Posts for tag: oral health
Most of what goes on inside our mouths—good or bad—is fairly predictable. But every now and then, people encounter something out of the ordinary. A good example is lichen planus.
Lichen planus are rare skin lesions that can occur on various parts of the skin, including inside the mouth. The name comes from their lacy appearance, which resembles a fungus that grows on rocks or trees called lichen.
Being similar in appearance, though, is all that lichen planus has in common with its fungal namesake. It's believed that the sores are caused by a reaction of the immune system mistaking some of the body's cells as foreign.
But don't let the exotic sounding name alarm you—true lichen planus is considered a benign mouth sore. You may not even realize you have it until your dentist notices and points it out. But the lesions can sometimes cause mild pain or burning, especially if they occur near the gums or if you indulge in spicy or acidic foods.
As we said, these lesions aren't considered dangerous. But in a small number of cases, oral cancer was found to develop later. It's unclear whether the lesions were related to the cancer, or if what were diagnosed as lichen planus lesions were actually pre-cancerous cells mimicking the appearance of the benign sore.
In any event, your dentist will probably continue to monitor the lesions and possibly conduct regular oral cancer screenings to be on the safe side. You may also want to stop using tobacco or alcohol products to further decrease your risk of oral cancer.
As to managing lichen planus, it starts with a daily habit of brushing and flossing. You'll also want to avoid spicy or acidic foods like citrus fruits, tomatoes, peppers or caffeinated drinks, especially during flareups. If the lesions are causing discomfort, your dentist may also prescribe a topical steroid to apply to them.
Since it's quite possible you won't know if you have lichen planus (as well as other types of mouth sores) unless your dentist observes them, you should keep up regular dental visits. Having your dentist check your entire mouth, not just your teeth and gums, will help both of you stay on top of your oral health.
If you would like more information on 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 magazine article “Lichen Planus.”
The mouth is a crowded place with nerves, blood vessels and sinus cavities sharing common space with the teeth and gums. Although important in their own right, these structures can also hinder treatment for complex dental situations like dental implant surgery or impacted teeth.
Treating these and similar situations depends on getting an accurate depiction of “what lies beneath.” Conventional x-rays help, but their two-dimensional images don't always give the full picture. There's another way—cone beam computed tomography (CBCT).
Similar to CT scanning, CBCT uses x-ray energy to take hundreds of “sliced” images that are then re-assembled with special software to create a three-dimensional model viewable on a computer screen. CBCT is different, though, in that it employs a scanning device that revolves around a patient's head, which emits a cone-shaped beam of x-rays to capture the images.
A dentist can manipulate the resulting 3-D model on screen to study revealed oral structures from various angles to pinpoint potential obstacles like nerves or blood vessels. The detailed model may also aid in uncovering the underlying causes of a jaw joint disorder or sleep apnea.
CT technology isn't the only advanced imaging system used in healthcare. Another is magnetic resonance imaging (MRI), which excites hydrogen atoms in water molecules. This produces different vibration rates in individual tissue structures, which are then translated into detailed images of these structures. Unlike CT or CBCT, MRI doesn't use x-ray energy, but rather a magnetic field and radio waves to produce the atomic vibrations.
But while providing good detail of soft tissues, MRI imaging doesn't perform as well as CBCT with harder tissues like bone or teeth. As to the potential risks of CBCT involving x-ray radiation exposure, dentists follow much the same safety protocols as they do with conventional x-rays. As such, they utilize CBCT only when the benefits far outweigh the potential x-ray exposure risks.
And, CBCT won't be replacing conventional x-rays any time soon—the older technology is often the more practical diagnostic tool for less invasive dental situations. But when a situation requires the most detailed and comprehensive image possible, CBCT can make a big difference.
If you would like more information on advanced dental diagnostics, 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 “Getting the Full Picture With Cone Beam Dental Scans.”
You're more apt to lose teeth because of periodontal (gum) disease and tooth decay than any other cause. But neither of these bacterial diseases have to happen: You can prevent them through daily brushing and flossing and twice-a-year dental cleanings.
But that's not all: You can also boost your dental care practices by eating foods that strengthen and protect teeth. On the other hand, a poor diet could reduce the effectiveness of your oral hygiene practices in preventing tooth decay or gum disease.
A diet that might lead to the latter is often high in refined sugar (sucrose), often added to processed foods and snacks to improve taste. But sucrose is also a top food source for oral bacteria, increasing their numbers when it's readily available. A higher bacterial population greatly increases your risk for tooth decay or gum disease.
On the other hand, certain foods benefit your overall dental health. Fresh fruits and vegetables, for example, are filled with nutrients and minerals like vitamin D or calcium that strengthen teeth against disease. And although they can also contain natural sugars, these don't pose the same problems as added sucrose due to the plant fiber you consume with them.
Dairy foods can also help you maintain healthy teeth and gums. Milk and cheese contain minerals like calcium and phosphorus, and a protein called casein, all of which strengthen teeth against decay. The enzymes in cheese stimulate saliva, which in turn neutralizes mouth acid and prevent it from harming enamel.
Some foods are also natural sources of fluoride, a mineral that strengthens tooth enamel. One example is black tea, which also, along with green tea, contains antioxidants that protect against cancer.
The best strategy for “tooth-friendly” nutrition is to pursue a diet that's high in fiber-rich natural foods and low in sugar-added processed foods. In practice, you'll want most of your diet to consist of fresh fruits and vegetables and low-fat dairy food, while minimizing foods with added sugar.
Following this kind of diet will certainly benefit your overall health. But it will also make it easier for you to prevent dental disease and keep your teeth and gums healthy.
If you would like more information on how nutrition can boost your dental health, 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 “Nutrition & Oral Health.”
If you're intrigued by the strange and bizarre, here's one to pique your interest: geographic tongue. It's a rare condition that causes the appearance of red patches on the tongue surface, surrounded by grayish-white borders, and which look a lot like continents on a map (hence the name). But although it may look odd, geographic tongue won't harm your health.
The condition is also known as benign migratory glossitis, so named because it's not cancerous and the patches seem to move or “migrate” around the tongue surface. The most common causes are thought to be stress or hormonal disruptions in those predisposed to the condition. Many researchers believe zinc or vitamin B deficiencies in the body contribute to its occurrence. It also seems more prevalent among non-smokers and pregnant women, as well as occurring as a family trait.
The red patches are created by the temporary disappearance of some of the papillae, tiny bumps on the tongue's top surface. The patches can abruptly appear during a flareup and then disappear just as suddenly. But as “angry” as the patches may look, geographic tongue is not considered a health danger. It isn't normally painful, although people can experience stinging or numbing sensations emanating from the patches that can be mildly uncomfortable.
Because it's also rare, you're not likely to encounter it personally. But if you or a loved one does begin to notice red patches on the tongue, there are a few things you can do to lessen any accompanying irritation. For one, cut out foods like tomatoes, citrus fruits, eggplant, mint or highly spicy or acidic foods, all of which have been known to increase discomfort. You might also avoid astringents like alcohol or mouthwashes that likewise irritate the patches when they occur.
Although geographic tongue can't be cured, your dentist can help you manage symptoms when they arise with the help of prescribed anesthetic mouthwashes, antihistamines or steroid lozenges. These not only can help lower any discomfort or irritations, they may also lessen the duration of a flareup.
For the most part, geographic tongue usually causes more embarrassment than physical discomfort. But with a little help from your dentist, you can keep it to a minimum. Geographic tongue may be odd, but it's nothing to worry about.
If you would like more information on geographic tongue, 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.”
After a long hiatus, school athletes are gearing up for another sports year. Given the pandemic, they may be modifying some of their usual habits and practices. But one thing probably won't change: These young athletes will be looking for every way possible to improve their sports performance. And a new research study offers one possible, and surprising, avenue—beefing up their oral hygiene practice.
That's the conclusion of the study published in BMJ Open Sport & Exercise Medicine, a sister publication of the British Journal of Sports Medicine. Working with a group of about 60 elite athletes, a research group in the U.K. found that improving oral health through better hygiene practices might also boost overall sports performance.
Because there's some evidence that over 50% of athletes have some form of tooth decay or gum disease, the study's researchers wanted to know if there was a link between athletes' sports performance and their dental problems caused by neglected oral hygiene. And if so, they wanted to see if better hygiene might improve sports performance as well as oral health.
Their first step was to establish an initial baseline for the participants with an oral health screening, finding that only around 1 in 10 of the study's participants regularly brushed with fluoride toothpaste or flossed. They then administered a detailed questionnaire developed by the Oslo Sports Trauma Research Center (OSTRC) to gauge the athletes' perception of how their current oral health affected their sports performance.
After some basic hygiene training, the athletes were given kits containing a toothbrush, prescription fluoride toothpaste and floss picks. They were then instructed to clean their teeth twice a day. Four months later, researchers found the number of participants who regularly brushed increased to 80%, and flossing more than doubled. What's more, a second OSTRC questionnaire found significant improvement overall in the athletes' perception of their sports performance.
As scientific research, these findings still need further testing and validation. But the study does raise the possibility that proper dental care could benefit other areas of your life, including sports participation.
Athlete or not, instituting some basic dental care can make a big difference in maintaining a healthy mouth:
- Brush twice and floss once every day to remove accumulated dental plaque, the main source of dental disease;
- Get a professional dental cleaning at least twice a year to remove stubborn plaque and tartar;
- See us if you notice tooth pain or swollen or bleeding gums to stay ahead of developing dental disease.
Improving your dental care just might benefit other areas of your life, perhaps even athletic pursuits. We guarantee it will make a healthy difference for your teeth and gums.