Posts for: October, 2018
We've all had them — tiny sores that pop up seemingly out of nowhere under the tongue or the inside of the cheek. They're named aphthous ulcers, but are more commonly known as canker sores. For some people, they can be a recurring irritation.
Round with a yellow-gray center surrounded by reddened skin, aphthous ulcers seem to coincide with periods of anxiety or stress, or as a result of some minor trauma. Many people will feel a tingling or painful sensation a few hours or days before the ulcers appear. Once they appear they usually persist for a week to ten days before finally drying and healing. In the meantime they can be painful, especially while eating or drinking.
One form known as recurrent aphthous stomatitis (RAS) affects about a quarter of the population with outbreaks of multiple ulcers that occur regularly. RAS ulcers are usually one centimeter or more in size — the larger the sore the more painful they tend to be.
There are ways to ease the discomfort of an ulcer outbreak and help hasten their healing. A number of over-the-counter products can be used in minor cases to numb the area temporarily and cover it to facilitate healing. We can also apply steroids or inject other medications for more severe cases. You may also find curbing your eating of certain foods like tomato sauce, citrus or spicy dishes can help.
For the most part aphthous ulcers aren't dangerous. In some situations, though, you should seek dental or medical evaluation: a sore that doesn't heal within two weeks; increases in severity, frequency or duration of ulcers; or when you don't seem to ever be without an ulcer in your mouth. We may need to perform tests, including tissue biopsy, to make sure there aren't any underlying systemic conditions causing the ulcers.
More than likely, though, you'll only need relief from the aggravation caused by aphthous ulcers. Among the many remedies, there's one right for you.
If you would like more information on aphthous ulcers or other 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 “Mouth Sores.”
October is National Dental Hygiene Month. It comes as no surprise that good dental hygiene habits are best acquired early in life—and with good reason, as tooth decay is the most common disease among children. In fact, a full 43 percent of U.S. children have cavities, according to a 2018 report from the U.S. Centers for Disease Control. So how do you start young children on the path to a lifetime of good oral health? Here are five tips for instilling good dental hygiene habits in your kids:
Set a good example. Good—and bad—habits often start at home. Research shows that when young children notice other family members brushing their teeth, they want to brush, too. So let your child see you brushing and flossing your teeth, and while you’re at it model good nutritional choices for optimal oral health and use positive language when talking about your own dental visits. The example you set is a powerful force in your child’s attitude toward oral care!
Start early. You can start teaching children brushing techniques around age two or three, using a toothbrush just their size with only a pea-sized amount of fluoride toothpaste. If they want to brush by themselves, make sure you brush their teeth again after they have finished. Around age six, children should have the dexterity to brush on their own, but continue to keep an eye on their brushing skill.
Go shopping together. Kids who handpick their own oral hygiene supplies may be more likely to embrace the toothbrushing task. So shop together, and let them choose a toothbrush they can get excited about—one in their favorite color or with their favorite character. Characters also appear on toothpaste tubes, and toothpaste comes in many kid-friendly flavors.
Make dental self-care rewarding. Why should little ones care about good dental hygiene? Young children may not be super motivated by the thought of a long-term payoff like being able to chew steak in their old age. A more tangible reward like a sticker or a star on a chart each time they brush may be more in line with what makes them tick.
Establish a dental home early on. Your child should start getting regular checkups around age one. Early positive experiences will reinforce the idea that the dental office is a friendly, non-threatening place. Children who get in the habit of taking care of their oral health from an early age have a much better chance of having healthy teeth into adulthood.
If you have questions about your child’s dental hygiene routine, call the office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Do Babies Get Tooth Decay?” and “How to Help Your Child Develop the Best Habits for Oral Health.”
Chronic stress can cause any number of physical problems like back pain, insomnia or stomach ulcers. In the mouth, it can also be the cause of teeth grinding or clenching habits that may lead to pain and tooth damage.
Besides toothaches and jaw pain, stress-related teeth grinding may also be causing your teeth to wear at a faster than normal rate. While the teeth can withstand normal forces generated from biting and chewing, a grinding habit could be subjecting the teeth to forces beyond their normal range. Over time, this could produce excessive tooth wear and contribute to future tooth loss.
Here, then, are some of the treatment options we may use to stop the effects of stress-related dental habits and provide you with relief from pain and dysfunction.
Drug Therapy. Chronic teeth grinding can cause pain and muscle spasms. We can reduce pain with a mild anti-inflammatory pain reliever (like ibuprofen), and spasms with a prescribed muscle relaxant drug. If you have sleep issues, you might also benefit from occasional sleep aid medication.
A Night or Occlusal Guard. Also known as a bite guard, this appliance made of wear-resistant acrylic plastic is custom-fitted to the contours of your bite. The guard is worn over your upper teeth while you sleep or when the habit manifests; the lower teeth then glide over the hard, smooth surface of the guard without biting down. This helps rest the jaw muscles and reduce pain.
Orthodontic Treatment. Your clenching habit may be triggered or intensified because of a problem with your bite, known as a malocclusion. We can correct or limit this problem by either moving the teeth into a more proper position or, if the malocclusion is mild, even out the bite by reshaping the teeth in a procedure known as occlusal (bite) equilibration.
Psychological Treatment. While the preceding treatments can help alleviate or correct dental or oral structural problems, they may not address the underlying cause for a grinding habit — your psychological response to stress. If you’re not coping with stress in a healthy way, you may benefit from treatments in behavioral medicine, which include biofeedback or psychological counseling.
If you would like more information on dental issues related to stress, 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 “Stress & Tooth Habits.”