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Burning mouth syndrome is the medical term for a chronic burning in the mouth without an obvious reason. This discomfort or pain may affect the tongue, gums, lips, inside of your cheeks, roof of your mouth (palate) or widespread areas of your whole mouth. The burning sensation can be quite severe. It can feel as if you burned the tissues in your mouth.

Burning mouth syndrome generally appears suddenly, but it can also develop slowly over time. Often the specific cause often is not easily or cannot be determined which can cause frustration for patient and doctor.

Burning Mouth Syndrome Symptoms

  • A burning sensation that most commonly affects your tongue. This syndrome may also affect your lips, gums, palate(roof of your mouth), throat or in some cases your entire mouth.
  • A sensation of dry mouth (also called xerostomia) with an increased thirst.
  • Taste changes. This can include a bitter or metallic taste.
  • Loss of taste.
  • Tingling, stinging or numbness in your mouth.
Burning Mouth Syndrome Botox Marielaina Perrone DDS
Relief From Burning Mouth Syndrome May Be Possible

Burning mouth syndrome can last for months to years. In some rare instances of burning mouth syndrome, symptoms may suddenly go away on their own or become less frequent. Some of the burning sensations may be temporarily relieved during eating or drinking.

Burning mouth syndrome generally does not cause any outward physical changes to your oral tissues.

Burning Mouth Syndrome Causes

While there is no known cause, there is a belief that an issue with the taste and sensory nerves of the peripheral and central nervous systems plays a role. In other cases, burning mouth syndrome can be caused by a medical condition. These may include:

  • Dry mouth (xerostomia), which can be caused by various prescription medications (include antihistamines, high blood pressure medications, and anti depressants), health problems (diabetes and autoimmune disorders), salivary gland function issues or the side effects of treatment for cancer (chemotherapy and radiation).
  • Oral Conditions such as a fungal infection of the mouth (oral thrush), an inflammatory condition called oral lichen planus or a condition called geographic tongue that gives the tongue a maplike appearance
  • Nutrition deficiencies. This can include a lack of iron, zinc, folate (vitamin B-9), thiamin (vitamin B-1), riboflavin (vitamin B-2), pyridoxine (vitamin B-6) and cobalamin (vitamin B-12).
  • Allergies or reactions to foods. This can include food flavorings, other food additives, fragrances, dyes or dental materials.
  • Gastroesophageal reflux disease (GERD) that enters your mouth from your stomach.
  • Certain medications, particularly high blood pressure medications
  • Oral habits, such as tongue thrusting, biting the tip of the tongue and teeth grinding (bruxism)
  • Endocrine disorders, such as diabetes or underactive thyroid (hypothyroidism)
  • Excessive mouth irritation, which may result from overbrushing your tongue, using abrasive toothpastes, overusing mouthwashes or having too many acidic drinks
  • Psychological factors, such as anxiety, depression or stress
Senior Dental Care Marielaina Perrone DDS
Botox And Burning Mouth Syndrome

Burning Mouth Syndrome Risk Factors

Burning mouth syndrome is not very common. It is mostly seen in patients with cahracteristics below:

  • Female
  • Perimenopausal or Postmenopausal
  • >50 yrs old

Burning mouth syndrome usually begins with no rhyme or reason. However, your risk of developing burning mouth syndrome may increase with the following:

  • Recent illness
  • Presence of a chronic medical disorders such as fibromyalgia, Parkinson’s disease, autoimmune disorders and neuropathy
  • Previous dental procedures
  • Allergic reactions to food
  • Prescription Medications
  • Traumatic life events
  • Stress
  • Anxiety
  • Depression

Traditional Burning Mouth Syndrome Treatment

Most treatments focus in on a dry mouth issue.

  • Change medications that cause dry mouth. Many medications are known to cause dry mouth. Your doctor may adjust dosages or change to a different medication to give you some relief from burning mouth syndrome.
  • Recommend products to moisturize your mouth. These can include prescription or over-the-counter mouth rinses, artificial saliva or moisturizers to keep your mouth lubricated. There are mouthwashes designed specifically for dry mouth. These can include Biotene Dry Mouth Oral Rinse or Act Dry Mouth Mouthwash.
  • Prescribe medication that stimulates saliva. Your doctor may prescribe pilocarpine (Salagen) or cevimeline (Evoxac) to stimulate saliva production to relieve symptoms of dry mouth.
  • Protect your teeth. To prevent tooth decay from dry mouth, your dentist might fit you for fluoride trays, which you fill with fluoride and wear over your teeth at night.

How Can Botox Help?

Botox has been used for a long time by dentists and doctors for cosmetic purposes. However, recently it’s use has been expanded to help other conditions including Temperomandibular Joint Disorder (TMJD) and migraine headaches. A recent study has shed light that it can help burning mouth syndrome.

The very small study finds that Botox “might be an effective, long-lasting, and safe treatment” for the disorder. It is important to temper expectations until more research is performed as this was a small study but very promising.

The research team examined three women and one man (all between ages of 60-80). All 4 subjects were experiencing burning mouth syndrome on their tongue and lower lip for at least 6 months. Each of the patients received a total of 16 Botox injections directly into the tongue and lower lip. The researchers found that within 48 hours of injection all pain and discomfort disappeared. They also reported relief last for a period of between 16-20 weeks.

Botox And Burning Mouth Syndrome

While the study was small the results were promising. This could give hope to those suffering from burning mouth syndrome to give them relief long term. It is important to see your dentist or doctor as soon as symptoms develop so that a course of treatment can be prescribed to limit the pain and discomfort and bring you back to full health. As always see your dentist regularly for dental examinations and professional cleanings.

Snap On Smile Henderson NV Marielaina Perrone DDS
Snap On Smile Can Give You The Smile You Always Dreamed Of!

Snap on smile is another tool for a cosmetic dentist to change someone’s smile and therefore improve self esteem and confidence. It has long been known that how people feel about ourselves affects our outlook on life. Our smile is an important part of that equation. For many, time or finances may get in the way of doing comprehensive permanent dental work. That is where the snap on smile cosmetic procedure comes in.

What Is Snap On Smile?

Snap On Smile is an affordable and cosmetic removable dental appliance. This dental applaince requires no preparation or altering of exisiting tooth structure along with no injections and no adhesives. It is completely non-invasive, making it completely reversible at any time. The snap on smile can be a full or partial upper or lower arch (or even both). It just snaps in right over the patient’s existing teeth without impinging on the periodontal tissues or covering of the palate on top of the mouth. Patients are free to eat, drink and function normally without any limitations.

Snap-On Smile can also be used as a cosmetic temporary for implant restorations, for cosmetic removable partial dentures, and even for long term enhancement of an individual’s smile. Snap On Smile created from a patented (DenMat), super thin dental resin that will be custom fabricated to create an attractive, esthetic smile. The easy process required for these procedures is quick and painless, and costs less than dental bridges, porcelain veneers or dental implants. The longevity for a snap on smile can be years with proper maintenance and care.

Snap On Smile Dental Visits

The snap on smile procedure is quite simple and quick. Creating a new smile using this cosmetic dentistry system only requires 2 visits.

  1. First visit would be for dental impressions. This will give the dentist and laboratory a model from which to create your new snap on smile.
  2. Generally in 2 weeks another dental appointment is scheduled to fit the newly fabricated snap on smile. There are usually little to no adjusting but it is possible to be needed. At this appointment, you will review snap on smile care instructions. Once completed, you are free to enjoy your new smile. It is that simple!

Who Is The Ideal Snap On Smile Patient?

Snap-on Smile is a great choice for patients with:

  1. Spaces or gaps, crooked, stained or even patients who are missing teeth.
  2.  Patients who are not ideal candidates for dental bridges or dental implants.
  3. Those interested in a Hollywood smile without the expense and possible discomfort of extensive cosmetic dental procedures.
  4. Patients who have a traditional removable partial denture and wants a great looking, more comfortable alternative.

It is important to note that Snap On Smile is a cosmetic dental procedure. In general, dental appliances considered cosmetic in nature are not covered by dental insurance. You will want to discuss your individual dental insurance with your dentist. You may also give your dental insurance company a call to see what benefits you might have for this procedure. Another important note, is your new cosmetic appliance comes with a 1 year warranty. This warranty is extendable by the patient.

Snap On Smile Conclusion

A New Smile For You

It is important to remember this cosmetic dentistry procedure may not be the ideal cosmetic treatment for all dental patients. Discuss your needs and wants with your dentist. Together you can devise a treatment plan to achieve those goals for your smile. For many, this cosmetic dentistry procedure is an effective tool to meet those goals. Snap on smile can also be used additionally with Botox or Juvederm. This will allow your dentist to remove fine wrinkles to give you an altogether better enhancement to your overall appearance. It is important with any cosmetic treatment to maintain regular dental examinations and professional cleanings. This will help keep you periodontal disease free and your smile healthy.



Cosmetic dentistry deals with much more than just an esthetic result. A well trained cosmetic dentist will be just as concerned with function as well as cosmetics. Without proper function, any cosmetic dentistry will ultimately fail over the long term. Below will be some of the most common cosmetic dentistry procedures your dentist can perform to bring new life to your smile.

Common Cosmetic Dentistry Procedures

Cosmetic Teeth Whitening. Probably the most popular cosmetic dentistry procedure due to its quick results and relatively low cost. Teeth whitening can be performed at home by the patient or in the office by your cosmetic dentist. Your teeth have pores and anything we eat or drink that has color will absorb into those pores. Wine, coffee, dark berries, and smoking are the main culprits in staining our teeth. As we get older, the natural color of your teeth becomes darker and darker due to these stains. These stains will not go away without intervention by your cosmetic dentist. Not every patient will achieve the same cosmetic dentistry results, so it is very important to check with your dentist first to see what to expect.

Cosmetic Dentistry Henderson NV Marielaina Perrone DDSCosmetic Porcelain Veneers (or even composite veneers). Porcelain veneers are a thin shell of porcelain similar to a fingernail. They are custom made in a dental laboratory and cemented in place over your teeth to transform your smile. Porcelain veneers are sometimes called “instant orthodontics” in cosmetic dentistry because they have ability to realign slightly crooked teeth. Porcelain veneers also have the ability to change the color of your smile, repair chipped teeth, or close gaps between your teeth. This is a staple of cosmetic dentistry and a well trained cosmetic dentist can dramatically change your smile quickly.

Cosmetic Porcelain Crowns. These are custom fabricated to restore function and esthetics to your smile. Porcelain crowns are utilized in cosmetic dentistry by your cosmetic dentist to restore teeth that have been damaged to trauma, tooth decay, or to close gaps between teeth. All porcelain crowns are ideal to restore a front tooth as they are translucent and designed to look like your natural teeth.

Cosmetic Dental Implants. A dental implant is a titanium root structure designed to replace a missing tooth or teeth. A dental implant is surgically implanted into the jawbone where the tooth is missing. Unlike a dental bridge, a dental implant is permanent, this is because the dental implant becomes one with surrounding bone (process is called osseointegration). A dental implant is designed to act as the tooth root. Once integrated it can be used as a platform to replace a single tooth, multiple teeth, or even be support for a full denture. Dental implants are the closest you can get to a natural tooth in function. They give you the freedom to confidently eat, smile, laugh, talk, and enjoy all of your everyday activities without worrying about your smile. These can be used in cosmetic dentistry along with other procedures to restore your smile.

Cosmetic Teeth Recontouring. Also called tooth enamel shaping. A misshapen tooth can be lightly shaped by your cosmetic dentist in a painless procedure but it can have a dramatic effect on your smile. It is common to do this if you have protruding mamelons. A mamelon is a rounded protuberances which are present on the cutting edge of an incisor (front) tooth when it first erupts into the mouth. Generally, they wear away over time as we grow up but for some they need help in removing them.

Cosmetic Dental Bonding. Also called tooth bonding. Dental bonding is the cosmetic dentistry procedure in which tooth-colored materials are bonded to the tooth to repair tooth decay, repair a chipped tooth, or even close a gap between teeth.  These tooth colored materials are bonded using chemistry and a special light which hardens the material in seconds.

Cosmetic Orthodontic Braces. Adult orthodontics have become very popular in cosmetic dentistry especially with introduction of invisalign orthodontic system. Your cosmetic dentist can make small adjustments to one or a few teeth or a major overhaul using more traditional orthodontics treatment.

Cosmetic Dentistry Conclusion

Cosmetic dentistry can transform any smile but function is the key. Make sure you see a well trained dentist who knows that function trumps cosmetics. If a dental restoration is not functional it will not last and withstand the stresses of the mouth. Cosmetic dentistry can be what is missing from your smile. Ask your dentist today to transform your smile.




Modern orthodontics have created a decision for many patients…..Invisalign vs braces! With advances in orthodontic materials and techniques we have moved forward to a more cosmetically pleasing way of creating a straighter smile. The decision of invisalign vs braces will be between you and your dentist or orthodontist. An informed, educated patient is the best kind. Below you will learn the pros and cons of each technology to make an informed decsion in invisalign vs braces.

Traditional orthodontic braces are made of metal and attach to the outer surfaces of your teeth. They can also be made of a ceramic material and placed behind the teeth (called lingual braces). Metal wires and rubber bands are attached to the brackets to slowly give directional forces to your teeth to correct orthodontic issues.

Invisalign treatment uses clear, plastic orthodontic aligners. These aligners are personalized for each patient by making a 3-dimensional scan of their mouth. Personalized aligners are then made to move the teeth in small graduated steps until the correct position is reached for a perfect smile.

Invisalign Vs Braces

Advantages Of Invisalign Vs Braces

Cosmetics. The greatest benefit especially for orthodontics for adults is that the invisalign aligners are clear and virtually invisible. Most people will not even notice you are undergoing orthodontic treatment. This is a huge plus in discussion of Invisalign vs braces.

Marielaina Perrone DDS Invisalign Vs Braces Henderson NVRemovable. Invisalign retainers should be worn about 20-22 hours per day this allows you time to take them out for eating. This allows you not to make any changes in the types of foods you eat. With traditional braces, this can be a real issue.

Improved Dental Hygiene. The ability to remove the clear invisalign aligners to brush, floss, and rinse your teeth is a huge plus in invisalign vs braces discussion.

Fewer and Quicker Orthodontist Visits. Again a real plus especially for adult orthodontics. There are no need for simple adjustments just changing retainers as teeth move. Also there is nothing to break.

Comfort. With a plastic retainer, you will still feel the occasional discomfort as teeth shift however, there will not be any metal to pinch your cheeks and gums. Another big advantge in argument of invisalign vs braces.

Disadvantages Of Invisalign Vs Braces

Increased Patient Responsibility. Since patients can remove the retainers at will, they need to be responsible and wear them for the required time for them to be effective. Your orthodontic results will not be as good or as timely if not worn as prescribed. Any deviation from this can add time to your orthodontic treatment. One the major failures of Invisalign is in fact patient compliance when it comes to wearing retainers as required by your orthodontist. The success or failure of Invisalign is up to the patient.

Inconvenience. Constantly removing retainers to eat can be a nuisance for some. Not to mention an increased risk of losing retainers is possible.

Increased Cost. For some patients invisalign alone cannot fix all smile alignment issues. There may be a need for a final phase that includes some form of traditional braces. This will be an added expense in money and time.

Effectiveness Of Invisalign. As mentioned above, invisalign treatment may not be able to tackle some more difficult smile alignment cases. Your dentist or orthodontist will be able to discuss these options with you prior to beginning treatment.

Advantages Of Traditional Braces Vs Invisalign

Ability To Handle All Patients. This is a proven technology that can work in any situation to handle multiple dental and facial issues. Traditional braces are the most powerful all around tool an orthodontist can use to move teeth into their final desired position.

Ability To Achieve A Better Final Result. Traditional orthodontic braces have the ability to achieve a better final result than Invisalign clear retainers. Braces can create more force to move teeth into the desired position. Invisalign is limited by force and how much movement can occur at a given time.

Options. As mentioned above, traditional braces offer attachments to the outside of teeth, to the inside of the teeth, as well as tooth colored ceramic brackets. The last two can make traditional braces more cosmetic than ever before.

Faster, More Efficient Treatment Time. Due to increased power and tweaking by your orthodontist, traditional braces tend to complete the job faster and more efficiently vs Invisalign, This is important for both kids and adults.

Disadvantages Of Traditional Braces Vs Invisalign

Cosmetics. Traditional braces have a tendency to make people feel self conscious about their smiles. A definite negative in the argument of invisalign vs braces.

Dental Hygiene. Maintaining good dental hygiene can extremely difficult with traditional braces. If you do not maintain good dental hygiene during orthodontic treatment you might end up developing tooth decay as well as periodntal disease. It is extremely important to be diligent with dental hygiene when undergoing orthodontic treatment.

Food Choices. You need to watch what you eat while undergoing traditional orthodontics with braces. Hard or sticky foods can cause damage to the brackets on your teeth or even the wires attached to the brackets. If brackets break they will delay treatment and prolong the overall treatment time for your new smile.

Regular Visits. Generally you will be on a schedule of 1x per month at minimum. This will be to check progress as well as to make changes to the movement of your teeth. For Invisalign patients it might be every other month.

Invisalign Vs Braces Conclusion

Making the choice of Invisalign Vs Braces should not be a difficult one. Examine the positives and the negatives and make the choice that is right for you and your smile. Invisalign vs braces should not be a difficult decision. Whichever way you choose you will enjoy your new smile for years to come. Invisalign vs braces the choice is yours!