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Posts for: September, 2020

UnpleasantCrackedMouthCornersCanBeTreatedandPrevented

Ever have a paper cut or an irritated hangnail? They're not considered major health problems, but, boy, can they sting!

Something similar can occur in the corners of your mouth called angular cheilitis. It's also known as perleche, from the French word “to lick” (a common habit with this type of sore). It can occur at any age, with children or young adults developing it from drooling during sleep or orthodontic treatment.

Older adults, though, are more prone than younger people for a variety of reasons. Age-related wrinkling is a major factor, especially “marionette lines” that run from the mouth to the chin. Dried or thinned out skin due to exposure from cold, windy weather may also contribute to perleche.

Perleche can also develop from within the mouth, particularly if a person is experiencing restricted salivary flow leading to reduced lubrication around the lips. Poorly cleaned dentures, weakened facial supporting structure due to missing teeth, vitamin deficiencies and some systemic diseases can all lead to perleche. And if an oral yeast infection occurs around the cracked mouth corners, the irritation can worsen and prolong the healing process.

To clear up a case of cracked mouth corners, you should promptly see your dentist for treatment. Treatment will typically include some form of antifungal ointment or lozenge applied over a few days to clear up the sores and prevent or stop any infection. You might also need to apply a steroid ointment for inflammation and other ointments to facilitate healing.

To prevent future episodes, your dentist may ask you to use a chlorhexidine mouthrinse to curb yeast growth. If you wear dentures, you'll need to adopt a regular cleaning routine (as well as leaving them out at night). You might also wish to consider updated dental restorations or orthodontics to improve dental support, and help from a dermatologist if wrinkling might be a potential cause.

Cracked mouth corners won't harm you, but they can make for a miserable experience. Take steps to relieve the irritation and any future occurrence.

If you would like more information on angular cheilitis or similar oral conditions, 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 “Cracked Corners of the Mouth.”


WhatyoucanExpectifYoureUndergoingImplantSurgery

If you’re considering different options for tooth replacement, dental implants are likely high on your list. Implants have a proven reputation for both durability and life-like appearance that can restore mouth function and revitalize your smile.

There is one aspect concerning implants, however, which gives people pause — the surgical procedure required to place the implants in the jawbone. If you’re leery about undergoing this procedure we can put your mind at ease — for most patients implant surgery is a minor, pain-free process with little discomfort afterward.

While there are variations in style, implants generally have two major components: a titanium post that’s implanted into the jawbone and a permanent life-like crown that’s affixed 6 to 12 weeks after implant surgery. Titanium is the metal of choice because of its affinity with bone cells; over time bone will grow to and attach itself around the implant, a process known as osseo-integration. The metal post is normally spiral in shape, allowing it more surface area for bone to adhere to.

In the beginning of the procedure we administer local anesthesia to fully numb the area before proceeding. After accessing the bone through tiny incisions in the gum tissue, we create a small channel in the exposed bone. A surgical guide may be used to prepare the precise location for the implant with a series of drilling sequences that increases the channel until it matches the implant size. While this takes place, you should only feel a mild vibration and a little pressure from the drill.

The implants are then removed from their sterile packaging and placed immediately into the prepared site. The gum tissues are then sutured into place with self-absorbing sutures. Most people have only mild discomfort after the surgery that can be managed with a prescription-strength non-steroidal anti-inflammatory drug like ibuprofen. We may also prescribe antibiotics and other care instructions to ensure successful gum tissue healing.

With proper planning and precise implant placement by skilled hands, implant surgery is an easy and uneventful procedure. And, with your new crowns in place, your new, beautiful smile will make the experience a distant memory.

If you would like more information on dental implants, 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 “Dental Implant Surgery.”


3WaystoProtectYourDentalWorkFromanEarlyDemise

There have been vast improvements over the years in various methods to restore diseased, damaged or missing teeth. A lot of this is due to better restorative materials that are stronger and more life-like.

But given the mouth's hostile environment and the forces generated from chewing, even the most durable restorations could fail. You can, however, improve their durability through proper care and good protective practices.

Here are 3 ways to preserve your dental work and keep it functioning for years or even decades to come.

Daily oral hygiene. Although the bacteria in dental plaque doesn't affect non-living dental materials, it can infect and weaken living tissues around fillings, crowns or implants. Because these tissues often support restorations, an infection could cripple your dental work's survivability. You can prevent this by practicing daily brushing and flossing, and getting regular dental cleanings, to remove plaque and decrease your risk of dental disease.

Dietary choices. You can further prevent dental disease by restricting your consumption of sugar and eating foods rich in calcium and other nutrients. But there's one other thing to keep in mind about what you eat: Some foods can stain veneers and other restorations, as well as natural tooth enamel. If staining occurs at different rates, your dental work could stand out from your natural teeth and look out of place. You can help avoid this by limiting items in your diet known to stain (like wine or coffee) and practicing good oral hygiene.

Poor habits. Many of us have nervous habits like nail-biting or ice-chewing, or an unconscious habit of grinding teeth. Habits like these can damage restorations like composite bonding or veneers. To prevent the chances of this happening, take steps to stop habits and practices that involve biting down on hard objects (including foods like fruits with hard skins). You should also talk to your dentist about solutions to reduce teeth grinding, especially if it's occurring while you sleep.

Above all, keep up your dental visits to regularly monitor the condition of your dental work and obtain repairs or enhancements as needed. By taking care of these valuable restorations, you can help them continue to function and serve your needs for a long time to come.

If you would like more information on maintaining your dental restorations, 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 “Extending the Life of Your Dental Work.”