Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.


1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.


2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.


3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.


4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.


5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.


As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. 

Mouth Sores - Could They Be More Than Just a Sore!

Mouthwash has become an essential ingredient of one's oral hygiene kit. Though not a substitute for flossing or brushing, it offers additional oral protection. Due to a host of ingredients, such as alcohol,
Chlorhexidine, cetylpyridinium chloride, menthol, methyl salicylate, fluoride, antibacterial enzymes, hydrogen peroxide, essential oils, zinc chloride and other herbs and "natural" ingredients mouthwash has a number of benefits.

Alcohol is the basic ingredient in all of them. While fluoride protects against decay, chlorhexidine protects against gum diseases. Hydrogen peroxide produces a mild bleaching effect. Herbs and essential oils produce a freshening effect.

Benefits of using a mouthwash

1. Reduces formation of tartar and plaque.
2. Protects from oral problems like gingivitis and periodontal disease, especially if it contains cetylpyridinium or essential oils. Chlorhexidine is also effective in protecting plaque formation and gingivitis.
3. Kills bacteria in the mouth and prevents cavities or decay, especially if it contains fluoride.
4. Mouthwash, to some extent, covers up bad breath due to oral hygiene or oral disease and produces a fresher breath.
5. Certain mouthwashes containing cetylpyridinium chloride and zinc chloride produce a better breath freshening effect.
6. Helps manage dry mouth, especially if containing biotene.

Types of Mouthwash

1. Cosmetic
2. Therapeutic

The cosmetic one is usually for freshening up the breath and is not regulated by the FDA. The therapeutic ones contain active ingredients aimed at addressing one of the issues like plaque formation, bad breath, dry mouth, or decay. They kill bacteria, reduce plaque, fight gingivitis, and control decay. They are not a substitute for brushing or flossing but supplement these two very well. These are approved by FDA and are proven in terms of safety and efficacy. Rinses with zinc chloride are effective against bad breath, those with fluoride are useful in people who are cavity-prone, and chlorhexidine helps prevent gum disease.

Choosing a mouthwash: This depends on the oral health condition, and it is always advisable that the dentist prescribes the right rinse for you.

When and how to use mouthwash: When you are done with your brushing and flossing, rinse your mouth with a capful of the mouthwash liquid. Swish it around your mouth for about 30 seconds and spit it out. Avoid brushing, drinking water, or rinsing your mouth after using a mouthwash for about 15 to 20 minutes. This will give sufficient time for the active ingredients in the mouthwash (especially if it is a therapeutic one) to act in the mouth. Brushing after mouthwash removes all the effect of the rinse.

Mouthwash: All You Need to Know About it

Toothache is a painful dental condition that affects many people worldwide. At times the excruciating pain can drive a normal person insane. Cavity and tooth decay contribute to toothache in a big way. However, toothache can also be an indication of some serious dental ailments that needs immediate attention. The following factors/reasons can equally contribute to toothache (mild or severe).

Tooth decay: Tooth decay and cavities are synonymous to unhealthy teeth and toothache. Cavities can also give rise to awkward complications like bad breath. Thus, proper dental care and hygiene is of topmost priority. It is highly recommended to brush the teeth three times daily.
Accidental falls: Accidents incurred during sports or games often go unnoticed and untreated. This can invite unwanted complications like broken teeth, infections or inflammations resulting in toothache.
Unhealthy gums: Bleeding, painful and swollen gums and many other gum ailments can severely affect the teeth. At an advanced stage, this can lead to unbearable toothache.
Bruxism: Many people knowingly or unknowingly indulge in Bruxism or tooth grinding. Bruxism can have serious dental implications. It exerts tremendous pressure on the teeth and the supporting tissues. Eventually the jaw muscles also get affected, with toothache being the inevitable consequence.
Decaying enamel: Healthy enamel implies healthy teeth. Factors like excessive intake of sweets, drinks and chocolates play a significant role in enamel decay.  This can have a detrimental effect on the teeth resulting in toothache.
Abscess, a serious dental ailment:  Abscess is the manifestation of dental infections, whereby pus formation takes place between the gum and a tooth. Pus formation can also take place at the base of a tooth resulting in toothache.
Cracked tooth syndrome: A fractured tooth often acts as a catalyst, leading to toothache. The crack on the tooth is so small that even an x-ray fails to reveal it. Factors like bruxism, tooth decay, to name a few; contribute to the Cracked Tooth Syndrome.
The wisdom mystery: Lucky are those whose wisdom teeth erupt completely, at a single go. Impacted wisdom teeth can give a person sleepless nights. Misaligned teeth are no better.
Toothache and periodontal complications: It is a serious condition leading to shooting pain and inflammation. The inflammation and pain affects the root of the tooth immensely. It usually results from infections in plaque formations.
Sinus infections: In many cases, it has been found that sinus infection can lead to toothache. Positioned close to the upper back teeth, the sinuses give rise to what is known as a dull ache.
Toothache can be an amalgamation of many factors. Thus, it is very important to go for periodical dental & full body check ups.

10 Reasons for Toothache

Hyperdontia is a peculiar and quite rare dental problem which involves the growth of excess number of teeth. It can appear during birth and last till the primary teeth fall out to be replaced by the permanent set of teeth, or appear with the rise of the permanent teeth. If a person shows a tendency to grow more than 20 temporary teeth or more than 32 permanent teeth, he or she suffers from hyperdontia. 

Where do the additional teeth occur?
The additional teeth or supernumerary teeth can appear anywhere inside the mouth or dental arch, but the most common ones are called wisdom teeth and they grow as anterior molars after a certain age. Extra teeth in new born infants are called natal teeth. Occurrence of more than 4-6 supernumerary teeth is rare, although there have been known cases of more than 30 supernumerary teeth. 

Why does hyperdontia occur?
1. Hyperdontia often occurs in association with a few select disorders like cleidocranial dysplasia, Ehler - Danlos syndrome, Gardner syndrome, and cleft lip and palate. 
2. Although the exact cause of hyperdontia has not yet been discovered, some studies have shown that it might be a result of over activity of dental lamina during the phase of tooth development in infancy. 
3. It could also possibly be due to genetic or environmental factors. 

What problems does it pose and how can hyperdontia be corrected?
1. The existence of extra teeth often causes problems in speaking.
2. It may also cause deformation in the mouth region, and impediments in a lot of other functional activities like eating. 
3. In rare cases, the extra tooth/teeth may be agents of tumors or cysts. 
4. Therefore, treatment must be swiftly undertaken so as to remove the extra teeth and prevent rise of further teeth in the same spot. 
5. Sometimes, hyperdontia also leads to overcrowding and misshapen rows of teeth; this can also be corrected with extensive procedures.

All About Hyperdontia

A smile is said to be a person s best accessory. No matter what the colour of your teeth may be when you were born, exposure to various things including tea, coffee, berries, wine etc can stain your teeth and mar their beauty. Thankfully this discoloration can be fixed by whitening your teeth. Here are a few things to know before you decide to whiten your teeth.

Cleaning and whitening are not the same: Cleaning refers to the removal of plaque and tartar from the surface of the teeth while whitening is a chemical procedure that brightens the enamel.
Not all teeth whiteners are the same: Most teeth whiteners have a hydrogen peroxide base, though they all act in the same way by releasing oxygen that reacts with strainers and removes them, they vary in terms of the strength of the hydrogen peroxide.
Whitening can be slow or quick: Teeth whitening can be done in a dentist s office or at home. In a dentist s office, this procedure can take an hour while teeth whitening at home can take a few weeks. However, home treatments are usually much more budget friendly than getting your teeth whitened at the dentist s office.
Teeth whitening is not permanent: The effect of bleaching your teeth to whiten them can last from a year to three years. You will need regular touch ups to maintain the sparkle. You should also reduce your intake of food like wine and coffee that can stain your teeth. Regular brushing and flossing will also help maintain the look for longer. On the other hand, keep in mind that excessive teeth whitening can permanently damage teeth.
Not everyone can get their teeth professionally whitened: This form of treatment is not suitable for children, adolescents, pregnant women and lactating women or people who are allergic to peroxides. This procedure can also not be performed on teeth that have cavities, exposed roots, bonded fillings, veneers, crowns incomplete dental work or on patients who suffer from gum disease and hypersensitivity. Bleaching may also not work in cases where discolouration is a result of prolonged administration of certain antibiotics or excessive fluoride intake during childhood
There may be side effects: Sensitivity is one of the most common side effects of teeth whitening. This can vary from person to person and can be relieved with pain relievers. Sensitivity can also lead to gum recession. Other common side effects of this treatment include irritation of sift tissue and nausea or vomiting.

Tooth Whitening - What You Should Know About it

Who doesn t love the smell and the freshness of a mouthwash splashing across their oral cavities?

Many agree that the first thing that comes to their mind when they want to eliminate bad breath is to use a good mouth wash. Moreover, mouthwash has moved over to other realms and are now actively fighting gum and tooth problems along with their elder cousin, a toothpaste. However, there exists some scepticism that prolonged usage of mouthwash may not be good for your health. Let us look at some definitions in detail.

Can mouthwash reduce bad breath?
Yes, a mouthwash can temporarily restrict bad breath, but it is never a permanent solution. A good oral hygiene comes from regular brushing and flossing practice and these are still the best ways to curb bad breath from its root. Mouth rinses are used for a variety of reasons: to freshen up breath, to help prevent or control tooth decay, and to reduce plaque

Is it necessary to use mouthwash?
A mouthwash is not mandatory to give a good oral health. An effective routine of brushing and flossing your teeth is enough to take care of good oral hygiene. Mouthwash is like an add-on to your oral care regime and is definitely not an alternative for brushing and flossing.

Advantages of using a mouthwash
A mouthwash can easily go into places between your teeth and gums and can help remove food particles that might have missed when you brushed. It can be used to kill bad odour of your mouth temporarily and can freshen up your breath. In some cases, a mouthwash may be recommended to treat infection, reduce inflammation and relieve pain

Disadvantages of using a Mouthwash
Most of the mouthwash contain a high amount of alcohol content in them and their prolonged usage is not safe for your mouth. In some cases, alcohol causes sensitivity to the root surface of your teeth and this may lead to adverse effect on the senses of your teeth. Mouthwash is strictly meant for spitting and accidental consumption may not be good for your health. They actually contain products that can be very harmful if taken in large amounts. It is generally not advised for children and even adults can limit their usage to twice a day. Always check with your dentist before you take up and use a mouth wash. It is also best if you can opt for a homemade mouthwash that has natural ingredients in them for taking care of your bad breath.

Mouthwash - Should You Really Use Them?

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