Posts for category: Oral Health
Most of us have encountered something hot that’s burned or scalded the inside of our mouth—not a pleasant feeling. But what if you have a similar burning sensation without eating or drinking anything to cause it?
It’s not your imagination: It could be a condition called burning mouth syndrome (BMS), the feeling your mouth is burned or scalded without an apparent cause. It’s often accompanied by dryness, numbness, or tingling. You may feel it throughout the mouth, or just in “hot spots” around the lips, tongue or other mouth structures.
Researchers haven’t pinpointed exact causes yet for BMS. It’s most common in women around menopause, connecting it to a possible hormonal imbalance. It’s also been linked to diabetes, nutritional deficiencies, medication, acid reflux, cancer treatment or psychological issues. Because it can persist for years, BMS can contribute to irritability, anxiety or depression.
If you’re experiencing BMS, there are things you can do to diminish its effect. First, though, have your dentist give you a complete oral exam and take a thorough medical history. They can then give you specific treatment recommendations based on what they reveal.
For example, if symptoms seem to increase after brushing your teeth, you might be having a reaction to a toothpaste ingredient, usually the foaming agent sodium lauryl sulfate. Your dentist may recommend experimenting with other toothpaste brands.
Other treatment options include:
- Alleviating dry mouth symptoms by changing medications (as your doctor advises), drinking more water and using saliva-boosting products;
- Quitting smoking and reducing your consumption of alcohol, coffee and spicy foods;
- Chronicling your diet to look for connections between individual foods and BMS flare-ups—you may need to restrict these in your diet.
- And because it seems to aggravate BMS symptoms, reducing acute stress with relaxation techniques or therapeutic counseling.
If your dentist can’t fully diagnose your condition or the steps you take aren’t reducing your symptoms, you may be referred to an oral pathologist (a dental specialist in mouth diseases). The key is not to give up until you find a workable treatment strategy. Through a little trial and error, you may be able to overcome the discomfort of BMS.
If you would like more information on Burning Mouth Syndrome, 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 “Burning Mouth Syndrome.”
Boston Bruins defenseman Zdeno Chara had a rough Stanley Cup final against the St. Louis Blues this past June. Not only did the Bruins ultimately lose the championship, but Chara took a deflected puck shot to the face in Game Four that broke his jaw.
With the NHL season now over, the 42-year-old Bruins captain continues to mend from his injury that required extensive treatment. His experience highlights how jaw fractures and related dental damage are an unfortunate hazard in hockey—not only for pros like Chara, but also for an estimated half million U.S. amateurs, many in youth leagues.
Ice hockey isn't the only sport with this injury potential: Basketball, football (now gearing up with summer training) and even baseball players are also at risk. That's why appropriate protective gear like helmets and face shields are key to preventing injury.
For any contact sport, that protection should also include a mouthguard to absorb hard contact forces that could damage the mouth, teeth and gums. The best guards (and the most comfortable fit) are custom-made by a dentist based on impressions made of the individual's mouth.
But even with adequate protection, an injury can still happen. Here's what you should do if your child has an injury to their jaw, mouth or teeth.
Recognize signs of a broken jaw. A broken jaw can result in severe pain, swelling, difficulty speaking, numbness in the chin or lower lip or the teeth not seeming to fit together properly. You may also notice bleeding in the mouth, as well as bruising under the tongue or a cut in the ear canal resulting from jawbone movement during the fracture. Get immediate medical attention if you notice any of these signs.
Take quick action for a knocked-out tooth. A tooth knocked completely out of its socket is a severe dental injury. But you may be able to ultimately save the tooth by promptly taking the following steps: (1) find the tooth and pick it up without touching the root end, (2) rinse it off, (3) place it back in its socket with firm pressure, and (4) see a dentist as soon as possible.
Seek dental care. Besides the injuries already mentioned, you should also see a dentist for any moderate to severe trauma to the mouth, teeth and gums. Leading the list: any injury that results in tooth chipping, looseness or movement out of alignment.
Even a top athlete like Zdeno Chara isn't immune to injury. Take steps then to protect your amateur athlete from a dental or facial injury.
If you would like more information about dealing with sports-related dental injuries, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”
True or false: there’s no cause for concern about tooth decay until your child’s permanent teeth erupt.
False—decayed primary teeth can lead to potentially serious consequences later in life.
Although “baby” teeth last only a few years, they’re essential to future dental health because they act as placeholders and guides for the incoming permanent teeth. If they’re lost prematurely due to decay, other teeth may drift into the empty space intended for the emerging permanent tooth. Because of this, inadequate space will crowd the out of proper alignment.
And because they have thinner enamel than permanent teeth, primary teeth are more susceptible to decay. Once decay sets in, it can spread rapidly in a matter of months.
Fortunately, we may be able to prevent this from happening to your child’s primary teeth with a few simple guidelines. It all begins with understanding the underlying causes of tooth decay.
Tooth decay begins with bacteria: As a result of their digestion, these microorganisms secrete acid that at high levels can erode tooth enamel. The higher the population of bacteria in the mouth, the higher the acidity and potential threat to the teeth.
The first objective then in preventing decay is to remove dental plaque, the thin film of bacteria and food particles on tooth surfaces, through daily brushing and flossing. And because bacteria feed on sugar as a primary food source, you should reduce your child’s sugar consumption by restricting it to only meal times and not sending your child to bed with a bottle filled with a sugary liquid (including formula or breast milk).
To help boost your child’s protection, we can also apply sealants and fluoride to teeth to help protect and strengthen their enamel from acid attack. Because we’ll also monitor for signs of decay, it’s important to begin regular dental visits beginning around age one. If we do detect decay, we can then treat it and make every effort to preserve your child’s primary teeth until they’ve completed their normal life cycle.
By taking these steps, we can help make sure your child’s early teeth go the distance. Their current and future dental health will certainly benefit.
If you would like more information on prevention and treatment of tooth decay, 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 “Do Babies Get Tooth Decay?”
With summer winding down, parents are turning their attention to their kids' upcoming school year. August is often a busy time for families rushing to buy school supplies and fresh sets of clothes and shoes. Although hectic, these last few weeks before school starts are also ideal for focusing on dental health.
As you prepare for the school year, be sure to include these dental health items on your to-do list.
Make a dental appointment. Start the school year off right with a dental cleaning and checkup. Along with daily hygiene, dental visits are key to disease prevention and optimal oral health. Make those appointments early, though: Most dentists report an upsurge in patient visits this time of year.
And if you haven't already, set up an orthodontic evaluation: Having an orthodontist examine your child around age 6 could uncover an emerging bite problem. Early intervention might prevent the need for more costly future orthodontic treatments.
Plan for healthy school snacking. While kids are home on summer break, it's probably easier to keep an eye on the quality of their snacks. But being away from your watchful gaze at school means your children may encounter snacks that are not quite up to your tooth-healthy standards.
Even though schools adhere to federal nutrition standards for food provided on school property, many dentists don't believe they go far enough. Your kids' classmates can also be a source of unhealthy snack choices, so plan ahead to provide your kids an array of snacks to carry to school that they like and that support healthy teeth and a healthy body.
Get a custom mouthguard for your student athlete. If your child is going to play football, basketball or some other contact sport, make sure they have dental protection. A hard impact to the face can cause significant dental damage that's costly to treat, but a mouthguard worn during play can protect the teeth and gums by cushioning the blow.
You can purchase retail mouthguards at your local sporting goods store. Your best option, though, is a mouthguard custom-made by your dentist based on your child's individual mouth measurements. Although more expensive, custom mouthguards offer superior protection, and they're more comfortable to wear.
When the school bell rings, you want your kids as prepared as possible. Make sure their teeth and gums are ready too. If you would like more information about best practices for your child's dental care, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Snacking at School” and “Athletic Mouthguards.”
The journey to a straighter smile with braces can be difficult. One of the biggest dangers you'll face is an increased risk of periodontal (gum) disease.
Gum disease is caused by dental plaque, a thin film of bacteria and food particles on tooth surfaces. To curtail plaque growth, you must brush and floss daily and visit your dentist regularly for more thorough cleanings. If you don't, accumulated plaque can trigger an infection with potentially disastrous consequences for your dental health.
But wearing braces can make you more vulnerable to gum disease. The braces and wires can get in the way of brushing and flossing. To add to the difficulty, the gums often react to being in close proximity to braces, causing their tissues to swell or overgrow. And if the patient is a teenager, the normal hormonal surge that occurs during these years could compound this vulnerability even more.
To prevent an infection, you'll need to practice extra diligence cleaning your teeth with brushing and flossing. It takes more time and effort, but it's worth it to lower your disease risk. To help even more, consider using tools like specialized brushes that can maneuver better around hardware and floss threaders that can get floss under wires. You might also consider a water flosser, which uses pressurized water to remove plaque between teeth.
In addition to your orthodontic visits, you should also maintain your regular cleaning schedule with your family dentist—or more often if they recommend. Besides cleaning, your dentist also monitors for signs of developing gum disease. They can also prescribe mouthrinses for controlling bacterial growth.
Even with diligent hygiene, your gums may still adversely react to the braces. This may not be a problem if your gum tissues don't appear to be detaching from the teeth. But your dentist or orthodontist may recommend you see a periodontist (a gum specialist) to help monitor that aspect of your care. In extreme cases, it may be necessary to remove the braces and allow the gums to heal.
Keeping your teeth clean and your mouth disease-free is no easy task while wearing braces. But it can be done—and with your dentist's help, you can achieve a straighter and healthier smile.
If you would like more information on dental care while wearing braces, 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 “Gum Swelling During Orthodontics.”