During your latest dental cleaning and checkup, your dentist notices a skin rash around your mouth. You sigh—it’s been going on for some time. And every ointment you’ve tried doesn’t help.
You may have peri-oral dermatitis, a type of skin rash dentists sometime notice during dental treatment. It doesn’t occur often—usually in only 1% of the population—but when it does, it can be resistant to common over-the-counter ointments.
That’s because peri-oral dermatitis is somewhat different from other facial rashes. Often mistaken as acne, the rash can appear as small red bumps, blisters or pus-filled pimples most often around the mouth (but not on the lips), nostrils or even the eyes. Sometimes the rash can sting, itch or burn.
People with peri-oral dermatitis often try medicated ointments to treat it. Many of these contain steroids that work well on other skin conditions; however, they can have an opposite effect on peri-oral dermatitis.
Because the steroids cause a constriction in the tiny blood vessels of the skin, the rash may first appear to be fading. This is short-lived, though, as the rash soon returns with a vengeance. Prolonged steroid applications can also thin the affected skin, making it more susceptible to infection and resistant to healing.
Peri-oral dermatitis requires a different treatment approach. The first step is to stop using any kind of steroidal cream, as well as moisturizers, ointments and both prescription and non-prescription medications. Instead, you should only use a mild soap to wash your face.
You may find the rash looking worse for a few days but be patient and continue to avoid ointments or creams. Your healthcare provider may also prescribe oral antibiotics, usually of the tetracycline family. It may take several weeks of antibiotic treatment until the skin noticeably clears up.
For most people, this approach puts their rash into permanent remission. Some, though, may see a reoccurrence, in which case it’s usually best to repeat treatment. With a little patience and care, though, you’ll finally see this persistent rash fade away.
At no other time in a person’s life will their teeth and mouth change as rapidly as it will between infancy and adolescence. In this short span an entire set of teeth will emerge and then gradually disappear as a second permanent set takes its place.
While the process may seem chaotic, there is a natural order to it. Knowing what to expect will help ease any undue concerns you may have about your child's experience.
The first primary teeth begin to appear (erupt) in sequence depending on their type. The first are usually the lower central incisors in the very front that erupt around 6-10 months, followed then by the rest of the incisors, first molars and canines (the “eye” teeth). The last to erupt are the primary second molars in the very back of the mouth just before age 3. A similar sequence occurs when they’re lost — the central incisors loosen and fall out around 6-7 years; the second molars are the last to go at 10-12 years.
A little “chaos” is normal — but only a little. Because of the tremendous changes in the mouth, primary teeth may appear to be going in every direction with noticeable spaces between front teeth. While this is usually not a great concern, it’s still possible future malocclusions (bad bites) may be developing. To monitor this effectively you should begin regular checkups around the child’s first birthday — our trained professional eye can determine if an issue has arisen that should be treated.
Protecting primary teeth from tooth decay is another high priority. There’s a temptation to discount the damage decay may do to these teeth because “they’re going to be lost anyway.” But besides their functional role, primary teeth also help guide the developing permanent teeth to erupt in the right position. Losing a primary tooth prematurely might then cause the permanent one to come in misaligned. Preventing tooth decay with daily oral hygiene and regular office visits and cleanings (with possible sealant protection) is a priority. And should decay occur, it’s equally important to preserve the tooth for as long as possible for the sake of the succeeding tooth.
Your child’s rapid dental development is part of their journey into adulthood. Keeping a watchful eye on the process and practicing good dental care will ensure this part of the journey is uneventful.
If you would like more information on the process of dental development in children, 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 “Dentistry & Oral Health for Children.”
It's a “change” moment when your child leaves home to attend college for the first time. For many, it's the first time to truly be on their own. While that new autonomy can be exhilarating, it does require self-responsibility to avoid some nasty pitfalls that might snare them.
So, before you bid them adieu at the dorm, be sure to give them some good, old-fashioned parental advice. And that includes teeth and gum care: While it may not seem as urgent as other potential issues, failing to maintain oral health could eventually affect the rest of their health.
The most important thing they can do mouth-wise is to brush and floss every day—and see a dentist at least twice a year. Daily oral hygiene keeps plaque, a thin bacterial film on teeth most responsible for dental disease, from accumulating.
There are other habits that foster good oral health—like eating a well-balanced diet. Encourage them to eat “real” food: less on processed items and more on fresh fruits and vegetables. That includes keeping added sugar to a minimum—not only for good overall health, but to also deprive disease-causing oral bacteria of a favorite food source. And tell them to go easy on the sodas, sports and energy drinks loaded with acid that can damage enamel.
Don't forget to mention lifestyle practices that are best avoided. Tobacco use and excessive alcohol consumption can make the mouth more susceptible to diseases like tooth decay and periodontal (gum) disease. And even if oral piercings are all the rage on campus, any hardware worn in the mouth could cause chipped teeth and contribute to gum recession.
And if you've already had the “talk” with them, you should still review the facts of life one more time. There just happens to be a connection with this particular subject and their mouth—unsafe sexual practices could leave them vulnerable to the human papilloma virus (HPV16) that could increase their oral cancer risk.
College is both an exciting and challenging time. If your new student follows these timely oral care tips, they can avoid teeth and gum problems that could linger for years to come.
If you would like more information helping your college-bound student maintain good oral 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 “10 Health Tips for College Students.”
Basketball isn't a contact sport—right? Maybe once upon a time that was true… but today, not so much. Just ask New York Knicks point guard Dennis Smith Jr. While scrambling for a loose ball in a recent game, Smith's mouth took a hit from an opposing player's elbow—and he came up missing a big part of his front tooth. It's a type of injury that has become common in this fast-paced game.
Research shows that when it comes to dental damage, basketball is a leader in the field. In fact, one study published in the Journal of the American Dental Association (JADA) found that intercollegiate athletes who play basketball suffered a rate of dental injuries several times higher than those who played baseball, volleyball or track—even football!
Part of the problem is the nature of the game: With ten fast-moving players competing for space on a small court, collisions are bound to occur. Yet football requires even closer and more aggressive contact. Why don't football players suffer as many orofacial (mouth and face) injuries?
The answer is protective gear. While football players are generally required to wear helmets and mouth guards, hoopsters are not. And, with a few notable exceptions (like Golden State Warriors player Stephen Curry), most don't—which is an unfortunate choice.
Yes, modern dentistry offers many different options for a great-looking, long lasting tooth restoration or replacement. Based on each individual's situation, it's certainly possible to restore a damaged tooth via cosmetic bonding, veneers, bridgework, crowns, or dental implants. But depending on what's needed, these treatments may involve considerable time and expense. It's better to prevent dental injuries before they happen—and the best way to do that is with a custom-made mouthguard.
Here at the dental office we can provide a high-quality mouthguard that's fabricated from an exact model of your mouth, so it fits perfectly. Custom-made mouthguards offer effective protection against injury and are the most comfortable to wear; that's vital, because if you don't wear a mouthguard, it's not helping. Those "off-the-rack" or "boil-and-bite" mouthguards just can't offer the same level of comfort and protection as one that's designed and made just for you.
Do mouthguards really work? The same JADA study mentioned above found that when basketball players were required to wear mouthguards, the injury rate was cut by more than half! So if you (or your children) love to play basketball—or baseball—or any sport where there's a danger of orofacial injury—a custom-made mouthguard is a good investment in your smile's future.
If you would like more information about custom-made athletic mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”
Root canal treatments have suffered a bad rap over the years—and undeservedly. While we applaud root canal therapy for the millions of decayed teeth the procedure has saved, the worn-out cliché that it's painful still lingers on.
So, let's set the record straight: a root canal treatment doesn't cause pain, it most often relieves it. Let's look a little closer at what actually happens before, during and after this tooth-saving treatment.
Before: a tooth in crisis. Tooth decay can damage more than a tooth's outer enamel. This aggressive bacterial infection can work its way into a tooth's interior, destroying the nerves and blood vessels in the pulp, before moving on to the roots and supporting bone through the root canals. Untreated, this devastating process can lead to tooth loss. A root canal treatment, however, can stop the invading decay and save the tooth.
During: stopping the disease. The dentist first numbs the tooth and surrounding gum tissues with local anesthetic—the only thing you might normally feel during treatment is a slight pressure. They then drill into the tooth to access the inner pulp and root canals and remove all diseased tissue. Once the interior spaces of the tooth have been disinfected, the dentist then fills the empty pulp chamber and root canals with a pliable filling called gutta percha to prevent future infection.
After: preventing re-infection. With the filling complete, the dentist then seals the access hole. There may be some minor soreness for a few days, similar to the aftermath of a routine filling, which can usually be managed with over-the-counter pain relievers like ibuprofen. Sometime later, the dentist will normally finish the treatment with a new crown on the tooth. This accomplishes two things: It helps strengthen the tooth against stress fracturing and it provides another layer of protection against future decay.
Root canal treatments have an exceptional track record for giving diseased teeth a second chance. There's nothing to fear—and everything to gain for your troubled tooth.
If you would like more information on root canal treatment, 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 “Root Canal Treatment: What You Need to Know.”
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