While it’s common for most of us to get an occasional cold sore, you may suffer from regular breakouts. If so, you know firsthand how uncomfortable and embarrassing they can be and seeming to erupt at the most inopportune moments.
What you’re experiencing is the result of a virus — the Herpes Simplex virus (HSV) Type I to be exact. Don’t let the name disturb you — although similar it’s different from the sexually transmitted virus known as HSV Type II. As with any virus the body responds by making and distributing antibodies to stop its attack. That’s typically the end of it but for some people the virus appears to be able to hide in the nerve roots of the mouth and elude the effects of the antibodies.
The sores associated with the virus tend to break out when a person is under stress, experiences trauma to the lip or even from sun exposure. The breakout begins with a slight itching or burning around the mouth that typically advances to more severe itching, swelling, redness and blistering. Eventually the sores will scab over and heal as the outbreak winds down. The period from breakout to final healing (during which you’ll also be contagious to others) usually lasts seven to ten days.
Although normally not a danger to health, cold sore outbreaks can be painful and irritating. In the past, most patients simply had to let the outbreak run its course with topical ointments to ease discomfort.Â In the last two decades, however, new anti-viral medication has proven effective in preventing the outbreaks in the first place or at least lessening their duration.
If you have regular bouts of cold sores prescription drugs like acyclovir or valcyclovir taken orally can help suppress the occurrences altogether, and have few side effects. Topical agents can also be used as a supplement to the drugs to help ease itching and other pain symptoms.
It’s important, though, that you undergo a complete oral examination to rule out more serious conditions associated with mouth sores. If we find that your problem is recurring cold sores, these new treatments could help you escape the cycle of discomfort.
If you would like more information on the treatment of chronic cold sore outbreaks, 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 “Cold Sores.”
Nothing grabs your attention like a sharp tooth pain, seemingly hitting you out of nowhere while you’re eating or drinking. But there is a reason for your sudden agony and the sooner you find it out, the better the outcome for your oral health.
To understand tooth sensitivity, we need to first look at the three layers of tooth anatomy. In the center is the pulp filled with blood vessels and nerve bundles: it’s completely covered by the next layer dentin, a soft tissue filled with microscopic tubules that transmit sensations like pressure or temperature to the pulp nerves.
The third layer is enamel, which completely covers the crown, the visible part of a tooth. Enamel protects the two innermost tooth layers from disease and also helps muffle sensations so the tooth’s nerves aren’t overwhelmed. The enamel stops at about the gum line; below it the gums provide similar protection and sensation shielding to the dentin of the tooth roots.
Problems occur, though, when the dentin below the gums becomes exposed, most commonly because of periodontal (gum) disease. This bacterial infection caused by dental plaque triggers inflammation, which over time can weaken gum tissues and cause them to detach and shrink back (or recede) from the teeth. This can leave the root area vulnerable to disease and the full brunt of environmental sensations that then travel to the nerves in the pulp.
Tooth decay can also create conditions that cause sensitivity. Decay begins when certain oral bacteria multiply and produce higher than normal levels of acid. The acid in turn dissolves the enamel’s mineral content to create holes (cavities) that expose the dentin. Not treated, the infection can eventually invade the pulp, putting the tooth in danger of being lost unless a root canal treatment is performed to remove the infection and seal the tooth from further infection.
So, if you begin experiencing a jolt of pain while eating or drinking hot or cold foods or beverages, see your dentist as soon as possible to diagnose and treat the underlying cause. And protect your teeth from dental disease by practicing daily brushing and flossing, as well as seeing your dentist for regular dental cleanings and checkups. Don’t ignore those sharp pains—your teeth may be trying to tell you something.
If you would like more information on tooth sensitivity, 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 “Treatment of Tooth Sensitivity.”
Everyone loves a concert where there's plenty of audience participation… until it starts to get out of hand.Â Recently, the platinum-selling band Fifth Harmony was playing to a packed house in Atlanta when things went awry for vocalist Camila Cabello. Fans were batting around a big plastic ball, and one unfortunate swing sent the ball hurtling toward the stage — and directly into Cabello's face. Pushing the microphone into her mouth, it left the “Worth It” singer with a chipped front tooth.
Ouch! Cabello finished the show nevertheless, and didn't seem too upset. “Atlanta… u wild… love u,” she tweeted later that night. “Gotta get it fixed now tho lol.” Fortunately, dentistry offers a number of ways to make that chipped tooth look as good as new.
A small chip at the edge of the tooth can sometimes be polished with dental instruments to remove the sharp edges. If it's a little bigger, a procedure called dental bonding may be recommended. Here, the missing part is filled in with a mixture of plastic resin and glass fillers, which are then cured (hardened) with a special light. The tooth-colored bonding material provides a tough, lifelike restoration that's hard to tell apart from your natural teeth. While bonding can be performed in just one office visit, the material can stain over time and may eventually need to be replaced.
Porcelain veneers are a more long-lasting solution. These wafer-thin coverings go over the entire front surface of the tooth, and can resolve a number of defects — including chips, discoloration, and even minor size or spacing irregularities. You can get a single veneer or have your whole smile redone, in shades ranging from a pearly luster to an ultra-bright white; that's why veneers are a favorite of Hollywood stars. Getting veneers is a procedure that takes several office visits, but the beautiful results can last for many years.
If a chip or crack extends into the inner part of a tooth, you'll probably need a crown (or cap) to restore the tooth's function and appearance. As long as the roots are healthy, the entire part of the tooth above the gum line can be replaced with a natural-looking restoration. You may also need a root canal to remove the damaged pulp material and prevent infection if the fracture went too far. While small chips or cracks aren't usually an emergency (unless accompanied by pain), damage to the tooth's pulp requires prompt attention.
If you have questions about smile restoration, please contact us and schedule an appointment. You can read more in the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty As Never Before” and “Porcelain Crowns & Veneers.”
The American Diabetes Association has declared November National Diabetes Month. If you or a loved one has diabetes, you may already know that diabetes puts you at greater risk for gum disease. Let's look at four must-know facts about diabetes and gum disease.
#1. Gum disease is an acknowledged complication of diabetes.
High levels of blood sugar can interfere with your mouth's ability to fight infection, making you more susceptible to gum disease. People with poorly controlled diabetes may have more severe gum disease and may ultimately lose more teeth due to gum disease—in fact, one in five people who have lost all their teeth have diabetes.
#2. Gum disease makes diabetes harder to control.
Diabetes and gum disease are a two-way street when it comes to adverse health effects. Not only does diabetes increase the risk of gum disease, but gum disease can make diabetes harder to manage. Infections such as gum disease can cause blood sugar levels to rise. This is because chronic inflammation can throw the body's immune system into overdrive, which affects blood sugar levels. Since higher blood sugar weakens the body's ability to fight infection, untreated gum disease may raise the risk of complications from diabetes.
#3. You can do a lot to take charge of your health.
If you have diabetes and gum disease, you may feel as if you've been hit with a double whammy. While it's true that having both conditions means you are tasked with managing two chronic diseases, there is a lot you can do to take care of your health. Do your best to control blood sugar by taking prescribed medications, following a balanced diet, and exercising. In addition, pay special attention to your oral healthcare routine at home: Brushing your teeth twice a day and flossing once a day can go a long way in preserving good oral health.
#4. Preventing and managing gum disease should be a team effort.
We can work together to prevent, treat, and control periodontal disease. Come in for regular professional dental cleanings and checkups so we can monitor the health of your teeth and gums and provide specialized treatment such as deep cleanings when necessary. Diligent dental care can improve your oral health and help control your diabetes.
Remember, we're on your team. Let us know if there have been changes in your diabetes, your medication, or your oral health. If you have questions about diabetes and your oral health, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine article “Good Oral Health Leads to Better Health Overall.”
Your dentures have served you well over the years. Lately, though, you’ve noticed the fit loosening in the lower denture. It’s not a new problem: you’ve had them refitted a few times already. But now it seems to be growing worse and you’re having more trouble chewing food or speaking clearly.
The problem isn’t all wear and tear with your dentures — the bone in your jaw is shrinking. A denture applies forces that are compressive. Natural teeth produce forces when we chew that travel through the tooth root and stimulate the bone to grow. Without teeth, there’s no such force to stimulate the bone. As a result, new bone cells don’t replace older cells at a healthy rate and bone volume diminishes over time. Because traditional dentures are supported by the gum ridges, the constant compressive forces on the gums can also contribute to bone loss.
As mentioned, we can refit dentures by lining them with new acrylic material. Eventually, though, it may be necessary to consider a new set of dentures that match the altered contours of your jaw. But continuing bone loss might lead to the same fate for your new dentures as your previous pair.
There’s a relatively new alternative, though, that could provide greater denture stability and help deter bone loss: implant overdentures. They’re actually a union between a traditional denture and a dental implant, a tooth replacement approach introduced over thirty years ago.
With this option, two strategically-placed implants are surgically inserted into the jaw bone. We then manufacture a denture (or retrofit your current dentures, if possible) with fittings that connect to the implants. Once in the mouth, the dentures gain their main support from the implants rather than the gum ridge, which relieves pressure on the bone. And because the titanium implant has a natural affinity with bone, new bone will grow and attach itself to it, increasing its stability and stopping bone loss.
Although more expensive than traditional dentures, implant overdentures are more affordable than individual teeth replaced by implants and are very cost-effective over time. What’s more, they can restore the comfort and confidence to eat, speak and smile that you once enjoyed when you had your own teeth.
If you would like more information on implant-supported dentures, 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 “Implant Overdentures.”
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