Posts for: March, 2018
It may begin as an itching or burning feeling on your skin, followed by numbness or sensitivity to touch. But then you develop a painful red rash that forms crusty lesions. Fever and fatigue may follow.
These are the common symptoms for a form of chicken pox called shingles, a contagious disease from the human herpes group of viruses. While anyone can contract the shingles virus, it most often lies dormant in a person’s nervous system for decades after an earlier bout of chicken pox. It then breaks out (sometimes repeatedly), usually in patients over fifty.
A shingles outbreak can be miserable. It could also affect your dental care, especially if you have a rash on your face and neck. Here are 3 things you should do if you have shingles in regard to your dental care and overall health.
Tell your dentist you have shingles. A shingles outbreak is highly contagious in its early stages and can spread from direct contact with blisters or through airborne secretions from the infected person’s respiratory system. Even a simple teeth cleaning (especially with an ultrasonic device) at this stage could spread the virus to staff and other patients. So inform your dentist if your appointment coincides with an outbreak—it may be necessary to re-schedule your visit.
Start antiviral treatment as soon as possible. If you’re diagnosed with shingles, more than likely your doctor or dentist will recommend immediate antiviral treatment (typically acyclovir or famciclovir) within 3 days of symptom onset. This can help speed up healing, alleviate pain and possibly prevent more serious complications.
Get the shingles vaccine. Of course, you don’t have to wait for shingles to occur—there is an effective vaccine that could help prevent an outbreak. If you’ve had chicken pox (over 90% of American adults have) or you’re over sixty with or without previous chicken pox, the U.S. Centers for Disease Control recommends you get vaccinated.
Is a chipped tooth big news? It is if you’re Justin Bieber. When the pop singer recently posted a picture from the dental office to his instagram account, it got over 2.6 million “likes.” The snapshot shows him reclining in the chair, making peace signs with his hands as he opens wide; meanwhile, his dentist is busy working on his smile. The caption reads: “I chipped my tooth.”
Bieber may have a few more social media followers than the average person, but his dental problem is not unique. Sports injuries, mishaps at home, playground accidents and auto collisions are among the more common causes of dental trauma.
Some dental problems need to be treated as soon as possible, while others can wait a few days. Do you know which is which? Here are some basic guidelines:
A tooth that’s knocked out needs attention right away. First, try and locate the missing tooth and gently clean it with water — but avoid holding the tooth’s roots. Next, grasp the crown of the tooth and place it back in the socket facing the correct way. If that isn’t possible, place it between the cheek and gum, in a plastic bag with the patient’s saliva or a special tooth preservative, or in a glass of cold milk. Then rush to the dental office or emergency room right away. For the best chance of saving the tooth, it should be treated within five minutes.
If a tooth is loosened or displaced (pushed sideways, deeper into or out of its socket), it’s best to seek dental treatment within 6 hours. A complete examination will be needed to find out exactly what’s wrong and how best to treat it. Loosened or displaced teeth may be splinted to give them stability while they heal. In some situations, a root canal may be necessary to save the tooth.
Broken or fractured (cracked) teeth should receive treatment within 12 hours. If the injury extends into the tooth’s inner pulp tissue, root canal treatment will be needed. Depending on the severity of the injury, the tooth may need a crown (cap) to restore its function and appearance. If pieces of the tooth have been recovered, bring them with you to the office.
Chipped teeth are among the most common dental injuries, and can generally be restored successfully. Minor chips or rough edges can be polished off with a dental instrument. Teeth with slightly larger chips can often be restored via cosmetic bonding with tooth-colored resins. When more of the tooth structure is missing, the best solution may be porcelain veneers or crowns. These procedures can generally be accomplished at a scheduled office visit. However, if the tooth is painful, sensitive to heat or cold or producing other symptoms, don’t wait for an appointment — seek help right away.
Justin Bieber earned lots of “likes” by sharing a picture from the dental office. But maybe the take-home from his post is this: If you have a dental injury, be sure to get treatment when it’s needed. The ability to restore a damaged smile is one of the best things about modern dentistry.
If you have questions about dental injury, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Porcelain Crowns & Veneers.”