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Posts for: April, 2016

By Transcendental, LLC
April 23, 2016
Category: Oral Health
Tags: cold sore  
NewAntiviralDrugscanHelpyouBreaktheColdSoreOutbreakCycle

While it’s common for most of us to get an occasional cold sore, you may suffer from regular breakouts. If so, you know firsthand how uncomfortable and embarrassing they can be and seeming to erupt at the most inopportune moments.

What you’re experiencing is the result of a virus — the Herpes Simplex virus (HSV) Type I to be exact. Don’t let the name disturb you — although similar it’s different from the sexually transmitted virus known as HSV Type II. As with any virus the body responds by making and distributing antibodies to stop its attack. That’s typically the end of it but for some people the virus appears to be able to hide in the nerve roots of the mouth and elude the effects of the antibodies.

The sores associated with the virus tend to break out when a person is under stress, experiences trauma to the lip or even from sun exposure. The breakout begins with a slight itching or burning around the mouth that typically advances to more severe itching, swelling, redness and blistering. Eventually the sores will scab over and heal as the outbreak winds down. The period from breakout to final healing (during which you’ll also be contagious to others) usually lasts seven to ten days.

Although normally not a danger to health, cold sore outbreaks can be painful and irritating. In the past, most patients simply had to let the outbreak run its course with topical ointments to ease discomfort. In the last two decades, however, new anti-viral medication has proven effective in preventing the outbreaks in the first place or at least lessening their duration.

If you have regular bouts of cold sores prescription drugs like acyclovir or valcyclovir taken orally can help suppress the occurrences altogether, and have few side effects. Topical agents can also be used as a supplement to the drugs to help ease itching and other pain symptoms.

It’s important, though, that you undergo a complete oral examination to rule out more serious conditions associated with mouth sores. If we find that your problem is recurring cold sores, these new treatments could help you escape the cycle of discomfort.

If you would like more information on the treatment of chronic cold sore outbreaks, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Cold Sores.”


By Transcendental, LLC
April 08, 2016
Category: Oral Health
NoGleeinToothGrinding

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.


By Transcendental, LLC
April 04, 2016
Category: Dental Procedures
Tags: Dental Bridges  

If you are missing a tooth, you may have noticed that chewing or speaking has become more difficult. You may also be embarrassed by your gap, or feel as though it increases your self-consciousness. If this is the case, you could benefit from a dental bridge. This dental Bridgesrestoration from your Clifton, NJ dentist at Transcendental Smiles gives you back your smile, making you look great and feel even better.

What is a dental bridge? 
A dental bridge is a dental restoration which, as the name implies, bridges the gap left behind from a missing tooth. The bridge itself is made from porcelain and has three prosthetic teeth in a row. A permanent, or fixed, bridge has a dental crown on either end. The crowns attach to the healthy teeth surrounding the gap, using them as an anchor. Removable bridges attach to the surrounding teeth using hidden metal clasps to fit onto the teeth.

Why is a dental bridge necessary? 
Sometimes, unfortunately, saving your natural tooth is simply impossible. Some common reasons for extractions include teeth which are heavily decayed or which are too weak or compromised to support a dental crown. Tooth loss also occurs due to trauma to the tooth. No matter what the reason, a missing tooth takes a toll on more than just your appearance. The surrounding teeth might move to compensate for the gap, or the bone underneath could begin to atrophy. Dental bridges help prevent these unfortunate side effects of tooth loss from happening.

The Procedure
The entire dental bridge process is usually completed within two dental visits. At the first visit, your Clifton dentist takes a mold of your mouth. A dental laboratory uses this mold to fabricate a completely customized dental bridge according to your mouth. If your dentist suggests a permanent bridge, the two teeth which hold it require preparation. This involves shaving parts of the enamel from the tooth so that it fits inside of the crown and ensures a perfect fit. The dental laboratory needs several weeks to complete the permanent restoration. Your second visit takes place after the bridge comes back from the lab. Your dentist then permanently secures it to your teeth.

For more information on dental bridges, please contact Dr. Toan K. Bui, DMD at Transcendental Smiles in Clifton, NJ. Call (973) 458-9899 to schedule your consultation for a dental bridge today!