Common mouth sores: causes and cures

Mouth sores can be very annoying and painful and can have many causes.

The causes can range from infections – bacterial, viral or fungal – to a loose orthodontic wire or a denture that doesn’t fit or a sharp edge from a broken tooth or filling.

But mouth sores may be symptoms of an underlying disease or problem.

So, if you’ve had any mouth sore that lasts a week or longer, it’s a good idea to get your dentist to check it out.

Here are some of the most common mouth sores:

Canker sores: These are small ulcers with a white or gray base and a red border. They appear inside the mouth and are not contagious though they often return. Problems such as poor immune systems, viruses or fatigue and stress may be involved. They usually heal on their own after a week or two.

Cold sores: Cold sores are annoying and painful. They are also known as fever blisters or Herpes simplex and are groups of fluid-filled blisters. They often erupt around the lips and sometimes under the nose or around the chin. Cold sores caused by herpes virus type 1 are very contagious and the virus stays in the body. Cold sore blisters usually heal in a week by themselves.

Candidiasis: This fungal infection (also called moniliasis or oral thrush) occurs when the yeast Candida albicans reproduce in large numbers. It is common among denture wearers and people who have dry mouth syndrome are very susceptible to it. The focus is on preventing it or controlling the conditions that caused the outbreak.

Any mouth sores that last more than a few days should be checked with your dentist.

How scaling and planing can help clean your teeth properly

Dental plaque is a film that builds up on your teeth and, if it is not removed through good oral hygiene, it can lead to tooth decay and gum problems.

Over time it can ultimately form a hard, rough sediment known as dental tartar or calculus, which attracts further plaque buildup.

Calculus has to be removed by a trained professional such as a hygienist or dentist.

They may do this by manual tooth scaling or using an ultrasonic device.

If the buildup is light or moderate, the dentist or hygienist may use manual scaling instruments of various shapes and sizes.

If the buildup of tartar and stains is heavy, an ultrasonic cleaner may be used. This may be followed by hand scaling.

Build up of plaque can cause inflammation of the gums leading to breakdown of the connection between the teeth and the supporting structures.

Root planning is a procedure to treat gum disease by thoroughly scaling the roots of teeth to establish a smooth, calculus-free surface.

This treatment may require local anesthesia to prevent pain. Thorough periodontal scaling customarily involves several dental visits

If conditions are more advanced, surgery may be needed for complete debridement of the roots to arrest the disease process.

Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay.

It’s therefore important to follow your hygienist’s advice on how often to return for regular cleanings – even if your insurance only covers two a year.

How Invisalign can replace metal braces

The Invisalign system is a series of clear, thin, mouthguards that fit over the teeth and can gradually straighten them.

These have been called “invisible braces” as they can be an effective alternative to metal braces in some circumstances.

The big advantage of Invisalign is much improved appearance and comfort.

Invisalign mouthguards can be removed during eating and when brushing and flossing. As traditional braces may trap food and plaque, this is another major benefit of Invisalign.

While the system has advantages, it also has some drawbacks.

For example, it is more expensive – costing 25-50 percent more than metal braces.

Also the fact that you remove the mouthguards more often means that you may forget to wear them and it could take longer for you to achieve the desired results.

Invisalign is better suited to some people than others – for example, it may be particularly suitable for adults who have slight to moderate spacing or crowding of their teeth.

Your dentist will be able to tell you if you might be a suitable candidate for Invisalign.

You will get more detailed advice from an orthodontist who has been certified in the Invisalign system.

Diabetes and your dental health: How your diet can affect your teeth

When diabetes is not controlled properly, high glucose levels in saliva may create problems that lead to an increased risk of tooth decay.

Your teeth are covered with plaque, a sticky film of bacteria. After you eat food that contains sugars or starches, the bacteria react with these sugars to release acids that attack tooth enamel. This can cause the enamel to break down and may eventually result in cavities.

Brushing twice a day with fluoride toothpaste and cleaning between your teeth with floss or an interdental cleaner helps remove decay-causing plaque.

Plaque that is not removed can eventually harden into calculus, or tartar. When tartar collects above the gumline, it becomes more difficult to clean thoroughly between teeth. This can lead to chronic inflammation and infection in the mouth.

Because diabetes reduces the body’s resistance to infection, the gums are among the tissues likely to be affected.
Periodontal diseases are infections of the gum and bone that hold your teeth in place. Patients with inadequate blood sugar control appear to develop periodontal disease more often and more severely, and they lose more teeth than those who have good control of their diabetes.

Because of the lower resistance and longer healing process, periodontal diseases often appear to be more frequent and more severe among persons with diabetes.

You can help reduce these risks through good maintenance of blood sugar levels, a well-balanced diet, good oral care at home and regular dental checkups.

Taking care of your teeth and gums during pregnancy

Your oral health is an important part of your overall health and this is never more true than during pregnancy.

Good oral health habits not only help prevent oral problems during pregnancy, they also help the health of your unborn child.

What you eat during your pregnancy affects the development of your unborn child – including teeth.

Eating a balanced diet is necessary to provide the correct amounts of nutrients to nourish both you and your child.

Your baby’s teeth begin to develop between the third and sixth month of pregnancy, so it is important that you receive sufficient nutrients – especially calcium, protein, phosphorous, and vitamins A, C, and D.

There is a common myth that calcium is lost from the mother’s teeth during pregnancy.

In fact, the calcium your baby needs is provided by your diet, not by your teeth. If your diet does not provide enough calcium, your body will provide this mineral from stores in your bones.

If you have an adequate intake of dairy products – the main source of calcium – or take any supplements your obstetrician recommends – this will help you get the calcium you need.

To help prevent tooth decay and periodontal disease, brush your teeth thoroughly twice a day with fluoride toothpaste to remove plaque. Be sure to clean between your teeth daily with floss or interdental cleaners.

Make regular visits to your dentist during your pregnancy to ensure the best possible health for you and your baby.

Understanding your wisdom teeth

Many patients ask whether wisdom teeth are really necessary since so many people have them removed.

The fact is that wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned.

However, problems can occur that sometimes make it better to have them removed.

For example, when the jaw isn’t large enough, the wisdom teeth can become impacted – misaligned or unable to grow in properly. They may grow sideways, emerge only part way from the gum or remain trapped beneath the gum and bone.

The reasons wisdom teeth may have to be extracted include:
– The teeth have only partially erupted. This leaves an opening for bacteria which cause infection.
– There is a chance the wisdom teeth will damage adjacent teeth.
– A cyst forms which may destroy surrounding structures such as bone or tooth roots.

Ask your dentist about the health and positioning of your wisdom teeth.

Your dentist will tell you if there are any issues and will recommend any steps needed.

How space maintainers help children have healthy teeth

Space maintainers can be crucial to the dental health of a child.

When a child loses a baby tooth early through decay or injury, the other teeth can shift and begin to fill the vacant space.

If this happens, the problem is that, when the permanent teeth emerge, there’s not enough room for them.

This can lead to crooked or crowded teeth and difficulties with chewing or speaking.

To prevent that, the dentist can insert a space maintainer.

This holds the space left by the lost tooth until the permanent tooth emerges.

Space maintainers might be a band or a temporary crown attached to one side of the space.

When the permanent tooth emerges, the dentist removes the device and protects the child’s future smile.