Posts for category: 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.”
The Internet is truly amazing: It takes only a few seconds to tap into a vast store of knowledge to find information that once took people hours or days. But amidst all that helpful data, there's also some not so helpful information—in fact, some can be downright harmful, including to your dental health.
One particular Internet trend is brushing teeth with black, gooey substances containing activated charcoal. Scores of online videos featuring people doing this are getting viral views, perhaps more for the “gross” factor than the claimed health benefits.
So, why do it? Advocates of using activated charcoal for oral hygiene claim the ingredient kills harmful microorganisms in your mouth. The charcoal is also supposed to whiten your teeth.
But clinical studies of the practice, including one recently published in the Journal of the American Dental Association have been unable to substantiate these claims. There's simply no evidence that activated charcoal does what its advocates say it can do.
Unfortunately, there is evidence the practice can actually harm your teeth. This is because activated charcoal is an abrasive substance that over time could damage your teeth's enamel. Eroded enamel doesn't regrow, so eventually the more vulnerable dentin, the tooth layer just beneath the protective enamel, becomes exposed. It's not only darker and less attractive than enamel, its more susceptible to tooth decay and cavities.
The best way to care for your teeth, brushing and flossing daily, may seem boring compared to videos of brushing with charcoal, but it is effective—and safe. You should also see your dentist for more thorough cleanings at least every six months to round out your dental care.
And if you want a brighter smile, your dentist can perform a tooth whitening procedure that can give you months or even years of satisfaction. Professional tooth whitening (or even home whitening kits applied properly) also won't harm your enamel.
Tooth decay doesn't occur out of thin air, but is the end result of bacteria feeding on sugar, multiplying and producing acid. High acidity erodes tooth enamel and creates an environment for cavity development.
Modern dentistry can effectively treat cavities and often save the tooth from further damage. But you don't have to wait: You can reduce your chances of cavities by managing risk factors that contribute to decay.
Here are 4 top risk factors for tooth decay and what you can do about them.
Poor saliva flow. Saliva neutralizes acid and helps restore minerals to enamel after acid contact. But your enamel may not have full protection against acid if you have diminished saliva flow, often due to certain medications. You can help increase your saliva by consulting with your doctor about drug alternatives, drinking more water or using a saliva boosting product. Smoking can also inhibit saliva, so consider quitting if you smoke.
Eating habits. High sugar content in your diet can increase bacterial growth and acid production. Reducing your overall sugar consumption, therefore, can reduce your risk of decay. Continuous snacking can also increase your decay risk, preventing saliva from bringing your mouth back to its normal neutral pH. Instead, limit your snack periods to just a few times a day, or reserve all your eating for mealtimes.
Dental plaque. Daily eating creates a filmy buildup on the teeth called dental plaque. If not removed, plaque can then harden into a calcified form called calculus, an ideal haven for bacteria. You can help curtail this accumulation by thoroughly brushing and flossing daily, followed by dental cleanings at least every six months. These combined hygiene practices can drastically reduce your cavity risk.
Your genetics. Researchers have identified up to 50 specific genes that can influence the risk for cavities. As a result, individuals with similar dietary and hygiene practices can have vastly different experiences with tooth decay. Besides continuing good lifestyle habits, the best way to manage a genetic disposition for dental disease is not to neglect ongoing professional dental care.
If you would like more information on managing your tooth decay risk factors, 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 “What Everyone Should Know About Tooth Decay.”
If you have tooth pain, we want to know about it. No, really—we want to know all about it. Is the pain sharp or dull? Is it emanating from one tooth or more generally? Is it constant, intermittent or only when you bite down?
Dentists ask questions like these because there are multiple causes for tooth pain with different treatment requirements. The more accurate the diagnosis, the quicker and more successful your treatment will be.
Here are 3 different examples of tooth pain, along with their possible causes and treatments.
Tooth sensitivity. If you feel a quick jolt of pain when you eat or drink something hot or cold, it may mean your gums have drawn back (receded) from your teeth to leave more sensitive areas exposed. Gum recession is most often caused by gum disease, which we can treat by removing dental plaque, the main cause for the infection. In mild cases the gums may recover after treatment, but more advanced recession may require grafting surgery.
Dull ache around upper teeth. This type of pain might actually be a sinus problem, not a dental one. The upper back teeth share some of the same nerves as the sinus cavity just above them. See your dentist first to rule out deep decay or a tooth grinding habit putting too much pressure on the teeth. If your dentist rules out an oral cause, you may need to see your family physician to check for a sinus infection.
Constant sharp pain. A throbbing pain seeming to come from one tooth may be a sign the tooth's central pulp layer has become decayed. The resulting infection is attacking the pulp's nerves, which is causing the excruciating pain. Advanced decay of this sort requires a root canal treatment to remove the diseased tissue and fill the empty pulp chamber and root canals to prevent further infection. See your dentist even if the pain stops—the infection may have only killed the nerves, but is still present and advancing.
Pain is the body's warning system—so heed the tooth pain alert and see your dentist as soon as possible. The sooner the problem is identified and treated, the better your chances of returning to full dental health.
If you would like more information on tooth pain and what it means, 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 “Tooth Pain? Don't Wait!”
While your teeth and gums can take a lot, they still face dangers like dental disease. Your teeth are also affected by aging-related wear and tear.
And, something else could put your teeth at risk: teeth grinding. This is an involuntary habit afflicting one in ten adults in which they grind or clench their teeth, often while they’re asleep. This generates higher than normal biting forces that can cause sore jaw joints, accelerated teeth wear and damage to the ligaments that hold teeth in place. In the worst case, you could eventually lose teeth.
So how do you know you’re grinding your teeth, especially if you’re asleep? You might notice your jaw being unusually sore after you wake up or your jaw muscles feel tired. Your dentist may also notice higher than normal tooth wear during a regular checkup. One of the best indicators, though, might be your sleeping partner or family: Teeth gnashing together can be loud enough to disturb others’ sleep.
In treating adult teeth grinding, it’s best to first determine the underlying cause. One of the most prominent reasons is chronic stress: If you’re under high pressure from situations at work or at home, pent-up stress can vent through physical outlets like teeth grinding. You can manage high stress through relaxation techniques, biofeedback or group therapy, which could in turn reduce teeth grinding.
Teeth grinding could also be related to a sleep disorder, such as problems with shifting between nightly sleep cycles. Certain psychoactive drugs are often associated with teeth grinding too. And, because of alterations in brain chemistry, tobacco users are twice as likely to grind their teeth as non-users. So, receiving treatment for a medical condition or making certain lifestyle changes could help lessen a grinding habit.
Many of these approaches take time to alleviate teeth grinding. For immediate relief, your dentist can create a custom mouthguard you wear while you sleep to reduce the effects of teeth grinding. The guard prevents the upper and lower teeth from making contact while biting down, which reduces the forces against them.
The damage from teeth grinding is often cumulative. If diagnosed early, though, we may be able to stop or minimize the damage before it goes too far.
If you would like more information on teeth grinding, 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 “Teeth Grinding.”