Posts for: June, 2020
Looking in the mirror, you probably focus on your teeth and gums—i.e., your smile. Your dentist, though, will take the time to look deeper into your mouth, searching for anything out of the ordinary. That could be a type of mouth sore known as lichen planus.
Lichen planus are lesions that can appear on skin or mucus membranes, including inside the mouth. The name comes from their resemblance to lichens, a fungus found on trees or rocks (although the sore itself isn't fungi). As such, they often have a lacy pattern of lines emanating from purplish bumps.
Again, the first indication you have such a condition may come from your dentist. Sometimes, though, you may notice greater sensitivity to spicy or acidic foods and, if the gums are affected, irritation when you eat or brush.
If you find out you have lichen planus, don't be alarmed—it usually doesn't pose harm to your health and it's not contagious. Its appearance, though, could be mimicked by more harmful medical conditions, so your dentist will want to confirm the lesion observed is truly lichen planus.
It's routine, then, for your dentist to excise a small sample of the sore's tissue and send it to a pathology lab for biopsy. Although results will more than likely confirm lichen planus or some other benign lesion, it's better to err on the side of caution and ensure you're not dealing with something more serious.
If you are diagnosed with lichen planus, you may need to take steps to manage symptoms. In most people, the sore will go away on its own, although there's no guarantee it won't reappear sometime later. In the event it lingers, your dentist may prescribe a topical steroid to help ease any discomfort.
You can also minimize a future outbreak by practicing effective daily oral hygiene to reduce the bacterial populations that may contribute to the condition. And when you're symptomatic, try avoiding spicy or acidic foods like citrus, peppers or caffeinated beverages.
Lichen planus is more bothersome than harmful. Taking the above steps can help you avoid it or deal with it more effectively when it occurs.
If you would like more information on lichen planus, 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 “Lichen Planus: Mouth Lesions That are Usually benign.”
First the bad news: Those nightly hair-raising sounds are indeed coming from your child’s bedroom—from your child. It’s the result of them grinding their teeth while they sleep.
But here’s the good news: the only likely harm is a lack of sleep members of your household might experience because of it. Teeth grinding is so prevalent among pre-teen children that many healthcare professionals consider it normal. But that doesn’t mean it can’t become a problem, so it’s worth monitoring.
Teeth grinding is part of a family of dental habits known as bruxism. It involves any involuntary movement of the teeth and jaws outside of their intended functions not associated with chewing, speaking or swallowing. Our main concern with any bruxism is the possibility for generating stronger biting forces than normal that could damage teeth and gums and contribute to jaw joint problems.
Teeth grinding can occur in adulthood, with stress seeming to be the major trigger for it. With children, though, it’s believed to be mainly caused by an immaturity of the child’s neuromuscular process that controls chewing. As this matures, most children will tend to outgrow the habit none the worse for wear.
But there are pediatric cases in which the generated biting forces are strong enough to cause damage. Teeth grinding is also prevalent in children who snore or breathe through their mouths, which could be a sign of a serious health condition called obstructive sleep apnea. And certain medications used to treat depression and attention deficit disorder (ADHD) may also contribute to teeth grinding.
Most of the time we can simply let the habit run its course. If, however, the child begins to experience abnormal tooth wear, headaches, jaw pain or other issues believed caused by teeth grinding, we may need to intervene. This could include a plastic night guard the child wears during sleep that prevents the teeth from making solid contact during grinding episodes. And children with signs of airway obstruction should be evaluated by an ear, nose and throat specialist.
It can be irritating or even distressing. But your child’s teeth grinding doesn’t mean you should be alarmed—only that you should keep your eye on it.
If you would like more information on teeth grinding and similar habits, 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 “When Children Grind Their Teeth.”
It's National Dairy Month and time to pay tribute to the aurochs, those shaggy creatures who once roamed the Fertile Crescent until people began domesticating them about 8,000 years ago. Today we call them cows, the source of nutritious dairy that can help us, among other things, maintain a healthier mouth.
Since the first auroch roundup, we humans have been drinking milk and eating cheese with abandon—excepting those who suffer from lactose intolerance or who avoid dairy for other reasons, such as the high saturated fat content of some dairy products. However, dairy confers many health benefits, so if you haven't quite made up your mind about this particular food group, you should consider that milk, cheese and other forms of dairy are chock-full of nutrients. And, it just so happens, some of these nutrients are especially beneficial for your teeth.
Calcium. You can get this important mineral from different foods, but dairy is loaded with it. Similar to our bones, tooth enamel absorbs calcium, which in turn strengthens it against decay.
Phosphorus. Phosphorus, another mineral found in dairy, is highly beneficial for overall health. In regard to teeth, phosphorus helps calcium maximize its strengthening ability in enamel.
Vitamin D. This nutrient helps your enamel absorb calcium, whereas a vitamin D deficiency increases your susceptibility to both tooth decay and gum disease.
Casein. This dairy protein can form a protective film over teeth. Coupled with other nutrients, this further reduces your risk of tooth decay.
Eating dairy is definitely beneficial for your dental health. If needed, you can select lactose-free dairy products. And to cut down on saturated fat, you can choose low-fat or fat-free dairy products. You can, for example, drink non-fat or low-fat milk, or indulge in some non-fat Greek yogurt with granola or in a fruit smoothie. Cheese is also an excellent type of dairy for teeth because it reduces decay-causing acidity during and after meals. So try eating a bite of cheese by itself, or experiment by adding it to vegetable dishes or salads.
As in most things, incorporate dairy into your diet in moderation. A little of this popular food group can go a long way toward keeping your teeth healthy.
If you would like more information about nutrition and your dental health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Nutrition & Oral Health” and “Nutrition: Its Role in General & Oral Health.”