Posts for: July, 2018
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.”
The chances of contracting an infectious disease from a dental visit are extremely low, thanks to the stringent safety standards practiced by over 170,000 dental care providers across the U.S. Without these standards, you and your family would be at risk for diseases like hepatitis from even a routine office visit.
The main prevention focus centers on blood-borne diseases in which blood from an infected person is introduced into the body of another through a cut, incision or injection site. While HIV/AIDS (autoimmune deficiency syndrome) is perhaps the most well known of blood-borne diseases, a more common and thus a more threatening disease is hepatitis. Caused by a pair of viruses known as HBV and HCV, hepatitis damages the liver, which disrupts normal bodily function and can even cause death.
The spread of hepatitis and similar diseases is a major concern for blood transfusion and surgical centers that commonly use invasive procedures and intravenous (IV) equipment. It’s also a concern in dental offices where even a hygienic cleaning may result in some bleeding. To reduce the risk of disease, the dental profession has several layers of both mandatory and recommended standards for protection against viral or microbial transmission.
The Center for Disease Control, for example, publishes and regularly updates recommended procedures for equipment sterilization and disinfection. State level dental licensing boards also mandate safety procedures and require continuing education for infection control as a requirement for re-licensing, as often as two years. Professional organizations such as the American Dental Association (ADA) also encourage safety protocols among its members.
The vast majority of dentists place infection control among their highest priorities. These care providers institute and practice daily protocols and procedures for hand washing, use of masks, gloves and other biohazard protection, and disinfection. Through effective infection control you and your family can receive the dental care you need without endangering your general health.
If you would like more information on health safety in the dental office, 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 “Infection Control in the Dental Office.”
On the big screen, Australian-born actress Margot Robbie may be best known for playing devil-may-care anti-heroes—like Suicide Squad member Harley Quinn and notorious figure skater Tonya Harding. But recently, a discussion of her role in Peter Rabbit proved that in real life, she’s making healthier choices. When asked whether it was hard to voice a character with a speech impediment, she revealed that she wears retainers in her mouth at night, which gives her a noticeable lisp.
“I actually have two retainers,” she explained, “one for my bottom teeth which is for grinding my teeth, and one for my top teeth which is just so my teeth don't move.”
Clearly Robbie is serious about protecting her dazzling smile. And she has good reasons for wearing both of those retainers. So first, let’s talk about retainers for teeth grinding.
Also called bruxism, teeth grinding affects around 10 percent of adults at one time or another, and is often associated with stress. If you wake up with headaches, sore teeth or irritated gums, or your sleeping partner complains of grinding noises at night, you may be suffering from nighttime teeth grinding without even being aware of it.
A type of retainer called an occlusal guard is frequently recommended to alleviate the symptoms of bruxism. Typically made of plastic, this appliance fits comfortably over your teeth and prevents them from being damaged when they rub against each other. In combination with stress reduction techniques and other conservative treatments, it’s often the best way to manage teeth grinding.
Orthodontic retainers are also well-established treatment devices. While appliances like braces or aligners cause teeth to move into better positions, retainers are designed to keep teeth from moving—helping them to stay in those positions. After active orthodontic treatment, a period of retention is needed to allow the bite to stabilize. Otherwise, the teeth can drift right back to their old locations, undoing the time and effort of orthodontic treatment.
So Robbie has the right idea there too. However, for those who don’t relish the idea of wearing a plastic appliance, it’s often possible to bond a wire retainer to the back surfaces of the teeth, where it’s invisible. No matter which kind you choose, wearing a retainer can help keep your smile looking great for many years to come.
If you have questions about teeth grinding or orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Teeth Grinding” and “The Importance of Orthodontic Retainers.”