Posts for: February, 2019
Enamel — that tough, outermost tooth layer — protects your teeth from all sorts of hazards, from bacterial attack to temperature extremes. But although the hardest substance in the human body, enamel has a mortal enemy — acid. High acid levels can cause the minerals in enamel to dissolve, a process called de-mineralization. And although saliva can neutralize these levels in approximately 45-60 minutes and restore some of the enamel’s lost minerals, a constant acidic environment can overwhelm this natural mechanism.
That’s why you should be careful with the amount and frequency of acidic foods and drinks like citrus fruits or coffee. You should be especially concerned about your intake of sodas, energy drinks or sports drinks. The latter in particular are designed to replace fluids and nutrients during intense exercise or sports events, but are often consumed as a regular beverage. And all these drinks mentioned are often sipped on throughout the day, resulting in a constant wash of acid in your mouth that can interrupt the protective response of saliva.
There’s one other source for high mouth acidity that comes not from outside the body but from within. GERD — Gastro Esophageal Reflux Disease — is a condition in which digestive acid refluxes (flows back) into the esophagus. While chronic acid reflux can damage the lining of the esophagus and lead to ulcers or even cancer, it may also pose a danger to teeth if the acid regularly rises into the mouth. Individuals encountering this will know it by the awful, acrid taste of vomit in their mouth.
To reduce the chances of high mouth acid due to food intake, limit the consumption of acidic foods and beverages to meal times and sports drink consumption to strenuous exercise or sporting events. Better yet, consider the greatest hydrator of all, water — with a neutral pH of 7.
If you’re experiencing chronic heartburn or other GERD symptoms, make an appointment to see your primary care doctor or a gastroenterologist as soon as possible. Many treatments are effective and will not only improve your general health but may also help preserve your tooth enamel.
If you would like more information on the effect of acid in the mouth and how to reduce it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Dentistry & Oral Health for Children” and “GERD — Gastro Esophageal Reflux Disease.”
Canker sores, known medically as aphthous ulcers, are fairly common among people. Lasting for about a week or so, these mouth sores are usually more irritating than painful. But about a quarter of the population, especially women, frequently suffer from an acute form that doesn't often respond well to over-the-counter remedies.
A typical canker sore is usually round with a yellow-gray center ringed by a reddened "halo." They can be preceded by tingling or painful sensations at the site a few hours or so before breaking out. Recurrent aphthous stomatitis (RAS) is the more severe form of canker sore, often with outbreaks of multiple painful sores. While the more common sore is usually less than a centimeter in diameter, RAS sores are often much larger.
Canker sores often arise during periods of stress or anxiety, and seem to be connected with eating certain acidic foods like tomato sauce, citrus fruits or spicy dishes. RAS also seems to be related to underlying systemic conditions like vitamin deficiencies, anemia or digestive disorders. Besides managing diet and stress, people with regular canker sores and milder cases of RAS can often find relief with non-prescription numbing agents often found in stores and pharmacies.
For more severe RAS, though, you may need the help of your dentist or physician with treatments like prescription steroids or other medications that come in gel or rinse form or through injections. The goal of any treatment approach is to decrease pain severity and shorten healing times after an outbreak.
While most mouth sores, including RAS, aren't dangerous to your health, you should still take any sore seriously. You should especially seek medical evaluation if a sore doesn't heal after a couple of weeks, if they seem to come more frequently and are more severe, or if you don't seem to ever be without a sore in your mouth. These could indicate a serious underlying problem that needs to be addressed.
One thing's for sure: there are ways to ease your suffering if you have frequent bouts with regular canker sores or even RAS. Talk to your dentist about ways to minimize your discomfort from these irritating mouth sores.
If you would like more information on aphthous ulcers or canker 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.”
We’ve all experienced eating or drinking something hot enough to scald the inside of our mouths. But what if you regularly have a burning sensation but haven’t consumed anything hot to cause it? You may have a condition called burning mouth syndrome, or BMS.
In addition to the sensation of feeling scalded or burnt, BMS can also cause dryness, tingling and numbness, as well as a change or reduction in your sense of taste. You can feel these sensations generally in the mouth or from just a few areas: the lips, tongue, inside of the cheeks, gums, throat or the roof of the mouth.
The root cause of BMS isn’t always easy to pinpoint, but it seems related to systemic conditions like diabetes, nutrition or vitamin deficiencies and acid reflux; it’s also been known to accompany the use of irradiation or chemotherapy for cancer treatment or psychological problems. It seems to occur most often in women around the age of menopause and may be linked to hormonal changes.
To determine the best treatment course, we must first eliminate the possibility that another condition besides BMS may be causing your symptoms. Some medications (both prescription and over-the-counter) cause mouth dryness, which can irritate the inner linings of the mouth or contribute to yeast infection, either of which could result in similar symptoms to BMS. Allergic reactions to dental materials in dentures or toothpastes that contain sodium lauryl sulfate, whiteners or cinnamon flavor can cause irritation and skin peeling within the mouth.
If we’ve determined you have BMS, there are a number of strategies we can try to bring relief, like stopping or cutting back on habits that worsen dry mouth like smoking, alcohol or coffee consumption, or frequently eating hot or spicy foods. You should also drink water more frequently to keep your mouth moist, or use biotene or products containing the sweetener xylitol to promote saliva production. If mouth dryness is related to medication, you should speak with your physician or our office about alternatives.
In some cases, BMS resolves over time. In the mean time, though, promoting good saliva flow and reducing stress will go a long way toward diminishing this irritating condition.
If you would like more information on the causes and treatment of burning mouth syndrome, 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 “Burning Mouth Syndrome.”