Posts for tag: oral health
There are a few mouth conditions so rare most of us have never heard of them. Geographic tongue would fall into this category, affecting only one to three percent of the population. Even so, these irregular reddish patches resembling land masses on a map (hence the name) might be alarming at first glance—but they pose no danger and usually cause very little discomfort.
Geographic tongue is also known as benign migratory glossitis. As its clinical name implies, the unusual red patchy areas (often surrounded by a grayish white border) aren't cancerous nor contagious. The patches also appear to change shape and move around ("migrate") the tongue.
The reddish appearance comes from the temporary disappearance of tiny bumps on the tongue surface called papillae, which can leave the tongue smooth to the touch in affected areas. The lost papillae may reappear again a few hours or days later, and may occasionally disappear again. While it's not painful, you can experience a stinging or burning sensation emitting from these patchy areas.
We're not sure how and why geographic tongue erupts, but it's believed high emotional or psychological stress, hormonal imbalance or certain vitamin deficiencies might be factors in its cause. There may also be a link between it and psoriasis, a condition that can cause dry, itchy patches on the skin.
If you're one of the rare individuals who has episodes of geographic tongue, the good news is it's harmless, only mildly uncomfortable and usually temporary. The bad news, though, is that there's no known cure for the condition—but it can be managed to ease discomfort during outbreaks.
It's been found that highly acidic and spicy foods, as well as astringents like alcohol or some mouthrinses, can increase the level of discomfort. By avoiding these or similar foods or substances, you can reduce the irritation. Your dentist may also be able to help by prescribing anesthetic mouthrinses, antihistamines or steroid ointments.
For the most part, you'll simply have to wait it out. Other than the mild, physical discomfort, the worst part is often simply the appearance of the tongue. But by watching your diet and other habits, and with a little help from us, you can cope with these irritations when it occurs.
If you would like more information on geographic tongue and similar oral issues, 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 “Geographic Tongue: No Cause for Alarm.”
During pregnancy, your body isn’t the only part of your life that changes. Instead of “me,” you’re now thinking about “us”—you and the new person growing inside you. Because of this change in focus you may be re-examining your current habits to see if any could adversely affect your baby.
If you’re concerned your regular dental visits might be one of these, don’t be. Both the American Congress of Obstetricians and Gynecologists (ACOG) and the American Dental Association (ADA) recommend continuing regular dental exams and cleanings even during pregnancy.
In fact, professional dental care is often more important during pregnancy. Because of hormonal changes, you may develop food cravings for more carbohydrates like sugar. Unfortunately, eating more sugar could increase your risk for dental diseases like tooth decay and periodontal (gum) disease.
These same hormonal changes can also make you more prone to gum disease. There’s even a specific form of it known as pregnancy gingivitis that often occurs in expectant mothers. You may also experience “pregnancy tumors,” large, reddened areas of swelling on the gums.
To decrease your risk of pregnancy-related dental disease, you should certainly keep up your regular dental visits—and more if you begin to notice signs like swollen or bleeding gums. And although it’s usually best to postpone elective procedures like cosmetic dental work, you should be able to safely undergo any essential treatment for disease even if it requires local anesthesia. But do discuss any proposed dental work with both your dentist and obstetrician to be sure.
There are also things you can do for yourself during pregnancy that support your dental health. Be sure you’re practicing good oral hygiene habits like daily brushing and flossing. And by all means eat a well-balanced diet and restrict your sugar intake if at all possible. Taking care of these things will help you avoid dental problems and help make this memorable time in your life as joyous as possible.
If you would like more information on caring for your teeth during pregnancy, 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 “Dental Care During Pregnancy.”
It’s been a long road back to oral health for you after periodontal (gum) disease. But after several plaque removal sessions and perhaps even surgical procedures to address deep infection, your gums have regained their healthy pink appearance.
But now you must face a hard reality: because you’ve had gum disease you’ll need to be extra vigilant with your oral hygiene to avoid another round with this destructive disease. But don’t worry—you won’t have to fight your prevention battle alone. We’ll continue to provide you care that reduces your risk of re-infection. We call that care periodontal maintenance (PM).
The heart of PM care involves regular dental visits for monitoring, cleanings and treatment when necessary. While most patients may visit their dentist at least twice a year, as a previous gum disease patient we may advise more frequent visits, especially if you’ve just finished periodontal treatment. Depending on the extent of your disease, we may begin with a visit every other week or once every two to three months. If your mouth continues to be disease-free we may suggest increasing the time between visits.
During your visit we’ll carefully examine your mouth, as well as screen you for any signs of potential oral cancer. We’re looking for both signs of re-infection or new issues with your teeth and gums. We’ll also assess the effectiveness of your oral hygiene efforts and advise you on ways you can improve.
If we find any signs of disease, we’ll then formulate a treatment plan to effectively deal with it. With frequent visits we have a better chance of discovering re-infection early—and the earlier the better to minimize any further damage. We may also need to take steps to make future PM care easier. This could include gum surgery to alter the tissues around certain teeth for easier access for examination and cleaning.
Our main focus with PM care is to look ahead: what can we do now to prevent a future bout of gum disease or at least lessen its effect? With continued monitoring and care we can drastically reduce your risk for further damage from this destructive disease.
If you would like more information on post-gum disease maintenance, 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 “Periodontal Cleanings.”
Your baby will grow into an adult so rapidly it will seem like they're changing right before your eyes. And some of the biggest changes will happen with their teeth, gums and jaw structure.
Unfortunately, disease or a traumatic accident could short-circuit this natural process and potentially create future dental problems. Here are 4 things you should be doing now to protect your baby's long-term dental health.
Start oral hygiene now. Even if your baby has no visible teeth, there may still be something else in their mouth—bacteria, which could trigger future tooth decay. To reduce bacteria clean their gums with a clean, wet cloth after each feeding. When teeth begin to appear switch to brushing with just a smear of toothpaste on the brush to minimize what they swallow.
Make your baby's first dental appointment. Beginning dental visits around your baby's first birthday will not only give us a head start on preventing or treating tooth decay, but could also give us a better chance of detecting other developing issues like a poor bite (malocclusion). Early dental visits also help get your child used to them as routine and increase the likelihood they'll continue the habit as adults.
Watch their sugar. Bacteria love sugar. So much so, they'll multiply—and more bacteria mean an increase in one of their by-products, mouth acid. Increased mouth acid can erode tooth enamel and open the way for decay. So, limit sugary snacks to only meal time and don't give them sugary drinks (including juices, breast milk or formula) in a bottle immediately before or while they sleep.
Childproof your home. A number of studies have shown that half of all accidents to teeth in children younger than 7 happen from falling on home furniture. So, take precautions by covering sharp edges or hard surfaces on chairs, tables or sofas, or situate your child's play areas away from furniture. And when they get older and wish to participate in sports activities purchase a custom mouthguard to protect their teeth from hard knocks—an investment well worth the cost.
If you would like more information on dental care for your child, 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 “Top 10 Oral Health Tips for Children.”
Winter is the time for snowy landscapes, hot cocoa and flannel PJs, but for some 'tis the season for tooth trouble. What can you do to keep your teeth from becoming a pain this winter?
Tackle tooth sensitivity. Does crisp winter air on your teeth give you a jolt? A study published in the Journal of the American Dental Association found that 1 in 8 people (over 12%) suffer from tooth sensitivity, particularly to cold. Sensitivity can result from receding gums, erosion of tooth enamel, tooth decay or other dental problems. If you experience tooth sensitivity, use toothpaste that is specially formulated for sensitive teeth and breathe through your nose to protect your teeth from extreme cold. Most importantly, schedule a dental exam to determine why your teeth are sensitive.
Stay hydrated. In winter, we spend more time with the heat on and we tend to drink less water. A dry mouth can result, which can lead to bad breath, tooth decay and gum disease. Staying well hydrated keeps your gums and teeth moist and helps you produce more saliva, which is key to good oral health and fresh breath. Saliva helps wash away food debris and bacteria, neutralize decay-causing acid and repair weakened tooth enamel. For healthy teeth and gums, be sure to drink plenty of water this winter.
Safeguard your teeth on the slopes. Are you planning to hit the slopes this winter? Be sure to wear a mouthguard to help protect against injury. Beginning skiers and snowboarders are more likely to suffer falls that could result in dental injuries, while experts may fly over bumps and jumps, causing the upper and lower teeth to knock together with force. Even backyard sledders are at risk of dental injury. Mouthguards help protect against chipped, broken, or knocked-out teeth as well as soft tissue damage. So before you enjoy wintertime sports, make sure your teeth are protected. For the best fit and comfort, ask us about a custom mouthguard.
If you have questions about these or other dental issues, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Treatment of Tooth Sensitivity” and “Dry Mouth.”