Have you ever felt a hot, burning sensation in your mouth—like it had been scalded—but you didn't eat or drink anything that could have caused it?
While you may think you’re hallucinating, there’s another possibility: Burning Mouth Syndrome (BMS). This condition, which can last for years, produces sensations in the mouth of not only scalding or burning, but also tingling, numbness and a decline in your ability to taste. Patients may feel it throughout their mouth or only in localized areas like the lips, tongue or inside the cheeks.
The exact cause of BMS is also something of a mystery. It’s been theoretically linked to diabetes, vitamin or mineral deficiencies and psychological problems. Because it’s most common among women of menopausal age hormonal changes have been proposed as a factor, although hormone replacement therapy often doesn’t produce any symptomatic relief for BMS.
To complicate matters, other conditions often share the condition’s effects, which need to be ruled out first to arrive at a BMS diagnosis. A feeling of scalding could be the result of mouth dryness, caused by medications or systemic conditions that inhibit saliva flow. Some denture wearers may display some of the symptoms of BMS due to an allergic reaction to denture materials; others may have a similar reaction to the foaming agent sodium lauryl sulfate found in some toothpaste that can irritate the skin inside the mouth.
If these other possibilities can be ruled out, then you may have BMS. While unfortunately there’s no cure for the condition, there are ways to lessen its impact. There’s even the possibility that it will resolve itself over time.
Until then, keep your mouth moist by drinking lots of water or using saliva-stimulating products, limiting alcohol, caffeinated drinks or spicy foods and refraining from smoking. If you’re taking medications that could cause dry mouth, speak with your physician about changing to an alternative. And try to reduce stress in your life through exercise, mindfulness practices or support groups.
While BMS isn’t considered harmful to your physical health it can make life less enjoyable. Careful symptom management may help improve your quality of life.
If you would like more information on 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: A Painful Puzzle.”
“Less is more” is a truism for much of life. It’s also an important feature of an emerging approach to treating tooth decay known as minimally invasive dentistry (MID).
MID updates another revolution in dental care that occurred in the early 1900s. Treating decay took a quantum leap thanks to techniques developed by Dr. G. V. Black, considered the father of modern dentistry. Dr. Black’s approach (known as “extension for prevention”) involved not only removing decayed tooth structure, but also adjacent areas deemed vulnerable to decay, which made them easier to clean. On the downside, though, it also created larger than normal fillings.
As the practice prevailed through much of the Twentieth Century another weakness became apparent—the approach could not guarantee a treated tooth would not experience decay again. This became the real impetus toward MID—to find more comprehensive ways to treat decay with as little impact on the tooth structure as possible.
These efforts received a real boost from emerging technology. This was especially true in diagnostics with the rise of new devices like intraoral cameras and techniques like laser fluorescence that can enable dentists to detect decay much earlier. It’s now possible to catch the disease at an earlier stage before substantial damage to the tooth occurs.
MID has also led to new treatments that preserve more of the tooth structure. Traditional drilling is increasingly giving way to air abrasion, the use of a fine particle stream of aluminum oxide, glass beads or baking soda directed precisely at decayed structure and minimizing damage to healthy structure. We’re also using new filling materials like composite resin for restorations after treatment that are strong yet still life-like and attractive.
We also can’t forget the role of the twin daily hygiene practices brushing and flossing to remove bacterial plaque, the main source of dental disease. And regular dental cleanings and checkups round out the MID approach, helping to ensure that decay doesn’t get too far. The end result of this revolutionary approach: your teeth can experience less impact from treatment and remain healthier and more attractive in the long-run.
If you would like more information on minimally invasive dental care, 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 “Minimally Invasive Dentistry: When Less Care is more.”
Dental implants are considered today’s premier method for restoring missing teeth. Obtaining an implant, though, is often a long process and the implants themselves must be surgically placed within the jaw bone. Nothing to worry about, though: implant surgery is a minor to moderate procedure akin to a surgical tooth extraction.
Still like any surgery, this procedure does involve cutting into the soft tissues of the gums and could allow oral bacteria to enter the bloodstream. While most bacteria in the mouth are harmless (and even beneficial) a few strains can cause disease. For some people, especially those with certain heart conditions or joint replacements, this could potentially cause serious issues in other parts of their body that might be highly susceptible to infection.
To guard against this, it’s been a long-standing practice in dentistry to prescribe antibiotics to certain high risk patients before a procedure. Although this departs from the normal use of antibiotics for already occurring infections, due to the circumstances this has been deemed an acceptable measure to prevent disease.
In the past, the categories of patients for which preventive antibiotics were appropriate had been more extensive. In recent years, though, both the American Dental Association and the American Heart Association have adjusted their recommendations. Today, your dental provider may recommend antibiotic pre-treatment if you have a prosthetic (artificial) heart valve, a history of infective endocarditis (inflammation of the inner linings of the heart), a heart transplant or certain congenital heart conditions.
While physicians may still recommend premedication with antibiotics for patients with joint replacements, it’s not as blanket a standard as it might once have been. It’s now only recommended for certain cases, such as patients who’ve received a prosthetic joint within the last two years.
There’s still an ongoing debate about the effectiveness of antibiotic pre-medication. However, there’s evidence medicating before procedures with antibiotics can be beneficial in avoiding infection. If you fall into one of the categories just mentioned or are concerned about infection, feel free to discuss with your dentist if using antibiotics before your implant surgery is wise move for you.
If you would like more information on antibiotic treatment before oral surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”
The holidays are a time for getting together with family and friends from near and far. The memories you make at these joyful celebrations are the ones you’ll treasure forever, but it can be hard to show good cheer if you’re not happy with the way your teeth look. If you’re keeping that grin under wraps, we may be able to perk up your smile with some quick and economical in-office treatments.
A professional teeth cleaning is one of the best values in dental care. In just minutes, we can remove the buildup of hardened tartar that can make your teeth look dull and yellowed. Tartar can also lead to tooth decay and gum disease—two kinds of trouble you don’t need! While you’re in the office, you will also have a thorough exam that could prevent minor issues like small cavities and bleeding gums from becoming more serious dental problems. When you leave, your teeth will look and feel sparkly clean.
If your smile doesn’t look as bright as you’d like, ask about teeth whitening treatments. In-office whitening is a safe and effective way to lighten your teeth up to 10 shades in a single visit! If you have more time, you can get similar results from a take-home kit that we can provide—one that’s custom-made just for you.
Are chips or cracks making your teeth look less than perfect? Cosmetic bonding could be the answer. Translucent, tooth-colored bonding material can be applied to your teeth to repair minor cracks, chips or spacing irregularities. This in-office procedure usually requires just one visit and can make a dramatic difference in your smile.
So as holiday celebrations draw near, why not give yourself a reason to smile? Contact us or schedule an appointment for a consultation to see if professional teeth cleaning, teeth whitening or cosmetic bonding could give your smile some holiday sparkle! You can also learn more by reading the Dear Doctor magazine article “Important Teeth Whitening Questions Answered.”
Each November, the American Cancer Society urges smokers to kick the habit for just one day, because if you can quit for one whole day, you can quit for another whole day. Put enough whole days back to back and you’re no longer a smoker!
According to the U.S. Centers for Disease Control, cigarette smoking is the leading preventable cause of death in the United States. It harms nearly every organ of the body, causing lung disease, heart disease and diabetes, as well as cancer of the lung, kidney and bladder.
Smoking also causes problems in your mouth. Aside from the more obvious problems of bad breath and yellowed teeth, smoking raises the risk of cancer of the mouth and throat. It can increase the buildup of plaque and tartar, which can lead to cavities and gum disease. Smoking interferes with healing, so treatments may not work as well. The majority of smokers have gum disease and they are more likely to lose teeth from advanced gum disease.
Quitting isn’t easy, but it’s the best thing you can do for your health. Who wouldn’t want fresher breath, younger-looking skin and a better sense of taste and smell?
Even for people who have smoked for a long time, the effects of smoking start to reverse themselves when you quit. Your heart rate, blood pressure and carbon monoxide levels in the blood return to normal shortly after quitting. Studies are showing that in just one year, the risk for heart disease is cut in half. 10 years later the risk of oral cancer is about equal to that of a nonsmoker. In 15 years, the risk of heart disease is the same as for a nonsmoker.
Need help quitting? Talk with your dentist or doctor. You can also visit the American Cancer Society website. If you have any questions about smoking and oral health, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine article “Strategies to Stop Smoking.”
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