For some time now you've noticed a painful, burning sensation in your mouth for no apparent reason. It doesn't matter what you eat or drink — or whether you eat or drink — the dry, tingling sensation seems to stay with you.
You may have Burning Mouth Syndrome (BMS). You feel as if your mouth is scalded or burning generally or in a certain area like the lips, tongue or inside of the cheeks. Regardless, the discomfort (which seems to grow as the day wears on) can contribute to irritability, anxiety or depression.
It's not always easy to lock in on the specific cause. BMS has been linked, among other things, to diabetes, vitamin deficiencies, or cancer therapy. It's common among women around the age of menopause, so there's some speculation it could be affected by hormonal changes. It could also be connected with dry mouth (brought on by age or medications), an allergic reaction to toothpaste ingredients, acid reflux or autoimmune disorders.
While there's no single proven treatment for BMS, there are some things you can do to lessen its effects. First, stop habits that cause dry mouth like smoking, drinking alcohol or coffee and eating hot and spicy foods. Second, keep your mouth moist by frequently drinking water or using products that stimulate saliva flow.
You might also try toothpastes without sodium lauryl sulfate (a detergent that can cause skin peeling in some people), whiteners or strong flavorings like cinnamon. If you have chronic dry mouth, speak with your physician about any medications you're taking that might be causing it and seek alternatives. And because stress seems to magnify your symptoms, try to reduce it in your life through relaxation techniques, exercise or group support.
In some cases, BMS may resolve itself over time. In the mean time, making these lifestyle changes could help ease your discomfort.
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.”
What's an actor's most important feature? According to Vivica A. Fox, whose most recent big-screen role was in Independence Day: Resurgence, it's what you see right up front.
"On screen, your smile and your eyes are the most inviting things that bring the audience in" she said. "Especially if you play the hot chick."
But like lots of people, Vivica reached a point where she felt her smile needed a little help in order to look its best. That's when she turned to a popular cosmetic dental treatment.
"I got veneers years ago," Ms. Fox told Dear Doctor magazine in a recent interview, "just because I had some gapping that probably only I noticed."
What exactly are dental veneers? Essentially, they are thin shells of lustrous porcelain that are permanently attached to the front surfaces of the teeth. Tough, lifelike and stain-resistant, they can cover up a number of defects in your smile — including stains, chips, cracks, and even minor spacing irregularities like the ones Vivica had.
Veneers have become the treatment of choice for Hollywood celebs — and lots of regular folks too — for many reasons. Unlike some treatments that can take many months, it takes just a few appointments to have veneers placed on your teeth. Because they are custom made just for you, they allow you to decide how bright you want your smile to be: anywhere from a natural pearly hue to a brilliant "Hollywood white." Best of all, they are easy to maintain, and can last for many years with only routine care.
To place traditional veneers, it's necessary to prepare the tooth by removing a small amount (a millimeter or two) of its enamel surface. This keeps it from feeling too big — but it also means the treatment can't be reversed, so once you get veneers, you'll always have them. In certain situations, "no-prep" or minimal-prep veneers, which require little or no removal of tooth enamel, may be an option for some people.
Veneers aren't the only way to create a better smile: Teeth whitening, crowns or orthodontic work may also be an alternative. But for many, veneers are the preferred option. What does Vivica think of hers?
"I love my veneers!" she declared, noting that they have held up well for over a decade.
There's no doubt about it — dentures have changed your life. Now you can eat and speak normally, and smile again with confidence. But if you're going to continue to benefit from your dentures, you'll need to take care of them. One of the best things you can do is not sleep with them in.
There are a couple of important reasons why you should take your dentures out when you go to bed. First, dentures tend to compress the bony ridges of the gums that support them. This contributes to the loss of the underlying bone, an occurrence common with missing teeth. Wearing dentures around the clock can accelerate this bone loss, which eventually loosens your denture fit.
Constant denture wearing also contributes to mouth conditions conducive to dental disease. You're more likely to develop tongue and denture plaque (a thin film of bacteria and food particles) that can cause gum inflammation or yeast development. The presence of the latter could also trigger a chronic response from your immune system that might make you more susceptible to other diseases.
Good oral hygiene is just as important with dentures as with natural teeth. Besides removing them at night, you should also take them out and rinse them after eating and brush them at least once a day with a soft tooth brush. And be sure to use regular dish or hand soap (especially antibacterial) or denture cleanser — toothpaste is too abrasive for denture surfaces.
It's also a good habit to store your dentures in water or, better, an alkaline peroxide solution. This will help deter plaque and yeast development. And don't forget the rest of your mouth: brush your tongue and gums with a very soft toothbrush (different from your denture brush) or clean them off with a damp cloth.
Taking care of your dentures will ensure two things. You'll lower your risk for disease — and you'll also help extend your dentures' life and fit.
Like most people, you’ve no doubt experienced occasional dry mouth as when you’re thirsty or just waking from sleep. These are normal occurrences that usually don’t last long.
But xerostomia or chronic dry mouth is another matter. Not only is this continual lack of adequate saliva uncomfortable, it could increase your risk for tooth decay or periodontal (gum) disease.
What’s more, chronic dry mouth can have a number of causes. Here are 3 common causes and what you can do about them.
Inadequate fluid intake. While this may seem obvious, it’s still common—you’re simply not consuming enough water. This deprives the salivary glands of adequate fluid to produce the necessary amount of saliva. If you’re regularly thirsty, you’ll need to increase the amount of water you drink during the day.
Medications. More than 500 drugs, both over-the-counter and prescription, can cause dry mouth as a side effect. This is one reason why older adults, who on average take more medications, have increased problems with dry mouth. There are some things you can do: first, talk with your healthcare provider about alternative drugs for your condition that are less likely to cause dry mouth; drink more water right before taking your medication and right afterward; and increase your daily intake of water.
Diseases and treatments. Some systemic diseases like diabetes or Parkinson’s disease can lead to xerostomia. Autoimmune conditions are especially problematic because the body may turn on its own tissues, the salivary glands being a common target. Radiation or chemotherapy treatments can also damage the glands and lead to decreased saliva production. If you have such a condition, talk with your healthcare provider about ways to protect your salivary glands.
You can also ease dry mouth symptoms with saliva boosters like xylitol gum or medications that stimulate saliva production. Limit your intake of caffeinated drinks and sugary or acidic foods. And be sure you stay diligent with your oral hygiene habits and regular dental visits to further reduce your risks of dental disease.
If you would like more information on the causes and treatments of dry mouth, 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 “Dry Mouth: Learn about the Causes and Treatment of this Common Problem.”
The National Safety Council has designated June as National Safety Month. A key component of staying safe is being prepared for emergencies, and this includes dental emergencies. Would you know what to do if you suffered any of the following dental mishaps?
Chipped tooth: One common dental injury is a chipped tooth. If this happens to you, save the missing chip if possible because we may be able to bond it back onto the tooth—but don’t be tempted to glue the chip back on by yourself! However, even without the missing chip, the tooth can most often be repaired with bonding material.
Cracked tooth: If you crack a tooth, rinse your mouth with warm water. If it is bleeding, hold a clean washcloth or gauze to the area until the bleeding stops, but don’t wiggle the tooth around or bite down hard. Keep in mind that the sooner your tooth is repaired, the better. Depending on how bad the crack is, if the tooth can be treated, it will most likely continue to function pain-free for years to come.
Displaced (“luxated”) tooth: If an injury causes your tooth to become loose, shoves it sideways or pushes it into or out of its socket, don’t try to force the tooth back into position on your own. Instead, call the dental office right away and leave it to us to bring the tooth back into its proper place and determine the extent of the injury.
Knocked out tooth: If a permanent tooth is knocked out of your mouth, pick it up without touching the root and rinse it off with cold water, but do not scrub. For the best chance of saving the tooth, place it firmly back in its socket within five minutes and hold it in position for a few minutes. If this is not possible, keep the tooth between your cheek and gum or in a glass of cold milk so that it doesn’t dry out. Call the dental office immediately.
If a baby tooth is knocked out, there is no need to place it back in the socket since baby teeth are not reattached. However, it is still important to have us examine the injury.
Being prepared for dental emergencies can help save a tooth as well as avoid more costly dental treatment down the road. But no matter what type of dental injury you have, it is important to come in for a consultation as the injury may extend beyond the part of the tooth that is visible. With today’s materials and technology, there’s a very good chance your smile can look as good as before—and often even better!
If you have questions about dental injuries, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Artistic Repair of Front Teeth with Composite Resin.”
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