Posts for: December, 2019
If you’ve ever read online that root canal therapy causes cancer, don’t be alarmed—it doesn’t. What it does do is save a deeply decayed tooth that might otherwise be lost.
Tooth decay is caused by acid produced by bacteria, which dissolves enamel to create a hole or cavity. But it doesn’t stop there: decay can move on to infect the tooth’s innermost layer, the pulp filled with nerves and blood vessels. Unchecked, the resulting infection can travel through the root canals to eventually infect the bone.
A root canal treatment stops the infection before it goes this far. After administering a local anesthetic, we drill a small hole into the tooth to access the pulp chamber and root canals. We then remove all the diseased tissue, disinfect the space and then place a filling within the empty chamber and root canals to prevent further infection. We then seal the access hole and later crown the tooth to further protect and stabilize it.
It’s no exaggeration, then, to say that root canal treatments have saved millions of teeth. So, for all its beneficial effect, why is it considered by some to pose a health danger?
The germ for this notion comes from the early 20th Century when a dentist named Weston Price theorized that leaving a “dead” organ in place would harm the body. Since a root-canaled tooth with the pulp’s living tissue removed is technically no longer viable, it fit the category of “dead” tissue. Thus, according to this theory, maladies like cancer could arise because of the “dead” tooth.
Unfortunately, this theory has found a somewhat new life recently on the internet, even though it was thoroughly investigated and debunked in the 1950s. And as late as 2013, a study published in a journal of the American Medical Association found no increased cancer risk after root canal treatment, and even some evidence for a reduced risk.
So, if your dentist recommends root canal treatment, rest assured it’s needed to save your tooth. Rather than harm your health, it will improve it.
If you would like more information on root canal treatment, 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 “Root Canal Safety.”
Singer and actor Demi Lovato has a new claim to fame: formidable martial artist. When she is not in the recording studio, on stage or in front of the camera, Lovato can often be found keeping in shape at Jay Glazer's Hollywood (California) gym. Glazer, who is best known as a sports journalist, also runs conditioning programs for professional athletes and celebrities based on mixed martial arts. On March 6, Glazer got more than he bargained for when 5'3" Lovato stepped into the ring and knocked out his front tooth.
Glazer reportedly used super glue to put his tooth back together. Not a good idea! While it may not be convenient to drop everything and get to the dental office, it takes an expert to safely treat a damaged tooth. If you glue a broken tooth, you risk having to undergo major work to correct your temporary fix—it's no easy task to "unglue" a tooth, and the chemicals in the glue may damage living tooth tissue as well as the surrounding gum and bone.
Would you know what to do in a dental emergency? Here are some guidelines:
- If you chip a tooth, save the missing piece if possible. We may be able to reattach it.
- If your tooth is cracked, rinse your mouth with warm water, but don't wiggle the tooth around or bite down on it. If it's bleeding, hold clean gauze to the area and call our office.
- If your tooth is knocked loose or is pushed deeper into the socket, don't force the tooth back into position on your own. Immediate attention is very important.
- If your tooth is knocked out, there's a chance it can be reattached. Pick up the tooth while being careful not to touch the root. Then rinse it off and have either someone place into its socket, or place it against the inside of your cheek or in a glass of milk. Please call the office immediately or go to a hospital.
What's the best thing to do in an emergency? Call us right away, and DON'T super glue your tooth! You can prevent worse problems by letting a professional handle any dental issues. And if you've been living with a chipped, broken or missing tooth, call us to schedule an appointment for a consultation—there are several perfectly safe ways to restore your smile. Meanwhile, if you practice martial arts to keep in shape, think twice before getting into the ring with Demi Lovato!
During your latest dental cleaning and checkup, your dentist notices a skin rash around your mouth. You sigh—it’s been going on for some time. And every ointment you’ve tried doesn’t help.
You may have peri-oral dermatitis, a type of skin rash dentists sometime notice during dental treatment. It doesn’t occur often—usually in only 1% of the population—but when it does, it can be resistant to common over-the-counter ointments.
That’s because peri-oral dermatitis is somewhat different from other facial rashes. Often mistaken as acne, the rash can appear as small red bumps, blisters or pus-filled pimples most often around the mouth (but not on the lips), nostrils or even the eyes. Sometimes the rash can sting, itch or burn.
People with peri-oral dermatitis often try medicated ointments to treat it. Many of these contain steroids that work well on other skin conditions; however, they can have an opposite effect on peri-oral dermatitis.
Because the steroids cause a constriction in the tiny blood vessels of the skin, the rash may first appear to be fading. This is short-lived, though, as the rash soon returns with a vengeance. Prolonged steroid applications can also thin the affected skin, making it more susceptible to infection and resistant to healing.
Peri-oral dermatitis requires a different treatment approach. The first step is to stop using any kind of steroidal cream, as well as moisturizers, ointments and both prescription and non-prescription medications. Instead, you should only use a mild soap to wash your face.
You may find the rash looking worse for a few days but be patient and continue to avoid ointments or creams. Your healthcare provider may also prescribe oral antibiotics, usually of the tetracycline family. It may take several weeks of antibiotic treatment until the skin noticeably clears up.
For most people, this approach puts their rash into permanent remission. Some, though, may see a reoccurrence, in which case it’s usually best to repeat treatment. With a little patience and care, though, you’ll finally see this persistent rash fade away.