Top Problems in Your Mouth | Be Healthy Guide

Reviewed by Brunilda Nazario, MD on December 08, 2008
Source: WebMD

Cold Sores

Also called fever blisters, you don’t get cold sores from fevers or colds but they can be triggered by them. The virus that causes cold sores is usually passed via a kiss, shared utensils, or other close contact. OTC creams and ointments may help discomfort and speed healing. Frequent sores may require a prescription. Cold sores are a top mouth problem. Other problems include canker sores, TMJ, bad breath, and mouth cancer.

Thrush

Caused by candida yeast, thrush is most common in older adults or babies. But a weakened immune system, antibiotics, diabetes or certain medications such as  inhaled corticosteroids can give candida a chance to grow wild. Wiping away the patches will cause soreness. See a doctor for a firm diagnosis.

Black Hairy Tongue

This painless condition occurs when the little bumps on your tongue grow long and trap bacteria that live in your mouth -- making your tongue look black and hairy. Causes can include antibiotic use, poor oral hygiene, smoking, drinking a lot of tea or coffee, and not producing enough saliva. Brushing your tongue and using a tongue scraper is usually all you need to treat it, though sometimes medication is necessary.

Canker Sores

No one knows what causes these small, painful blisters inside your mouth. Triggers include hypersensitivity, infection, hormones, stress, and not getting enough of some vitamins. Also called aphthous ulcers, canker sores can show up on your tongue, cheek, even gums. They usually last a week or two. Persistent, severe canker sores can be treated with numbing creams or prescription treatments.

Leukoplakia

Leukoplakia is a reaction to an irritant, like rough teeth, badly fitting dentures, smoking, and smokeless tobacco. It can show up as white patches or plaques in the mouth, usually is painless, and can’t be scraped off. Leukoplakia can also be a precancerous condition. Persistent patches or other changes in your mouth need a dentist’s evaluation.

Lichen Planus

A rare rash that shows up as lacy, white patches or red shiny bumps on the inside of the cheeks or tongue could be lichen planus. No one knows what causes it. Generally, mild lichen planus doesn’t need any treatment. If it causes pain or ulcers, it can be treated with oral and topical medication. Oral lichen planus can be chronic and may increase the risk for oral cancer. Lichen planus can also affect skin, scalp, nails, and genitals.

Geographic Tongue

When parts of your tongue are missing some of their small bumps, you end up with raised and lowered spots, giving your tongue a map-like appearance. The spots can change location, pattern, and size within minutes to hours. Geographic tongue is harmless and can come and go. It usually doesn’t need any treatment. If there’s pain, over-the-counter pain relievers and anti-inflammatory medications can help.

Mouth Cancer

A mouth sore that doesn’t go away. Unexplained numbness in the face, mouth, or neck. Problems chewing, speaking or swallowing. These are a few symptoms of mouth cancer. Causes can include smoking cigarettes and using smokeless tobacco, drinking heavily, overexposure to the sun, and a family history of cancer. Don’t let fear keep you from the doctor -- oral cancer that is caught early is treatable and curable.

TMJ

A problem with the jaw called temporomandibular joint syndrome can cause  severe pain in the jaw, face, ear, or neck. Clenching, tooth grinding, or injury can all cause TMJ, but the results are often the same: pain, headaches, dizziness, even trouble swallowing. Treatment may involve rest, a mouth guard, medication, or surgery.

Chipped Teeth

Munching on ice or hard candies, grinding or clenching teeth, even exposing teeth to heat and cold can lead to chips, cracks, and breaks in your teeth. Tiny chips or cracks may not be a bother. But anything more could lead to pain or permanent tooth damage. Your dentist can offer dental bonding, tooth contouring, porcelain veneers, and crowns to fix badly damaged teeth.

Amalgam Tattoo

Ever notice a small blue-gray “stain” in a soft part of your mouth after dental work? Called amalgam tattoos, they occur when a tiny piece of amalgam filling gets embedded in your cheek or gum. The silver in the amalgam leaches into your mouth’s soft tissue, resulting in what looks a bit like a tiny tattoo. Amalgam tattoos pose no harm. But if the blue-gray spot grows or changes color, that’s not an amalgam tattoo. Ask your dentist to check it out.

Periodontal Disease

With periodontal disease like gingivitis, bacteria in plaque can cause receding gum lines. Pockets form that become infected and can cause bone loss. Proper oral hygiene can help prevent periodontal disease. Smoking, poor diet, and stress can make it worse. See your dentist to treat receding gums.

Gum Disease

Red, swollen, or bleeding gums could be gingivitis, which can cause teeth to loosen and fall out. Also called gum disease, gingivitis – a form of periodontal disease -- can happen when an illness, medication, plaque, or other problem leaves gums vulnerable to bacterial infection. Prevention is the best strategy. That means daily flossing and brushing, as well as regular dental visits. Severe gingivitis may require antibiotics.

Aspirin Burn

Ever let an aspirin nestle in your cheek, near an aching tooth? While you may hope this relieves  pain faster, instead the acid in the aspirin burns a white, rough lesion into your gums or cheek. Preventing aspirin burn is simple -- swallow those pain relievers! Treatment for aspirin burn is just as basic: Time. Simple burns should heal in about two weeks.

Cavities, Abcesses, Discoloration

Flossing and brushing daily and regular dental checkups help prevent problems like cavities, abscesses, and tooth discoloration. Don’t mess around with a severe toothache. Dental infections can spread to the face, skull, and even to the bloodstream. See your dentist as soon as possible if your toothache lasts longer than 1 or 2 days or if you have a fever, earache, or pain when you open your mouth wide.

Bad Breath

Unbrushed teeth have food particles around them that promote bacteria and cause bad breath. Persistent bad breath or a bad taste in your mouth may be from continuous breathing through your mouth, dry mouth, a sign of gum disease, or even diabetes. Fight bad breath by brushing your teeth and tongue, drinking water, and avoiding food triggers. See your dentist if bad breath persists.

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10 Secrets to Brighter, Whiter Teeth

Reviewed by Louise Chang, MD on July 28, 2010
Source: 2011 WebMD


Want Brighter, Whiter Teeth?

Have your pearly whites lost their luster because of dingy gray or yellow stains? Stained teeth can occur as we age, but some common foods, drinks, and even mouthwashes can stain teeth. Do-it-yourself remedies can help whiten teeth, and avoiding substances that stain teeth can stop further discoloration. Use these secrets to whiter teeth to restore your bright smile.


Do-It-Yourself Teeth Whitening

You may be able to get rid of superficial stains by yourself. A number of at-home tooth-whitening products -- kits, strips, and toothpastes -- may lighten stains. There are even some old-fashioned remedies you can try. Tooth-whitening products available on drugstore shelves use mild bleach to brighten yellow teeth. Toothpastes use abrasives and chemicals to remove surface stains. For deep stains, you may need a dentist's help.


Tooth-Whitening Kits

A home tooth-whitening kit contains peroxide, a bleach that can remove both deep and surface stains and actually changes your natural tooth color. If you have coffee-stained teeth, a tooth-bleaching kit can help. With some kits, you apply a peroxide-based gel (with a small brush) to the surface of your teeth. In other kits, the gel is in a tray that molds to the teeth. The tray must be worn daily (for 30 to 45 minutes) for a week or more.


Home Whitening Strips

Tooth-whitening strips will help get rid of tooth stains. These strips are very thin, virtually invisible, and are coated with a peroxide-based whitening gel. You wear them a few minutes daily for a week or more. Results are visible in just a few days, and last at least a year. The results with strips are not as dramatic as with whitening kits, but the strips are easy to use and pretty much foolproof.


Whitening Toothpastes

How to get stains off your teeth? Over-the-counter toothpastes, gels, and liquids help remove surface stains. Many of these products contain mild abrasives, chemicals, or polishing agents. Unlike bleaches, they don't change the natural color of teeth.


Home Remedies for Whiter Teeth

Some people still prefer the age-old home remedy of baking soda and a toothbrush to gently whiten teeth at home. Also, some foods such as celery, apples, pears, and carrots trigger lots of saliva, which helps wash away food debris on your teeth. Chewing sugarless gum also triggers saliva. A bonus from all that saliva: It neutralizes the acid that causes tooth decay. With teeth, more saliva is better all around.


Tooth Whitening and Dental Work

Approach tooth whitening with caution if you have lots of dental veneers, bonding, fillings, crowns, and bridges. Bleach will not lighten these manufactured teeth -- meaning they will stand out among your newly whitened natural teeth. In order to match your whiter teeth, you may need to investigate new dental work, including veneers or bonding.


Preventing Teeth Stains

As we age, the outer layer of tooth enamel wears away. The underlying layer, called dentin, is yellower. That's why it's important to try to avoid staining teeth in the first place, especially after whitening. If you take care with foods and drinks that discolor teeth, the results of whitening may last up to one year. Whitening teeth too often could make them look translucent and blue, so you'll want to maintain your new smile.


To Keep Teeth White, Don't Light Up

Not only is it bad for your health, smoking is one of the worst offenders when it comes to staining teeth. Tobacco causes brown stains that penetrate the grooves and pits of tooth enamel. Tobacco stains can be hard to remove by brushing alone. The longer you smoke, the more entrenched the stains become. Smoking also causes bad breath and gingivitis (gum disease), and increases risk of oral cancers.


Foods that Cause Teeth Stains

There's another reason to watch what you eat. Some common foods can discolor teeth. Here's an easy way to tell if a food might be at fault: Anything that can stain a white cotton T-shirt can stain teeth, say dentists. Coffee stains teeth, for example. Other top offenders are beverages such as tea, dark sodas, and fruit juices. These teeth stains develop slowly and become more noticeable as we age.


Think As You Drink

They may be packed with disease-fighting antioxidants, but a glass of red wine, cranberry juice, or grape juice also stains teeth easily. That doesn't mean you should give them up, but remember to rinse your mouth after you drink. These aren't the only teeth-staining foods to be aware of.


More Foods That Stain Teeth

The deep color of these fruits and veggies gives them their nutritional punch. But blueberries, blackberries, and beets leave their color on teeth as well. Eat up for your health, and prevent tooth stains by:
-Brushing teeth after eating.
-Rinsing your mouth with water.


Sports Drinks Tough on Teeth?

While all sweetened drinks are bad for teeth, some energy and sports drinks may be worse, according to one study in General Dentistry. Researchers found that these drinks -- as well as bottled lemonade -- may erode tooth enamel after long-term use. The result is thin, translucent, discolored teeth. To prevent tooth erosion:
-Don't sit and sip these drinks for a long time.
-Rinse your mouth with water when finished drinking.


Medications That Can Stain Teeth

The antibiotic tetracycline causes gray teeth in children whose teeth are still developing. Antibacterial mouthwashes that contain chlorhexidine or cetylpyridinium chloride can also stain teeth. Some antihistamines, antipsychotic drugs, and blood pressure medications cause tooth stains, as can iron and excess fluoride. If bleaching doesn't help, ask your dentist about dental bonding, in which a tooth-colored material is applied to teeth.


Don't Forget Daily Maintenance

One simple strategy can help maintain white teeth: brush. Brush at least twice and floss at least once daily. Even better, brush after every meal and snack. Brushing helps prevent stains and yellow teeth, especially at the gum line. Both electric and sonic toothbrushes may be superior to traditional toothbrushes in removing plaque and surface stains on teeth.


Open Wide and Say "Whiter Teeth!"

See your dentist for regular checkups and professional cleaning. The abrasion and polishing methods dentists use can remove many teeth stains caused by food and tobacco.

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