Posts for: July, 2016
Some things in life look worse than they really are. A condition known as “geographic tongue” is a good example: while it may look serious, it’s not a cause for real concern.
If you’ve never heard of geographic tongue it’s because it’s not a common ailment: it only affects one to three percent of the population. The name comes from patches of redness on the top surface of the tongue surrounded by grayish white borders, which gives the red patches a look similar to land masses on a map.
It’s known formally as “benign migratory glossitis,” which tells us more about the condition: “benign” means the patches aren’t cancerous; “migratory” indicates the patches tend to move and take different shapes along the surface of the tongue. In fact, it’s possible for them to appear, disappear, and then reappear over the course of a few days.
The exact causes of geographic tongue haven’t been fully substantiated. Researchers believe emotional stress, psychological problems or hormonal disturbances (especially women during pregnancy or ovulation) could be triggers for its occurrence. Certain dietary deficiencies like zinc or vitamin B, or acidic foods are also believed to be factors.
While geographic tongue isn’t painful, it can leave your tongue feeling more sensitive with a mild burning or stinging sensation. If you’re prone to having geographic tongue, there are some things you can do to reduce the irritation. Try to avoid eating acidic or spicy foods like tomatoes, citrus fruits or mint, as well as astringent substances like alcohol or certain mouthwashes. We may also prescribe anesthetic mouthrinses, antihistamines or steroid ointments to help ease any discomfort.
The good news, though, is that this harmless condition is more irritating than anything else. With a little care and forethought you won’t even know you have it.
If you would like more information on geographic tongue, 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 “Geographic Tongue.”
Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.
“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into caviÂties. How did this happen?
Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.
While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods.Â Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.
This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”
Here are some other basics of infant dental care that every parent should know:
- Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
- Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
- Start regular dental checkups by the first birthday.
Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.
“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”
If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”