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.”
Exchanging passionate kisses with big-screen star Jennifer Lawrence might sound like a dream come true. But according to Liam Hemsworth, her Hunger Games co-star, it could also be a nightmare… because J.Law’s breath wasn’t always fresh. “Anytime I had to kiss Jennifer was pretty uncomfortable,” Hemsworth said on The Tonight Show.
Lawrence said the problem resulted from her inadvertently consuming tuna or garlic before the lip-locking scenes; fortunately, the two stars were able to share a laugh about it later. But for many people, bad breath is no joke. It can lead to embarrassment and social difficulties — and it occasionally signifies a more serious problem. So what causes bad breath, and what can you do about it?
In 9 out of 10 cases, bad breath originates in the mouth. (In rare situations, it results from a medical issue in another part of the body, such as liver disease or a lung infection.) The foul odors associated with bad breath can be temporarily masked with mouthwash or breath mints — but in order to really control it, we need to find out exactly what’s causing the problem, and address its source.
As Lawrence and Hemsworth found out, some foods and beverages can indeed cause a malodorous mouth. Onions, garlic, alcohol and coffee are deservedly blamed for this. Tobacco products are also big contributors to bad breath — which is one more reason to quit. But fasting isn’t the answer either: stop eating for long enough and another set of foul-smelling substances will be released. Your best bet is to stay well hydrated and snack on crisp, fresh foods like celery, apples or parsley.
And speaking of hydration (or the lack of it): Mouth dryness and reduced salivary flow during the nighttime hours is what causes “morning breath.” Certain health issues and some medications can also cause “dry mouth,” or xerostomia. Drinking plenty of water can encourage the production of healthy saliva — but if that’s not enough, tell us about it: We may recommend switching medications (if possible), chewing xylitol gum or using a saliva substitute.
Finally, maintaining excellent oral hygiene is a great way to avoid bad breath. The goal of oral hygiene is to control the harmful bacteria that live in your mouth. These microorganisms can cause gum disease, tooth decay, and bad breath — so keeping them in check is good for your overall oral health. Remember to brush twice and floss once daily, stay away from sugary foods and beverages, and visit the dental office regularly for checkups and professional cleanings.
So did J.Law apologize for the malodorous makeout session? Not exactly. “[For] Bradley Cooper, Christian Bale, yeah, I’ll brush my teeth,” she laughed.
Hemsworth jokingly agreed: “If I was kissing Christian Bale I probably would have brushed my teeth too. With you, it’s like, ‘Eh. Whatever.’”
If you would like more information about bad breath and oral hygiene, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Bad Breath: More than Just Embarrassing.”
Barley malt, corn syrup, maltodextrin — these and over fifty other label ingredients are all names for refined sugar. Under its various aliases, this sweet carbohydrate is tucked away in three-quarters of packaged foods in the U.S.
Although in recent years the general health effects from too much sugar have gained the spotlight, its effect on dental health has been known for decades. Accumulated sugar in the mouth is a prime food source for bacteria that cause tooth decay and gum disease.
For both general and oral health, people have been looking to artificial alternatives to satisfy their sweet tooth. But do they have their own issues that can impact overall health? Here is an overview of some of the more popular brands of artificial sweeteners and their effect on health.
Saccharin — One of the most widely used artificial sweeteners, saccharin is often used under the names Sweet’N Low or Sugar Twin in low-calorie foods because it contains no calories. According to the Food and Drug Administration (FDA) there are no associated health risks with consuming saccharin in recommended servings.
Aspartame — used commonly in beverages as Equal or NutraSweet, aspartame is unsuitable for cooking because its chemical structure breaks down under high heat. Although generally safe for consumption, it can affect people with a rare condition known as phenylketonuria that can’t adequately break down its chemicals.
Sucralose — marketed as Splenda, this sweetener is made by chemically altering refined table sugar so the body can’t process it. This may be one reason it has the most recognized natural flavor profile among consumers and is a market leader. It’s stable at high temperatures, so it’s often used in cooked or baked goods.
Stevia/Erythritol — this combination of an extract from the extremely sweet herb stevia and the sugar alcohol erythritol is marketed as Truvia. Unlike other calorie-free artificial sweeteners, this and other alcohol-based sweeteners have a low calorie level due to sugar alcohol’s characteristic of slow and incomplete absorption during digestion.
Xylitol — although all the previously mentioned sweeteners won’t promote bacterial growth like refined sugar, the sugar alcohol xylitol — often added to chewing gum and mints — has an added benefit: it may actually reduce levels of bacteria most likely to cause decay.
If you would like more information on the effect of sweeteners on dental health, 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 “Artificial Sweeteners.”
A woman as gorgeous and funny as Sofia Vergara surely planned to be a model and actress from the get-go, right? Wrong! Sofia’s first career choice actually was to be… a dentist! That’s right, the sexy star of TV’s Modern Family actually was only two semesters shy of finishing a dental degree in her native Columbia when she traded dental school for the small screen. Still, dental health remains a top priority for the actress and her son, Manolo.
“I’m obsessed,” she recently told People magazine. “My son thinks I’m crazy because I make him do a cleaning every three months. I try to bribe the dentist to make him to do it sooner!”
That’s what we call a healthy obsession (teeth-cleaning, not bribery). And while coming in for a professional cleaning every three months may not be necessary for everyone, some people — especially those who are particularly susceptible to gum disease — may benefit from professional cleanings on a three-month schedule. In fact, there is no one-size-fits-all approach to having professional teeth cleanings — but everyone needs this beneficial procedure on a regular basis.
Even if you are meticulous about your daily oral hygiene routine at home, there are plenty of reasons for regular checkups. They include:
- Dental exam. Oral health problems such as tooth decay and gum disease are much easier — and less expensive — to treat in the earliest stages. You may not have symptoms of either disease early on, but we can spot the warning signs and take appropriate preventive or restorative measures.
- Oral cancer screening. Oral cancer is not just a concern of the middle aged and elderly — young adults can be affected as well (even those who do not smoke). The survival rate for this deadly disease goes up tremendously if it is detected quickly, and an oral cancer screening is part of every routine dental visit.
- Professional teeth cleaning. Calcified (hardened) dental plaque (tartar or calculus) can build up near the gum line over time — even if you brush and floss every day. These deposits can irritate your gums and create favorable conditions for tooth decay. You can’t remove tartar by flossing or brushing, but we can clear it away — and leave you with a bright, fresh-feeling smile!
So take a tip from Sofia Vergara, and don’t skimp on professional cleanings and checkups. If you want to know how often you should come in for routine dental checkups, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “Dental Hygiene Visit” and “Dental Cleanings Using Ultrasonic Scalers.”
In many ways, the teenage years are the best time to have orthodontic treatment. It’s a good time emotionally because your teen is likely to have friends who also wear braces; orthodontic treatment becomes a rite of passage they can go through together. It’s also advantageous in a physical sense because all 20 baby teeth have come out, and most of the 32 adult teeth (except the 4 wisdom teeth) have emerged. At the same time, especially with younger teens, jaw growth is not yet complete — allowing orthodontists to harness the growing body’s natural adaptability. We can use a variety of appliances to do that — some of which weren’t around a generation ago!
In many cases, traditional metal braces are still the best way to achieve the desired results. However, these are not the “train tracks” of old. Braces are smaller and lighter, with brackets that are cemented to the front surfaces of teeth rather than to bands that encircle the entire tooth (except in the very back). Braces can be made much less noticeable by using ceramic brackets that are clear or tooth-colored; however, ceramic brackets are easier to break than metal. An even stealthier way to undergo orthodontic treatment is with clear aligners. These removable clear plastic “trays” are custom made with the help of computer software that divides the treatment process into two-week stages. After each two-week period, the tray is changed and the next stage of movement takes place until the teeth are in correct alignment. The Invisalign system has two modifications especially for teens: “eruption tabs” that hold space open for emerging molars, and “compliance indicators” that can tell parents and orthodontists if the teen is keeping the trays in for the prescribed amount of time. We’d be happy to discuss whether clear aligners would be an option for your child.
Keeping It Clean
No matter which type of appliance is used, oral hygiene becomes even more important during orthodontic treatment. Wearing braces presents special challenges in terms of keeping teeth clean; however, it’s extremely important to do an effective job every day so that gums do not become inflamed and cavities do not develop. It’s far easier to clean teeth with clear aligners, which can be removed, but the aligners themselves can build up bacteria, leading to the same types of oral health issues if they are not cleaned each day.
Making It Count
Another way in which orthodontic treatment will not vary regardless of the type of appliance chosen is the necessity of a retention phase. Everyone who has their teeth straightened (and this goes for adults and younger kids, too) must wear a retainer to hold the teeth in their new and improved alignment while new bone grows around them. Yes, braces are easier to wear than they used to be… but no one wants to wear them twice!
If you have questions about braces for your teen, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Clear Aligners for Teenagers” and “The Magic of Orthodontics.”
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