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Center for
Adult Dentistry
Newsletter
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The Truth
About Canker Sores
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There are many
misconceptions about canker
sores and their relation to
cold sores. Canker sores,
medically known as aphthous
stomatitis, are not
contagious and are not
caused by a virus. Canker
sores occur inside the mouth
while cold sores typically
appear outside the mouth on
the lips or under the nose.
Canker sores are small
shallow ulcers that appear
on the soft tissues in your
mouth. For those of us that
have experienced a canker
sore a time or two, I think
it is safe to say they can
be very painful and
irritating. You will find
that they occur on the soft
palate (back portion of the
roof of your mouth), on or
under your tongue and on the
inside of your cheeks. You
may even feel a tingling or
burning sensation a day or
two before the sore even
appears. Most of us
experience minor canker
sores that are oval in
shape, red around the edges
and white in the center
which normally clear up in
three to fourteen days. But
for those who have more
severe or "major" canker
sores, these are deep ulcers
with irregular margins and
can last for three to six
weeks that leave you with
extensive scarring.
Now you may be asking
yourself what causes these
sores and how can I treat
them? The cause of canker
sores is still unknown but
it is suspected that stress,
tissue injury, immune system
deficiency or a combination
of these contribute to the
occurrence of them. Other
factors that can trigger
canker sores are food
allergies, vitamin B-12,
zinc, folate or iron
deficiencies, highly acidic
foods, hormonal shifts,
certain drugs, toothpastes
containing sodium lauryl
sulfate and gastrointestinal
diseases such as Crohn's or
Celiac disease. Minor
canker sores usually heal
without treatment but you
can do warm salt water
rinses and apply
over-the-counter ointments
like Anbesol or Oragel to
help with the pain. If you
experience large or major
canker sores, an
antimicrobial rinse,
corticosteroid ointment or a
prescription to reduce the
pain may be prescribed.
If you have experienced
canker sores, you are not
alone. Good news is that
you can prevent them! Watch
what you eat and choose
healthy options to avoid any
food sensitivities or
allergies and help with
nutritional deficiencies.
Avoid minor tissue injuries
by not chewing and talking
at the same time. You can
also prevent them with
simply following good oral
hygiene habits and avoiding
rinses or toothpastes that
contain sodium lauryl
sulfate.
Please give Dr. Saller a
call if you experience an
unusually large canker sore
or sores that are persistent
and painful. Your oral
health is our number one
priority.
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Tips to Maintaining Cold Sore
Breakouts
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Getting that tingling
feeling on your lip again?
Dreading what you know is
coming? Asking yourself,
why now? Well we are here
to help. Cold sores can be
maintained if you know what
signs to look for and if you
start treating them in their
early stages.
What most people don't know is
that cold sores are more common
than they think. Cold sores are
typically caused by Herpes
Simplex Virus 1(HSV1) while most
genital herpes are caused by
Herpes Simplex Virus 2 (HSV2).
Research indicates that an
estimated 80% of Americans have
been exposed to HSV1. Although
a person may be affected with
the virus doesn't necessarily
mean that they will experience a
breakout. This is due to the
fact that their immune system is
able to suppress the virus.
Those that do experience a
breakout experience these
symptoms:
- Before the cold sore
appears, it is common to
feel a tingling, burning or
itching sensation in the
area. This is called the
prodrome and is the warning
sign 1 to 2 days before the
blisters appear.
- Small, fluid-filled
blisters will appear on a
raised, red area of your
skin. They typically occur
around your mouth but can
also appear around the nose,
on the cheeks and on the
chin.
- After the blisters form,
they break and then they
ooze. A yellow crust forms
and then will eventually
slough off leaving your skin
pink and tender but no scar.
Cold sores are very contagious
and are thought to be contagious
from the time you feel it coming
on until the time the skin is
healed. Avoid touching the area
at all cost and especially avoid
touching the cold sore and then
touching your eyes. The virus
is easily spread and if in the
eyes, the result can be
blindness. Both you and those
around you should take the
necessary precautions to avoid
exposure. Wash your hands
frequently, avoid skin contact,
avoid sharing items and be
careful not to touch other parts
of your body.
Cold sores are typically
recurrent and usually recur in
the same areas. There are ways
to avoid breakouts if you know
your triggers. Some common
triggers of cold sores are the
flu, fever, sun exposure and
stress. Some ways to prevent
cold sores from surfacing are:
- Keep a healthy
lifestyle. Rest, low
stress, exercise and a well
balanced diet will help keep
a healthy immune system.
- Wear sunscreen. Apply
sunscreen on your face and
around your lips. Use a lip
balm or chapstick with SPF
to protect your lips.
- Moisturize your lips.
Windburn and chapped lips
can trigger an outbreak so
it is necessary to keep your
lips moist with a chapstick
or balm.
- If you regularly get
cold sores, have a treatment
plan.
So what is the best treatment
for cold sores? Cold sores
typically will heal on their own
but there are treatments to
lessen the pain, severity and
length of the breakout. This
can include over-the-counter
treatments such as Abreva,
herbal remedies, or prescription
antiviral medications such as
Valtrex. For those who
experience breakouts regularly
and know their symptoms very
well, a prescription might be
the best answer for you.
Typically a cold sore lasts from
7 to 10 days. Once you notice
the symptoms of a breakout, you
can take your prescribed
medicine that may not only
prevent the severity of the
outbreak but could also lessen
the amount of days you have it.
If you experience cold sores and
would like to know more about
getting a prescription for your
breakouts, please feel free to
set up a consultation with Dr.
Saller. He has prescribed
Valtrex for many of our patients
and wants to help you too. You
are not alone.
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Trust the Team Who's Setting
Melbourne's Standards for
Leading-Edge Aesthetic Dentistry
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A
beautiful smile is a confident
smile. It can improve your self
esteem and relationships - both
personal and professional. And
it can be yours thanks to Center
for Adult Dentistry.
Led by our director, Dennis P.
Saller, DDS, a recognized
authority in cosmetic and
restorative dentistry, we are
the ideal partner for you to
choose in creating your dream
smile. Dr. Saller is a dental
artist who won't settle for
anything less than what he
considers to be the perfect
smile for you.
Over the years, Dr. Saller has
traveled to many parts of the
globe to hone his aesthetic
dentistry techniques under
internationally renowned
cosmetic dentists. He has
achieved such a high level of
knowledge, skill and experience
that he currently works as an
assistant instructor with Dr.
Newton Fahl, one of the top
cosmetic dentists in the world.
Since 1983, Dr. Saller and his
team have transformed thousands
of smiles.
Let us transform yours, too.
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Dennis P. Saller, DDS
Center for Adult Dentistry
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$2.00 OFF Flouridex Toothpaste
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Print coupon or mention
the newsletter next time you visit our
office and receive $2.00 off your
purchase of Flouridex Toothpaste. Offer
expires August 31, 2009.
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Offer Expires: August 31, 2009
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