Posts for: December, 2013
Everyone's heard the jokes about root canals. Now, let's go beyond the myths and get to the “root” of the matter. Here are a few things everyone should know about this relatively painless and beneficial procedure.
1) If you experience discomfort after eating hot or cold foods, sharp pain when biting down, swelling of the gum tissue, or acute tooth pain, you may need root canal treatment.
All of the above are symptoms of disease in the pulp tissue, which lies deep within the roots of teeth, inside tiny canals that go from one end of the root to the other. Pulp tissue can become infected or inflamed for a variety of reasons, such as trauma or deep tooth decay, causing pain and leading to further complications.
2) Diseased pulp tissue in the root canal must be removed to prevent more problems.
The acute pain may go away — but without treatment, the infection in the pulp tissue won't. It will eventually travel through the ends of the tooth's roots and into surrounding areas. This can lead to dental abscesses, and may even cause systemic problems and diseases in other parts of the body.
3) Root canal treatment is effective.
Removing the diseased pulp tissue removes the infection. Pulp tissue itself is a remnant of tooth development which the tooth no longer needs. After the tissue is removed, the root canal is filled with a biocompatible material, and then it is sealed. A crown or other restoration is usually done after root canal treatment to restore the tooth to its full function.
4) Root canal treatment is generally pain-free.
Just like having an ordinary filling, the process begins with an anesthetic administered to numb the tooth and the nearby area. A tiny hole in the tooth's biting surface provides access to the canal, and minute instruments are used for the procedure. Afterwards, over-the-counter pain relievers are typically all that's needed to relieve the sensitivity that may persist for a day or two following the treatment.
5) A properly done root canal preserves your natural teeth.
A tooth that has had appropriate root canal treatment and restoration can last just as long as a natural tooth. That's important, because the other option — removal of the tooth — can lead to issues like unwanted tooth movement and bite problems. Saving your natural teeth should be the first priority in proper dental care.
If you would like more information about root canals, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Common Concerns About Root Canal Treatment” and “Signs and Symptoms of a Future Root Canal.”
You may be suffering from an uncomfortable cracking of the skin at the corners of the mouth. This condition is known as perleche (or angular cheilitis). From the French word “lecher” (“to lick”), it derives its name from the tendency of sufferers to lick the affected areas.
There are a number of causes for perleche. It’s found most often in children who drool during sleep, or in teenagers or young adults wearing braces. Older adults develop perleche due to the wrinkling of skin caused by aging; and anyone can develop the condition from environmental factors like cold, dry weather. Conditions from within the mouth may also be a cause: inadequate saliva flow; inflammation caused by dentures; or tooth loss that diminishes facial support and puts pressure on the skin at the corners of the mouth. Systemic conditions such as anemia, diabetes or cancer can dry out oral tissues and membranes, which may lead to perleche.
Our first priority is to treat any underlying infection. Cracked mouth corners are easily infected, most commonly from yeast called candida albicans. The infection may range from minor discomfort localized in the affected area to painful infections that involve the entire mouth and possibly the throat. Any of these can be treated with an oral or topical anti-fungal medication, including anti-fungal ointments applied directly to the corners of the mouth until the infection clears up. Chlorhexidine mouth rinses can also be used to treat minor yeast infections.
As for healing the cracked skin, a steroid ointment for control of inflammation combined with a zinc oxide paste or ointment will serve as an antifungal barrier while the tissues heal. If the condition is related to missing teeth or dentures, we can take steps to replace those teeth or ensure the dentures are fitting properly. Good oral health also goes a long way in preventing further reoccurrence of perleche, as well as dermatological techniques to remove deep wrinkles due to aging.
If you would like more information on perleche and other mouth sore 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 “Cracked Corners of the Mouth.”
Whether you think they're the height of fashion or the depth of “ice,” oral piercings like tongue bolts are a sign of our times. But along with these bodily adornments come a host of questions about risks to the wearer's health, both immediate and long-term. To help sort out these concerns, here are five facts everyone ought to know about oral piercings.
Oral piercings can cause acute health problems.
Rarely, nerve problems may result from an oral piercing. In at least one case, a teenager who had just gotten a tongue bolt developed severe facial pain and the feeling of electrical shocks. A neurologist traced these symptoms to an irritated nerve in the tongue, and the bolt's removal made the pain go away. More commonly, however, the immediate problems are soreness in the area of the piercing, bleeding in the mouth, and the risk of infection.
Oral piercings can lead to gum disease.
Periodontal problems associated with oral piercings include gum recession, inflammation, and even infection. Long-term bone loss may also be an issue. Over time, all of these conditions may affect a person's general health.
Oral piercings can lead to tooth problems.
Tooth pain and sensitivity are sometimes reported after the installation of an oral piercing. Chipping of the teeth is also a possibility, due to repeated contact with the metal of the ornament. People who decide to wear oral piercings should consult with us about increasing the frequency of their dental checkups.
Closing the hole left by a tongue piercing may require minor surgery.
As is the case with an ear piercing, the hole made for a tongue bolt often closes on its own. If it doesn't, a little surgery may be required to help it. In some cases, the tissue around the piercing may need to be removed before the hole itself can be sewn closed. Carried out under local anesthesia (a numbing shot), however, the procedure is usually simple and quick to heal.
Removing an oral piercing improves your oral health.
Losing the piercing reduces your risk factors, and thus improves your oral health. It's as simple as that. But any decision about oral piercings is ultimately yours to make. You should have a frank conversation about its risks and benefits with a knowledgeable health professional.
If you would like more information about oral piercings, 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 “How Oral Piercings Affect Your Oral Health,” and “Body Piercings and Teeth.”
Your toothbrush serves the invaluable purpose of minimizing bacterial buildup (plaque) that can irritate gums and lead to periodontal disease, infection of the bone and tissues supporting your teeth. Brushing also helps dislodge food particles that certain oral bacteria would otherwise feed on, producing acids in the process that can eat through protective tooth enamel and the vulnerable dentin below. Given its importance to your oral health, you can maximize your toothbrush’s effectiveness by using and storing it properly, and replacing it (or the brush head if you have a powered model) regularly.
Using and Storing Your Brush
All that’s needed to dislodge plaque from oral surfaces is a relaxed grip and a gentle jiggling motion. Too much pressure can wear away tooth enamel, cause gum tissue to recede, and shorten the life of your brush head.
When you’re done using your brush:
- Thoroughly rinse it to remove any remaining tooth paste, food particles, etc.
- If you’re super-vigilant, you also can disinfect your brush by soaking it in mouthwash, brush-sanitizing rinse, or a half water/half hydrogen peroxide solution, or dipping it in boiling water for 5 to 10 seconds.
- Air dry in an upright position and do not routinely cover your toothbrush or store it in a closed container. A dark, moist environment is more conducive to the growth of microorganisms.
Replacing and Recycling Your Toothbrush
Even with the best of care, toothbrush bristles become frayed and worn and their cleaning effectiveness diminishes after 3 or 4 months, according to the American Dental Association, though it could be sooner depending on factors unique to each patient. Besides checking the bristles regularly, a good way of keeping track is to write the date you start using your toothbrush in permanent pen on a big-enough spot on the handle (or doing it on masking tape applied to the base of a power brush).
Once your brush has passed its useful life for oral hygiene, you can still get plenty of mileage out of it. You’ll find plenty of ideas on the internet for cleaning grout between tiles and grime-filled spots around taps and toilet lid hinges; removing mud from boot treads; scrubbing off corrosion from around car battery terminals and more!
If you would like more information about oral hygiene, 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 “Toothbrush Lifespan” and “Manual vs Powered Toothbrushes.”