Family & Cosmetic Dental Care in a Relaxed Environment.

Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

Dental Implants, Teeth Whitening, Porcelain Veneers, &
Botox Cosmetic.

Stress is the body’s internal and external reaction to a change that requires a physical, mental or emotional response. Stress can come from any situation or thought that makes you feel frustrated, angry, nervous, or anxious.

Too much stress is known to be bad for us but did you know that stress can also cause issues to your dental health?

Dental Issues That Can Be Caused By Stress

Poor Dental Hygiene

When a person is under stress they tend to lose focus on basic habits and this includes being diligent with maintaining their dental hygiene. If you do not take care of your dental hygiene, your dental health as well as your general health will begin to suffer. This is especially true if you already suffer from periodontal disease as skipping any part of your dental hygiene program can worsen the periodontal disease. Another issue with being under stress is your nutrition changes. Most people dealing with stress tend to develop very unhealthy eating habits. This can include snacking on larger than normal amounts of sugary foods and drinks. These changes will increase your risk for tooth decay.

A good way to combat stress in your life is to maintain a routine of regularly exercising. Exercising regularly can help you relieve some of that stress and give you an extra energy boost. Exercise will also boost your immune system which is always a plus.

Teeth Grinding (also called Bruxism)

One of the main reasons why people grind their teeth is due to stress. Bruxism can occur day or night but it is usually a subconscious act. Stress is not the only cause of bruxism but it does make it worse. Some of the dental issues associated with bruxism include:

-Headaches

-Ear Pain

-Worn Down Teeth.

-Temporomandibular Joint (TMJ) Issues

-Sensitive Teeth

-Chipped or cracked teeth

-Receding gums or teeth with notches in them at the gum line

Your dentist may recommend a night guard to wear while you sleep to minimize the damage caused to your teeth. Usually, if stress is the cause the bruxism will stop when the stressor is removed.

Mouth Sores

Mouth sores come in many forms. These can include:

-Canker sores. These are small ulcers with a white or grayish base and bordered in red.  There has been vigorous debate regarding what causes canker sores. Some believe it is an immune system issue, bacteria, or even a virus. Consensus is that stress can increase the risk of them showing up. Canker sores are not known to be contagious.

Canker sores generally last about 7-10 days. Spicy foods as well as highly acidic foods should be avoided as they tend to irritate the sores. One of the best forms of relief comes from a dentist prescribed medicine called Debacterol. This medicine is applied directly to the sore and can reduce symptoms as well as the length that the sores are present.

-Cold sores (or fever blisters). These sores are caused by the herpes simplex virus and are highly contagious. Cold sores are blisters that are filled with fluid that often appear on or around the lips. They can also appear under the nose or around the chin area. Emotional stress can trigger an outbreak. Other triggers include fever, a sunburn, or skin abrasion.

Cold sores often heal on their own in about a week’s time. Treatment is available, including over-the-counter remedies and prescription antiviral drugs. Ask your doctor or dentist if either could help you. It is important to start treatment as soon as you feel or notice the cold sore forming. The sooner you start treatment the effects of the cold sore will be reduced.

Periodontal Disease

Stress can lead to depression. And studies have shown that patients who are depressed have twice the risk of a poor outcome from periodontal disease treatment compared to those who are not in a depressed state. You can not make depression or the stress disappear, of course. But most experts agrees that learning healthy coping strategies can help reduce the risk of periodontal issues getting worse.  Also, people who are depressed tend to have poor overall hygiene and that includes dental hygiene.

Conclusion

Keep in mind we all have stress during the course of our day. Developing proper techniques for dealing with that stress can make a world of difference in the maintanence of our dental health as well as our overall health. As always, see your dentist regularly for dental examinations along with professional cleanings to ensure you keep your smile as healthy as can be!

Remember, eating a balanced diet, seeing your dentist regularly, and good oral hygiene help reduce your risks of periodontal disease. Make sure you brush twice a day and floss daily.

Cold sores (also called fever blisters) – are a group of fluid filled blisters which usually appear at the edge of the lips, in and around the mouth (can also be seen on the face,Cold Sores Marielaina Perrone DDS inside the nose, or even the genital area). Cold sores are caused by a viral infection. Cold sores are uncomfortable and unattractive. They usually heal in several days to 2 weeks.

Most cold sores are caused by a herpes simplex virus infection (HSV-1). The skin around the blisters is often red, swollen, and sore. The blisters may break open, leak a clear fluid, and then scab over after a few days. There are also cold sores manifested by the virus that causes genital herpes. These cold sores are caused by another type of the herpes simplex virus called herpes simplex virus-2 (HSV-2) and are spread by sexual contact. Either virus, ( HSV-1 or HSV-2) can cause cold sores on lips, inside the mouth, throat, and genitalia.

Is Oral Herpes Common?

Oral herpes is quite common. Over 60% of Americans have had cold sores, and approximately 25% of those infected experience recurrent outbreaks. Most people became infected before the age of 10. Anyone can be infected and once infected the virus remains latent for life.

The Herpes virus is spread from person to person via direct skin to skin contact. The most obvious time for transmission of virus is during the active phase. This phase begins with the appearance of the blister and ends with the scab formation. The herpes simplex virus usually enters the body through a skin break around or inside the mouth. It is generally spread when a person touches the cold sores or touches infected fluid. This can happen through sharing eating utensils or razors, kissing an infected person. A parent who has cold sores often spreads the infection to his or her child in this way. However, studies have shown that infected persons can also transmit the virus via saliva without the presence of oral lesions. This is because the virus may be present in the saliva. Cold sores can also be spread to other areas of the body.

Viruses are different from bacteria. While bacteria are independent and can reproduce on their own, viruses enter human cells and force them to make more virus. The infected human cell is usually killed and releases thousands of new viruses. The cell death and resulting tissue damage causes the actual cold sores. In addition, the herpes virus can infect a cell and, instead of making the cell produce new viruses, it hides inside the cell and waits. The herpes virus hides in the nervous system. This is called “latency.” A latent virus can wait inside the nervous system for days, months, or even years. At some future time, the virus “awakens” and causes the cell to produce thousands of new viruses that cause an active infection.

 

This process of latency and active infection is best understood by considering the cold sores cycle. An active infection is obvious because cold sores are present. The first infection is called the “primary” infection. This active infection is then controlled by the body’s immune system and the sores heal. In between active infections, the virus is latent. At some point in the future, latent viruses become activated and once again cause cold sores. These are called “recurrent” infections. Although it is unknown what triggers latent virus to activate, several conditions seem to bring on infections. These include stress, illness, tiredness, exposure to sunlight, menstruation, fever, and diet.

 

Cold Sores Marielaina Perrone DDSHerpes Symptoms

Not everyone shows symptoms from herpes. The first symptoms of herpes generally occur between two to 20 days following contact with the virus. Symptoms of the initial infection are usually far more severe than those of recurrent infections. The primary infection can cause symptoms like other viral infections including tiredness, headache, fever, and swollen lymph nodes in the neck.

 

Typically, 50 to 80% of persons with oral herpes experience a prodrome (symptoms of oncoming active disease) of pain, burning, itching, or tingling at the site where blisters will form. This prodrome stage may last anywhere from a few hours to one to two days. The herpes infection prodrome occurs in both the primary infection and recurrent infections. Following the prodrome, the disease process is rapid. First, small red bumps appear that quickly form fluid-filled blisters. The painful blisters may either burst and form a scab or dry up and form a scab. Within two days of the first red bumps, all the blisters have formed scabs. The skin heals completely and without scarring within six to ten days.

 

Children can have a very serious primary herpes infection called gingivostomatitis. This can cause fever, swollen lymph glands, and numerous blisters inside the mouth and on the lips and tongue that may form large, open sores. These often painful cold sores can last 2-3 weeks and can make eating and drinking difficult. This needs to be monitored as dehydration can develop in the younger children.

 

Most people experience less than two cold sore outbreaks each year. Some people never experience cold sores outbreaks, while some have very frequent outbreaks. In most people, the blisters form in the same area each time and are triggered by the same factors.

 

Treatment of Cold Sores

Pharmaceutical Treatment

Cold sores will usually start to heal on their own within a few days. If they become painful or make you feel embarrassed, they can be treated.Prescription  treatment may be used during the prodrome stage to stop or markedly decrease size and duration of colds sores. These treatments  include skin creams, ointments, or sometimes pills. Other over the counter treatments may get rid of the cold sores only 1 to 2 days faster, dry them out, or help ease painful blisters or other uncomfortable symptoms. Prescription treatment consists of the use of antiviral drugs such as Acyclovir (Zovirax), Famciclovir (Famvir) and Valacyclovir (Valtrex). Acyclovir is the drug of choice and can be

Cold Sores Marielaina Perrone DDS

given as an injectable, by mouth, in pill form, or as an ointment. Acyclovir is effective in treating both the primary infection and recurrent outbreaks. When taken by mouth to prevent an outbreak, acyclovir reduces the frequency of herpes outbreaks.

Other treatments include topical antiviral creams and ointments, such as penciclovir (Denavir) cream. Some research demonstrates that penciclovir appears to reduce the
average size and duration of cold sores.

Penciclovir reportedly is best used as quickly as possible after symptoms (pain, tingling, itching, burning or blisters) begin to appear. Although the recommended dose varies with the individual, the average adult dose calls for applying the cream to the affected areas every two hours, while awake, for four days.

Alternative Treatments

Diet

Eating a healthy well balanced diet is believed to keep cold sores at bay.

-Imbalance of Amino acids Lysine and Arginine. A diet rich in amino acids may help prevent recurrences of cold sores. Herpes sufferers want to increase intake of lysine and decrease intake of arginine. Lysine is found in most vegetables, legumes, fish, and turkey. Arginine rich foods that should be avoided include chocolate, peanuts, almonds, as well as other nuts and seeds.

-Avoid alcohol, caffeine, and sugar.

Vitamins

Vitamins helpful in reduction of cold sore outbreaks:

-Vitamin C and bioflavonoids have been shown to reduce the duration of a cold sore outbreak as well as reduce the number of sores produced.

-Vitamin B complex can give support to the nervous system where viruses can hide out. B complex vitamins can also help manage stress, an important contributing factor to the outbreak of herpes viruses.

-Vitamin E. Applying the oil in vitamin E capsules directly to cold sores may provide relief of symptoms.

-Zinc lozenges are known to enhance the immune system as well as affect the reproduction of the herpes simplex virus.

-Ointments containing lemon balm or licorice and peppermint have been shown to help cold sores heal faster.

Newer Treatments

Cold Sores Marielaina Perrone DDS-Xerese. This is the only FDA approved pharmaceutical agent that can prevent the progression of cold sores.  It has been proven to reduce the likelihood of ulceration along with faster healing and improved symptom relief. It is also the only medication that is antiviral and anti-inflammatory(contains steroid). Only recommended for 12 years and older.

-Lip Clear Invisible Bandage. This is a clear bandage that is applied directly to the cold sores. This protects transmission of sore while active, can be used as a concealer, and promotes faster healing.

-Viroxyn Professional – This is a single application cold sore treatment available only thru dentists and physicians. Viroxyn contains 7.5% Benzocaine to numb the cold sores site along with an antiviral ointment. The dual action application will begin healing of the site almost immediately. Removing pain or discomfort as well as promoting faster healing. A typical cold sore last about 10-12 days but with proper use Viroxyn has been shown to reduce that time down to as little as 3 days.

Cold Sores Conclusion

As of today there is no cure for the herpes simples virus. After you get infected, the virus stays in your body for the rest of your life. If you get cold sores often, treatment can reduce the number of cold sores you get and how severe they are. It is important to be aware of the symptoms so as not to infect your loved ones. With diligent care and treatment, cold sore numbers and events can be reduced in time so your life is not adversely affected.

Everyone likes giving or receiving kisses. It could be a spouse, child, or loved one, but are there any dental health dangers associated with kissing? With just one kiss, youKissing Marielaina Perrone DDS can share over 500 different types of disease causing germs and viruses. Not knowing who you are kissing could be as dangerous to your health as having multiple sexual partners. What are the benefits, aside from the obvious?

Common Diseases and Viruses Transmitted By Kissing

-Cold Sores – This type of sore is caused by the herpes virus (family of diseases that causes Epstein-Barr, chickenpox, or herpes simplex). Cold sores appear as tiny, clear, fluid filled blisters that form around the mouth and lips. This type of sore is highly contagious. This is especially true while the sores are open and leaking fluids. Even sores that have formed scabs can be contagious.

-Upper respiratory tract infections - like colds can easily spread through a kiss. If you feel a cold or flu virus coming on you should avoid kissing. Many different viruses are responsible for causing the common cold. Colds are believed to be spread by direct contact with the virus. You can catch a cold from airborne droplets or from direct contact with secretions (fluids and mucous) from the infected person’s nose and throat.

-Mononucleosis (also called Glandular Fever) – This is called the “kissing disease” for a reason! It is easily transmitted to others through kissing, as well as sharing food, a cup, or even a straw.

-Hepatitis B – this may be transferred via kissing but it is quite rare, but it is transferable through saliva. Hepatitis B shows up in far higher levels in the blood than in the saliva. If the person you are kissing has bleeding gums (from periodontal disease), it will  be even more likely to be transmitted through the  mucous membranes (mouth, tongue, and gums).

-Tooth Decay – The bacteria that cause tooth decay are not found in the mouths of babies at birth.  A baby’s mouth must be colonized with infected saliva, which can be passed by a kiss on the lips from Mommy or Daddy.

-Periodontal Disease – It is possible to pass the bacteria responsible for periodontal disease through kissing.

Kissing Marielaina Perrone DDSBenefits Of Kissing

Even with all the potential dangers listed above, kissing does have some major benefits.

-Increased Salivary Flow - During the act of kissing, the salivary glands get stimulated. This releases increased saliva into the mouth. Saliva is mostly water but also contains electrolytes, sodium, proteins, and digestive enzymes. These digestive enzymes not only help in digesting food but also in resiting the attacks o viruses and bacteria. Saliva naturally guards our teeth. Saliva also contains the nutrients calcium and fluoride, which help re-mineralize any sort of injury on your tooth’s enamel.

-Temperomandibular Joint (TMJ) Disorder Treatment - The physical action of kissing someone effects more than 34 different muscles in your face. Those with soreness within the TM joints at times notice that kissing helps to loosen up the jaw bone, the tongue and other muscular areas within the mouth area. Unstrained muscle groups can sort out any discomfort which is being a result of TMJ issues.

-Increased Immunity Strength – Kissing causes individuals to transfer antibodies from one to another. These antibodies may be new to you and thus will strengthen your immune system. Nevertheless, if you know someone is ill, it’s wise to try to keep from kissing them until finally they are healed.

-Improved Mood - kissing releases nature’s antidepressant, oxytocin. Kissing does not just increase the production of feel good chemicals in our bodies, it also lowers our cortisol and cholesterol levels, too.

-Increased Metabolism - During a really passionate kiss, a person can burn anywhere from 2-5 calories per minute. This is double your normal resting rate. Over an hour of kissing can lead you to burn almost 200 calories. While you should not rely on kissing to help you lose a significant amount of weight, it might give your metabolism an extra boost and help shed a pound or two.

The negative effects of kissing should not keep you from kissing your loved ones, but you should be sure to maintain your oral health to keep up your dental and physical health.

Preventive Tips While KissingKissing Marielaina Perrone DDS

-Use sugar free chewing gum, preferably with xylitol.

-Use mouthwash.

-Maintain good oral hygiene by following home care instructions and visiting your dentist regularly for dental examinations and professional cleanings.

-Visit your dentist if you suspect you may have tooth decay or a periodontal disease.

-Only kiss someone if you know where he or she has been.

Conclusion

We love to kiss those we care about. We need to remember to protect them as well as ourselves by being clean and healthy.  Be smart about who you kiss and enjoy yourself!