended daily regimen of oral hygiene (brushing and flossing).
Because of possible effects on your dental health from a number of drugs, it’s always important to let us know the medications you’re regularly taking. As with CCBs, we can incorporate that knowledge into your dental treatment to assure your safety and optimal oral health.
If you would like more information on managing your oral care while on medication, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Blood Pressure Medications.”
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