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.”
Like other living tissue, your teeth can feel. Dentin, the layer below the enamel, houses fluid-filled conduits that transmit temperature or pressure sensations to a nerve network within the tooth’s inner pulp. It’s so effective that incoming sensations must be buffered — “toned down”— to avoid a painful overload of the nerves. The enamel above the gum line and a bone-like substance called cementum below help do this.
Unfortunately, if teeth lose this protection they can become hypersensitive. This can cause a flash of sharp pain while eating or drinking something cold or hot or just biting down.
There are a number of causes for tooth sensitivity, any of which can influence how we treat it. While you’ll need a dental exam to know for sure, your hypersensitivity will more than likely stem from one of these 3 problems.
Periodontal (gum) disease. This is an infection caused by bacterial plaque, a thin film of bacteria and food particles that accumulates on the teeth due to poor oral hygiene. The inflamed gum tissues weaken and detach from the teeth, causing them to shrink back or recede. This leaves the cementum unprotected, which easily erodes and exposes the dentin to acid and bacteria — and hypersensitivity. Clinically removing the plaque helps the affected gums heal. In extreme cases, the gums may need surgical grafting to regenerate.
Overaggressive brushing. While a lack of oral hygiene can contribute to gum recession, ironically too much hygiene — brushing too hard for too long — can damage your gums and cause them to recede. Brushing really doesn’t require a lot of elbow grease — a gentle scrubbing motion over all tooth surfaces is sufficient to remove plaque. Fine-tuning your brushing will help your gums to recover and heal.
Mouth acid. Although quite strong, enamel has one formidable enemy: acid, which can erode enamel and expose the dentin. Over-indulgence in acidic foods and beverages can make your mouth more acidic; more likely, though, bacterial plaque will again be the culprit, because bacteria excrete an acidic waste product. You can reduce mouth acid with daily brushing and flossing and consuming less acidic foods and beverages.
If you’re experiencing any kind of tooth pain, see us for an examination. We’ll determine the cause and initiate the appropriate treatment to regain your oral health.
If you would like more information on tooth sensitivity, 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 “Treatment of Tooth Sensitivity: Understanding Your Options.”
A filling, one of the most common dental procedures available, is crucial to maintaining your dental health if you have tooth decay. This procedure removes decay and protects the tooth against further damage, restoring its natural structure. However, fillings sometimes require replacement. Does your feeling need to be replaced? Find out with Dr. Steve Gilbert and Dr. Carlos Velez at Gilbert Dental in Philadelphia, PA.
What is a filling?
A dental filling repairs a decayed or damaged tooth. The filling itself is usually made up of composite resin materials. The materials are tooth-colored, ensuring a natural appearance which blends in with your tooth. A filling becomes necessary when your dentist removes a decayed or damaged portion of the tooth and needs to fill in the hole left behind.
Does my filling need replacement?
Fillings are durable and effective, but, like any dental restoration, may require maintenance or replacement at some point. If a filling has become worn, cracked, or broken, it may need to be replaced. Your dentist can determine if your filling requires replacement using a dental x-ray, which will show any decay underneath the filling or abnormalities between the teeth which are impossible to see from the outside of the tooth.
Dental Fillings in Philadelphia, PA
If your filling requires replacement, your dentist will remove the existing filling and replace it with a new one. If your dentist suggests a filling replacement, you should follow through with the procedure as soon as possible to avoid a situation which may produce a toothache or require a more in-depth procedure. To avoid a damaged filling, try not to bite down on hard objects like ice. Also try to avoid sudden temperature changes caused, for example, by drinking cold water, then eating a hot bite of food. Those who have a teeth grinding habit should wear a night guard to protect their teeth.
For more information on dental fillings, please contact Dr. Steve Gilbert and Dr. Carlos Velez at Gilbert Dental in Philadelphia, PA. Call (215) 972-0406 to schedule your appointment for a dental filling with your dentist today!
If we could go back in time, we all probably have a few things we wish we could change. Recently, Dr. Travis Stork, emergency room physician and host of the syndicated TV show The Doctors, shared one of his do-over dreams with Dear Doctor magazine: “If I [could have] gone back and told myself as a teenager what to do, I would have worn a mouthguard, not only to protect my teeth but also to help potentially reduce risk of concussion.”
What prompted this wish? The fact that as a teenage basketball player, Stork received an elbow to the mouth that caused his two front teeth to be knocked out of place. The teeth were put back in position, but they soon became darker and began to hurt. Eventually, both were successfully restored with dental crowns. Still, it was a painful (and costly) injury — and one that could have been avoided.
You might not realize it, but when it comes to dental injuries, basketball ranks among the riskier sports. Yet it’s far from the only one. In fact, according to the American Dental Association (ADA), there are some two dozen others — including baseball, hockey, surfing and bicycling — that carry a heightened risk of dental injury. Whenever you’re playing those sports, the ADA recommends you wear a high-quality mouth guard.
Mouthguards have come a long way since they were introduced as protective equipment for boxers in the early 1900’s. Today, three different types are widely available: stock “off-the-shelf” types that come in just a few sizes; mouth-formed “boil-and-bite” types that you adapt to the general contours of your mouth; and custom-made high-quality mouthguards that are made just for you at the dental office.
Of all three types, the dentist-made mouthguards are consistently found to be the most comfortable and best-fitting, and the ones that offer your teeth the greatest protection. What’s more, recent studies suggest that custom-fabricated mouthguards can provide an additional defense against concussion — in fact, they are twice as effective as the other types. That’s why you’ll see more and more professional athletes (and plenty of amateurs as well) sporting custom-made mouthguards at games and practices.
“I would have saved myself a lot of dental heartache if I had worn a mouthguard,” noted Dr. Stork. So take his advice: Wear a mouthguard whenever you play sports — unless you’d like to meet him (or one of his medical colleagues) in a professional capacity…
A new school year is right around the corner.Â Here's something to add to your back-to-school list: Schedule a dental visit for your child. There are several good reasons for this:
1. Hidden Problems
Nearly 1 of 5 school-age children has untreated tooth decay. If decay progresses, it can interfere with eating, speaking, sleeping and learning. A checkup at the dental office can uncover a small problem before it turns into a much bigger issue.
2. Oral Hygiene
A back-to-school appointment is the ideal opportunity to get a professional cleaning. In addition, we can check on whether your child's oral hygiene efforts are up to par — and give pointers where needed.
3. Mouth Protection
Will your children be playing sports? If so, ask us about a custom mouthguard to help protect their teeth. If your child already has a mouthguard, we can check that the condition and fit are still adequate, given that your child is still growing.
4. Preventive Treatment
Speaking of protecting your child's teeth, an end-of-summer appointment is a good time to ask about preventive measures like tooth-strengthening fluoride treatments or protective dental sealants.
Make sure your child starts the new school year with strong, healthy teeth that will sparkle in school pictures. Please contact us to schedule a back-to-school dental appointment today!
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