Posts for tag: oral health
You might not be aware how much force your jaws generate while you eat or chew. But you can become aware in a hurry when part of your inside cheek or lip gets in the way.
What may be even worse than the initial painful bite are the high odds you’ll bite the same spot again—and again. That’s because of a feature in the skin’s healing process.
As a surface wound heals, it often forms a cover of fibrous tissue consisting of the protein collagen. This traumatic fibroma, as it’s called, is similar to a protective callous that develops on other areas of damaged skin. In the process, though, it can become “taller” than the surrounding skin surface, which increases the chances of another bite.
This second bite often results in more fibrous tissue formation that rises even higher from the skin surface, which then becomes more likely to be bit again. After repeated cycles, the initial wound can become a noticeable, protruding lump.
These kinds of sores are typically not cancerous, especially if they’ve appeared to form slowly over time. But they can be a nuisance and the occasion of sharp pain with every subsequent bite. There is, though, an effective way to deal with it—simply have it removed.
While it involves a surgical procedure—an oral surgeon, periodontist or dentist with surgical training usually performs it—it’s fairly minor. After numbing the area with a local anesthetic, the dentist will then completely excise the lesion and close the resulting gap in the skin with two or three small sutures (it could also be removed with a laser). The wound should heal within a few days leaving you with a flat, flush skin surface.
The tissue removed is usually then biopsied. Although it’s highly unlikely it was more than an annoying sore, it’s still common procedure to examine excised tissues for cancer cells. If there appears to be an abnormality, your dentist will then see you to take the next step in your treatment.
More than likely, though, what you experienced was a fibroma. And with it now a thing of the past, you can chew with confidence knowing it won’t be there to get in the way.
If you would like more information on dealing with common mouth sores, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Common Lumps and Bumps in the Mouth.”
“No man is an island….” So wrote the poet John Donne four centuries ago. And while he meant the unity of humanity, the metaphor could equally apply to the interdependence of the various parts of the human body, including the mouth. According to recent scientific research, your mouth isn’t an “island” either.
Much of this research has focused on periodontal (gum) disease, an infection most often caused by bacterial plaque that triggers inflammation in the gum tissues. Although an important part of the body’s defenses, if the inflammation becomes chronic it can damage the gums and weaken their attachment to the teeth. Supporting bone may also deteriorate leading eventually to tooth loss.
Avoiding that outcome is good reason alone for treating and controlling gum disease. But there’s another reason—the possible effect the infection may have on the rest of the body, especially if you have one or more systemic health issues. It may be possible for bacteria to enter the bloodstream through the diseased gum tissues to affect other parts of the body or possibly make other inflammatory conditions worse.
One such condition is diabetes, a disease which affects nearly one person in ten. Normally the hormone insulin helps turn dietary sugars into energy for the body’s cells. But with diabetes either the body doesn’t produce enough insulin or the available insulin can’t metabolize sugar effectively. The disease can cause or complicate many other serious health situations.
There appears to be some links between diabetes and gum disease, including that they both fuel chronic inflammation. This may explain why diabetics with uncontrolled gum disease also often have poor blood sugar levels. Conversely, diabetics often have an exaggerated inflammatory response to gum disease bacteria compared to someone without diabetes.
The good news, though, is that bringing systemic diseases like diabetes under control may have a positive effect on the treatment of gum disease. It may also mean that properly treating gum disease could also help you manage not only diabetes, but also other conditions like cardiovascular disease, osteoporosis, or rheumatoid arthritis. Taking care of your teeth and gums may not only bring greater health to your mouth, but to the rest of your body as well.
If you would like more information on treating dental diseases like gum disease, 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 “Good Oral Health Leads to Better Health Overall.”
Laying out goals for the New Year is a great way to inspire yourself to make positive changes that can improve your health. For example, many habits—both good and bad—affect the health of your teeth and gums. Here’s a list of risky habits to kick, and mouth-healthy habits to adopt:
Habits That Risk Oral Health
Smoking. As if oral cancer weren’t enough to worry about, smoking also promotes gum disease and tooth loss. According to the U.S. Centers for Disease Control, smokers have double the risk of gum disease compared to nonsmokers. And according to the Academy of General Dentistry, smokers are about twice as likely to lose their teeth as nonsmokers. For help quitting, visit smokefree.gov.
Snacking. Nibbling all day can create the perfect conditions for tooth decay—especially if your snacks contain sugar and other carbohydrates. Sticky snacks like cookies, crackers, chips and candy bars that cling to teeth tend to remain in the mouth and attract decay-causing oral bacteria. The acid these bacteria produce can penetrate the enamel of your teeth, causing cavities.
Soft Drinks. Speaking of tooth-eroding acid, soft drinks have plenty of it. And this includes both regular and diet varieties of soda, sweetened iced tea, sports drinks and so-called energy drinks. The healthiest drink for your teeth is water!
Brushing. You probably brush your teeth every day already, but are you doing it correctly? To get the most benefit from this healthy habit, brush twice each day for a full two minutes each time. Use a soft-bristled toothbrush with toothpaste that contains fluoride, and don’t scrub too harshly!
Flossing. Yes, it’s worth the effort! If you don’t floss, you’ll miss cleaning about 40% of your tooth surfaces. A toothbrush just can’t reach in between teeth, where decay-causing dental plaque can hide. If you find dental floss difficult to work with, try using disposable floss holders.
Regular Dental Checkups. Keep up a regular schedule of professional teeth cleanings and exams! This allows us to remove any hardened dental plaque (tartar) that has built up on your teeth, screen you for oral cancer, and treat minor dental problems before they become major ones. Plus, it’s a great opportunity to review your at-home oral hygiene.
If you have any questions about how to improve your oral health, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “10 Tips for Daily Oral Care at Home” and “10 Tips to Help You Stop Smoking.”
We’ve all had physical ailments that were more irritating than serious. The problem of skin cracking at the corners of the mouth fits into that category.
Both dentists and dermatologists encounter this condition often and have a name for it: perleche, derived from the French word lecher, meaning “to lick.” The term arises from patients’ tendency to excessively lick the broken skin to soothe the itching or burning.
Perleche most often arises from certain mouth conditions, although systemic problems like anemia or diabetes may also cause it. Children or younger adults, especially those with orthodontic braces or a tendency to drool as they sleep, often develop perleche; older adults with wrinkling around the mouth are also susceptible. Mouth dryness caused by reduced saliva flow may also irritate the skin and cause discomfort.
As the skin becomes irritated, the person may begin to lick the corners of the mouth to soothe them. This sets up conditions for an infection, most often caused by yeast known as candida albicans. The infection may become more acute and begin to affect the entire inside of the mouth or throat.
If you’ve developed perleche, our primary treatment goal is to reduce any infection with the aid of oral or topical antifungal drugs. One drug, Nystatin, is often taken as a lozenge that dissolves in the mouth and works its way from there through the rest of the body. You can also apply antifungal ointments several times a day to the corners of the mouth, often in combination with steroid ointments that reduce redness and swelling. You can also apply antifungal zinc oxide paste to the cracked skin, which also serves as a barrier between the skin and outer contaminants.
To reduce the chance of future outbreaks, we may recommend you rinse with Chlorhexidine, as well as replace missing teeth or refit loose dentures — these too are contributing factors to erupting yeast infections. You might also need to undergo dermatologic treatment for wrinkles if they’ve proven to be a factor in developing perleche.
Although not a major problem, perleche can be exceedingly uncomfortable and embarrassing. Thanks to a number of treatment options, you don’t have to put up with that discomfort for long.
If you would like more information on perleche (angular cheilitis), 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 “Cracked Corners of the Mouth.”
Everyone agrees that education is an important part of personal growth. However, one area of study that often slips through the cracks centers on oral healthcare basics. And whether or not we all do it as often as we should, most people know they should brush and floss their teeth daily. But other than that, do you feel you are knowledgeable and thus have a healthy dental IQ?
We have developed a quick and easy oral health IQ test to help you self-assess your expertise. The answers are listed at the bottom of this article.
- What has been the largest, single factor influencing the decline in tooth decay over the past 40 years in America?
- Fluoridated water
- Fluoridated toothpaste
- Your dentists can help treat which of the following problem(s)?
- Halitosis (bad breath)
- Snoring and sleep apnea
- Headaches, Temporomandibular Disorder (TMD), or Temporomandibular Joint Dysfunction
- All of the above
- The most important aspect of brushing your teeth is...?
- The brand of toothpaste you use
- Your brushing technique and frequency
- The brand of your toothbrush
- Using an electric toothbrush
- At a minimum, how often should you have a thorough dental evaluation?
- Every six months
- Once a year
- Every five years
- Only if you are experiencing pain
- At a minimum, how often should you have your teeth professionally cleaned?
- Every six months
- Once a year
- Every five years
- It depends on your age and oral health
Want to learn more?
1) a = fluoridated water, 2) d = all of the above, 3) b = your brushing technique and frequency, 4) b = once a year, 5) d = It depends on your age and oral health