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August 2009
 

 
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The Truth About Canker Sores
Canker Sore
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.
 
 
In This Issue
Truth About Canker Sores
Maintain Cold Sore Breakouts
Leading-Edge Aesthetic Dentistry
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Tips to Maintaining Cold Sore Breakouts
 
Cold Sore
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.
 
Trust the Team Who's Setting Melbourne's Standards for Leading-Edge Aesthetic Dentistry
Advanced PeriodontitisA 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.
 
 
Dennis P. Saller, DDS
Center for Adult Dentistry
 
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