Holistic Health Pillars

What is Holistic Health? Holistic health practitioners work with clients to achieve specific health goals. This may include improving athletic performance, disease prevention, and the treatment of symptoms. Holistic nutritionists may help implement anti-inflammatory diets. Holistic health practitioners work with both medical professionals and the public to implement a personalized plan of action. Holistic health…

What is Holistic Health? Holistic health practitioners work with clients to achieve specific health goals. This may include improving athletic performance, disease prevention, and the treatment of symptoms. Holistic nutritionists may help implement anti-inflammatory diets. Holistic health practitioners work with both medical professionals and the public to implement a personalized plan of action. Holistic health practitioners are available in many locations, and many practices are affiliated with local hospitals and clinics.

Eight pillars that support holistic health

A balanced diet is a key component of the physical wellness pillar. In addition to eating more fruits and vegetables, you should also be eating a variety of whole grains. Avoid foods with high amounts of sodium, cholesterol, or added sugar. Likewise, you should avoid fried foods. These foods can contribute to high cholesterol levels, which can have negative effects on your overall health. A healthy diet can improve many of the other pillars.

The physical and emotional aspects of health go hand in hand. Holistic health acknowledges the role of mental, spiritual, and social aspects of health. As a result, it takes the whole person into account, focusing on the connections between the body, mind, and environment. Emotional wellness is an important component of holistic health, and it can be cultivated through the eight pillars of holistic health. Listed below are the eight pillars of holistic health.

Physical health: Exercise, diet, sleep habits, hygiene, and personal hygiene are important aspects of physical health. Physical health requires adequate exercise, good rest, and a clean environment. Physical health is just the tip of the iceberg, though. It also requires that you understand your body’s chemistry and how to balance it. Nutrition is an essential part of physical health, and it gets its own pillar. Taking care of your body’s chemistry is important when making dietary and lifestyle decisions.

Cost control

There are two methods of cost control in holistic health care. One is to measure the cost of an entire system and implement changes in management based on results. Cost control in holistic health care is often difficult to achieve because costs vary according to the type of treatment provided. The other method is to identify the cost of an individual patient, and to measure the proportion of that patient who will need further care. Although holistic health care is more expensive than usual medical care, it is cost effective and can reduce mortality.

The first strategy is a health share plan, which requires the members to pay a portion of the cost of their care. These plans are more expensive than traditional medical care, but are often more effective because they treat the whole person and encourage preventative care. This approach also keeps costs low and satisfaction high, leaving more money for major medical events. The most common holistic health care costs are due to chronic illnesses and other conditions. The costs of a health share plan are shared by all members.

Another strategy for cost control in holistic health care is to use health policy commissions. The Maryland commission, for example, has been focusing on the total cost of care and hospital budgets. It has a history, and stakeholders have a vested interest in working with it. In Maryland, a Medicare waiver encourages health care providers to offer services to all payers, such as Medicare and Medicaid. These charges are then offset by increases in commercial rates.

Prevention of disease

The American Holistic Health Association advocates for the prevention of chronic disease. The emphasis on holistic health entails treating the entire person, incorporating the mind, body, and spirit into a health-promoting lifestyle. The most difficult aspects of incorporating holistic practices into the client’s life are often changes to food, which can be hard for clients to accept. However, the benefits of holistic health far outweigh the negative effects.

One of the most significant benefits of preventive medicine is lower healthcare costs. The Centers for Disease Control and Prevention report that the practice of prevention can reduce costs by more than $1 trillion annually. In fact, 90 percent of healthcare expenditures are related to chronic conditions. Preventive care focuses on the prevention of chronic disease by emphasizing long-term health, healthy pregnancy, and aging. Health screenings are an important component of this holistic approach.

The benefits of holistic medicine are numerous. First, holistic doctors focus on the whole person, rather than simply treating the symptoms of an illness. Holistic physicians believe that the mind-body connection is the key to healing. As such, holistic doctors help patients develop an understanding of their entire health profile. By integrating complementary therapies and Western medicine, holistic physicians can treat the whole person and prevent or improve disease symptoms. In addition to reducing disease risk, holistic health also emphasizes a strong doctor-patient relationship.

Medicinal plants

Medicinal plants can be used to treat various illnesses and diseases. Using them can be a natural way to improve your overall health and well-being. Here are some tips for maximizing their benefits. Read on to learn how to use medicinal plants in your daily life. We are going to go over a few examples of the most popular ones and how they can improve your health. Listed below are some of their most important benefits.

Traditional medicines have their place, but plants play a vital role in drug development. Modern scientific techniques have helped verify the ancient knowledge of the healer. These traditional remedies incorporate many aspects of the body, including their chemical composition and their psychological effects. As a result, the study of traditional medicine is helping to discover future drug leads. Medicinal plants are used in many countries and have played a vital role in traditional healthcare systems for thousands of years. Today, about 50% of all drugs that are used in clinical practice are made from natural products.

Besides examining their properties, medicinal plants can also be used for cancer treatment. The research study documented the different plant species used in cancer management among Tswana speakers. The study also provided baseline data for further studies. Future studies will focus on the phytochemical and pharmacological profiles of these plants. The findings of this study have opened the door to further investigation into the effects of these plants on the human body. It also highlights the growing popularity of natural products.

Dietary supplements

The goal of dietary supplements for holistic health is to help people improve their health and well-being by addressing the root causes of the disease. Researchers and practitioners of holistic nutrition know that the body’s chemical processes are continuously occurring. They are affected by synthetic chemicals, which disrupt these processes. They also know that abnormal substances can interfere with decision-making and brain functions. Consequently, these substances may cause long-term damage. Instead of taking synthetic chemicals, holistic nutritionists recommend natural foods and herbal supplements.

A good source for dietary supplements is the Office of Dietary Supplements. This organization helps consumers find information on dietary supplements and answers questions about their efficacy. You can also contact the manufacturers to find out more about the supplement’s ingredients and efficacy. In addition, you can visit the National Center for Complementary and Integrative Health (NCCIH) or Office of Dietary Supplements, which have websites designed to help consumers make informed choices.

Some people have tried using dietary supplements for holistic health. However, their use is not recommended for everyone. These supplements are not meant to diagnose or treat diseases and are not as safe as medicines. However, they are effective in enhancing the current routine of a person. They are not a replacement for good eating habits. A healthy diet and exercise are important factors for holistic health. And you should not neglect your diet and your health if you want to see significant results from dietary supplements.

Alternative medicine

Holistic health is all about using the correct methods to achieve optimal health. Alternative medicine attempts to achieve the same effects as medicine, but is not scientifically proven. It has no biological plausibility and has been proven ineffective. Nonetheless, many people swear by it and use it for a wide variety of conditions. Below are some common examples of complementary and alternative medicine. Read on to learn more about the benefits and limitations of alternative medicine.

A holistic philosophy views the mind, body, and spirit as one. A dysfunction in one area affects the whole person. Complementary medicine is guided by this philosophy. Many Australians seek out alternative medicine after feeling dissatisfied with conventional medical care. They don’t believe in the harsh side effects of conventional drugs. It may be more gentle and safer. In addition, it involves a collaborative approach with both the patient and provider.

The holistic health care provider may prescribe medicines and surgical procedures to treat acute or chronic pain, or recommend exercise to boost the production of endorphins. Regardless of the condition, a holistic health care provider may also ask about your diet and lifestyle, identifying foods that contribute to inflammation and stress. If you suffer from pain, your holistic health care provider may recommend acupuncture or massage therapy, or even mindful meditation to relieve tension and stress.

What Are Some of the Early Warning Signs of Periodontitis?

What is periodontitis?

Early signs of periodontitis is a buildup of plaque on and between your teeth. Periodontitis is identified by bad breath, and gum and teeth issues.
Early signs of periodontitis is a buildup of plaque on and between your teeth. Periodontitis is identified by bad breath, and gum and teeth issues.

Periodontitis, also known as gum disease, is an infection of the gums. Periodontitis occurs when plaque builds up on your teeth. Regular brushing and flossing prevent plaque from building up, but if the plaque solidifies, it becomes tartar, which irritates your gums and lets bacteria in. The bacteria that naturally reside in your mouth can then begin to infect and destroy your teeth, bone, and tissue.

Periodontitis is more common in men than women (56.4% to 38.4%) and affects 70.1% of adults over the age of 65 and 47.2% of adults over the age of 30. 

Proper oral hygiene is essential for preventing  plaque, tartar, and bacteria from building up and causing periodontitis. It's important to know what causes gum disease so that you can work to avoid it, and so you know when to see a dentist if you develop symptoms.

Symptoms of periodontitis

Periodontitis begins with a buildup of plaque on and between your teeth. Plaque can cause gingivitis, an early stage of gum disease which, if not dealt with, will develop into periodontitis. Periodontitis is identified by:

  • Bad breath
  • Gums that hurt and bleed after brushing and flossing
  • Teeth that appear to be moving apart
  • Gums that recede, showing more teeth
  • Gums that are red or swollen
  • Teeth that are loose or sensitive
  • Painful chewing

Causes of periodontitis

Our mouths are full of bacteria. When you don't brush and floss your teeth regularly, the bacteria form into a thin film on your teeth called plaque. If plaque is allowed to build up on teeth, it can turn into tartar, also known as dental calculus. Plaque begins to turn into tartar between 1 and 12 days of forming. The tartar adheres to teeth and cannot be removed except by a dentist.

People who smoke are more prone to periodontitis, as are people with diabetes and AIDS. Other risk factors include hormonal changes in women and girls, and certain medications. Some people are more susceptible to gum disease based on their genetics.

When to see the dentist for periodontitis

Your dentist should be able to identify any risk you have of developing gum disease through regular checkups. Even so, regardless of whether you see a dentist regularly or not, if you develop any of the symptoms listed above or experience any pain in your gums or teeth, you should see a dentist as soon as possible. If you wait until periodontitis develops, you risk losing teeth, gum tissue, or bone.

Diagnosing periodontitis

Your dentist will examine your gums and teeth for plaque and tartar buildup. If they see any inflamed tissue, they will use a probe to measure the pockets between your gums and teeth. If these pockets are more than 3 millimeters deep, your dentist will want to investigate further.

Your dentist might want to perform x-rays to check for bone and tooth damage in areas with deep pockets. If the gum disease has developed past an early stage, your dentist will refer you to a periodontist that specializes in treating people with periodontitis. 

There are four stages of periodontitis. It's important to note that bone loss in teeth occurs either horizontally — when the bone surrounding the teeth gets shorter in relation to the teeth — or vertically — with sections missing near or beside the teeth — and is key to diagnosing which stage the periodontitis has reached:

  • Stage I is mild periodontitis. Gum pockets measure 2 millimeters or less, with some horizontal bone loss that requires non-surgical treatment.
  • Stage II is moderate periodontitis. Gum pockets measure 5 millimeters or less, with some horizontal bone loss that requires non-surgical treatment. 
  • Stage III is severe periodontitis. Gum pockets measure deeper than 6 millimeters, with possible vertical bone loss and tooth loss requiring surgical treatment.
  • Stage IV is very severe periodontitis. Gum pockets measure deeper than 6 millimeters, with vertical bone loss. There may be less than 20 teeth left in the mouth with a chance of losing more. Surgery with implants is required, and there might be a need for regenerative bone and tissue therapy.

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Treatments for periodontitis

If you have gum disease, your dentist will refer you to a periodontist for treatment. The periodontist might give you antibiotics for the infection or conduct non-surgical procedures such as scaling or root planing. Scaling removes tartar and bacteria from beneath your teeth and in your gums. Root planing smooths out the surfaces of the roots of your teeth, which keeps more plaque and tartar from building up.

If your periodontitis is too advanced for non-surgical treatment, the periodontist may need to conduct one or more of the following procedures:

  • Flap surgery
  • Bone grafting
  • Guided tissue regeneration
  • Soft tissue grafting
  • Application of a tissue-stimulating protein 

Flap surgery, also known as pocket reduction surgery, is a procedure in which the periodontist makes small incisions in your gums that allow them to lift a section of gum tissue to more easily scale and plane the roots of your teeth. The periodontist may also reshape the bone underneath your gums so the area is easier to clean after healing.

If any bone has been destroyed, the periodontist can use bone grafting or guided tissue regeneration to help the bone grow back. Bone grafting replaces any damaged bone, letting new bone grow and preventing tooth loss. For guided tissue regeneration, the periodontist puts a special fabric in place that prevents tissue from growing in the area and helps the bone regrow. Similar to bone grafting, soft tissue grafting replaces lost tissue on your gums to build your gumline back up. Tissue may be taken from healthier parts of your mouth to graft onto damaged areas.

Tissue-stimulating proteins are applied with a special gel containing the same proteins found in tooth enamel. These proteins help soft tissue regenerate. 

Are Cold Sores (Fever Blisters, HSV) Contagious? Treatment

What is a cold sore (fever blister, HSV-1 HSV-2)?

Cold soresCold sores are caused by a virus, specifically, the herpes simplex virus (HSV). Cold sores are contagious.

How Long Do Cold Sores Last?

In recurrent herpes, sores start as inflamed red bumps that swell and become fluid-filled forming blisters. The blisters eventually collapse and form an ulcer. This will take two to three days.

Learn more about cold sores »

Are cold sores contagious?

  • Cold sores are contagious.
  • About 600,000 individuals per year in the U.S. develop an infection with HSV-1.
  • By the age of 70, studies suggest about 90% of the U.S. population has been exposed to HSV-1.
  • About 80% of HSV-1 cold sore infections result in little or no symptoms or signs.

What are cold sore symptoms?

There are several stages of cold sore development.

  • The first stage consists of symptoms like tingling, itching, inflammation, and hypersensitivity of skin in the location where the sore or blister will later appear. In about two days, blisters begin to appear usually at the junction of the upper and lower lip. Blisters are filled with clear or yellowish fluid and may come together or merge. In some individuals, large numbers of blisters develop.
  • After about two days, the blisters begin to rupture and produce grayish-reddish sores. This a weeping stage where highly contagious fluid oozes from the sores for about one to two days. The sores then develop scabs that last for two to three days. The scabs then begin to break up and may ooze blood.
  • Secondary scabs form and are usually smaller and slowly disappear, revealing pinkish skin that gradually heals. Usually, there is no scarring and the cold sores go through this whole process in about seven to 10 days, although some may persist as long as two or three weeks.
  • The time from infection to the development of symptoms (incubation period) ranges from two to 12 days for cold sores.

How do you get cold sores?

Cold sores are spread person to person by direct and indirect contact.

  • They can be spread by
    • kissing,
    • oral/genital contact, and
    • by indirect methods such as
      • sharing eating utensils,
      • razors,
      • clothing, or
      • other items.
  • Although HSV-1 can be spread to the genitals, the spread is less frequent (about 20%) than a similar herpes virus, HSV-2 (about 80%).
  • Cold sores caused by HSV-1 are not considered to be a sexually transmitted disease.

How to get rid of cold sores?

Unfortunately, there is no cure for cold sores. However, treatment is available to reduce symptoms and signs.

Unfortunately, cold sores can be recurrent when certain triggers (such as stress and certain medications) allow the viruses to reproduce. Cold sores usually recur in the same area, with decreasing intensity. Most cold sores are diagnosed clinically without tests. However, there are blood tests available that can distinguish HSV-1 from HSV-2.

Should I see a doctor for cold sores?

  • Most normal individuals do not need to contact a physician about cold sores caused by herpes virus type 1 (HSV-1).
  • However, if an individual (adult or child) has a weakened immune system (such as from HIV, cancer, undergoing chemotherapy) or if symptoms are severe, frequently recurring, or persist longer than two weeks, or include eye irritation, they should contact their physician.
  • These situations require evaluation of both the cold sores and any underlying problems that may predispose to developing cold sores.

What Is a Dry Socket? Treatment, Symptoms, Pictures & How to Prevent

Dry sockets are a common complication following the removal of a tooth.
Dry sockets are a common complication following the removal of a tooth.Source: iStock

What is dry socket?

The typical scenario for a dry socket is the occurrence of throbbing pain about two to four days after the tooth is extracted. Dry socket pain is often accompanied by bad breath and a foul taste in the mouth. With this onset of pain, it is obvious that proper healing has been interrupted.

A dry socket is a condition in which there is inflammation of the jawbone (or alveolar bone) after tooth extraction. It is also referred to as "alveolar osteitis" and is one of the many complications that can occur from a tooth extraction. The occurrence of dry socket is relatively rare, occurring in about 2% of tooth extractions. However, that percentage rises to at least 20% when it involves the removal of mandibular impacted third molars (lower wisdom teeth).

Dry Socket and Tooth Extraction

What is the treatment for dry socket?

A dry socket is a condition that may result after a tooth extraction if the blood clot that normally fills the socket is lost. The dry socket leaves underlying nerves exposed, which is very painful. The condition is treated by a dentist who cleans the wound and places a special dressing into the socket. Over-the-counter anti-inflammatory medications like ibuprofen may be used to treat pain and decrease swelling.

Read about dental common problems and procedures »

Dry sockets can be caused by bacterial, chemical, mechanical, or physiological factors.
Dry sockets can be caused by bacterial, chemical, mechanical, or physiological factors.Source: iStock

What causes dry socket?

A dry socket is caused by the partial or total loss of a blood clot in the tooth socket after tooth extraction. Normally, after a tooth is extracted, a blood clot will form as the first step in healing to cover and protect the underlying jawbone. If the blood clot is lost or does not form, the bone is exposed and healing is delayed.

In general, a dry socket is a result of bacterial, chemical, mechanical, and physiologic factors. Below are examples for each:

  • Bacterial: Preexisting infection that is present in the mouth prior to a dental extraction such as periodontal disease (or periodontitis) can prevent the proper formation of a blood clot. Certain oral bacteria can cause the breakdown of the clot.
  • Chemical: Nicotine used by smokers causes a decrease in the blood supply in the mouth. As a result, the blood clot may fail to form at the site of a recent tooth extraction.
  • Mechanical: Sucking through a straw, aggressive rinsing, spitting, or dragging on a cigarette causes dislodgement and loss of the blood clot.
  • Physiologic: Hormones, dense jawbone, or poor blood supply are factors that prevent blood clot formation.

In order to prevent dry sockets, you should not smoke.
In order to prevent dry sockets, you should not smoke. Prior to tooth extraction, risk factors for developing a dry socket include smoking.Source: iStock

What are risk factors for getting dry socket?

Prior to tooth extraction, risk factors for developing a dry socket include smoking, the presence of an impacted wisdom tooth, being female, and being above the age of 30.

Smoking is a risk factor for developing a dry socket due to the nicotine found in cigarettes. Exposure to nicotine reduces the blood supply available to the healing socket and can prevent the proper formation of a blood clot at the extraction site.

Extraction of impacted third molars (wisdom teeth) can be traumatic as some surrounding gum tissue and jawbone may need to be removed or may be adversely affected during surgery. Although the extraction is necessary, the resulting trauma can increase the chances of a dry socket.

Previous infections such as periodontal disease or pericoronitis at the site of the extraction can predispose an individual to a dry socket.

Women have been found to develop a dry socket more so than men. This may be related to hormonal factors such as the use of oral contraceptives or normal hormonal changes during a woman's cycle.

Patients older than 30 years of age with impacted third molars have an increased risk of dry sockets. With age, the jawbone becomes denser and has less blood supply available. A dense jawbone increases the risk of a traumatic extraction and less blood supply decreases the chances of blood clot formation and timely healing.

Symptoms of dry sockets are often painful.
A tell-tale sign is a socket that has a partial or total loss of a blood clot. Symptoms of dry sockets are often painful.Source: Bigstock

What are dry socket symptoms and signs?

A tell-tale sign is a socket that has a partial or total loss of a blood clot. The jawbone may be visible in the socket and the surrounding tissue may appear gray due to poor healing.

Symptoms of a dry socket include the following:

  • A throbbing steady pain presents a few days after tooth extraction.
  • The pain may radiate to other parts of the head such as the ears and eyes on the same side of the face.
  • Bad breath and a bad taste may also be present due to the accumulation of food debris and bacteria in the socket.




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A dentist can diagnose dry sockets based on a physical exam and symptoms.
A dentist can diagnose dry sockets based on a physical exam and symptoms.Source: Getty Images

How is dry socket diagnosed?

Diagnosis of a dry socket is based on the history of dental treatment, clinical examination, and the individual's symptoms. Timing of when symptoms begin may be an indicator for a dry socket. During normal healing, the discomfort of extraction should lessen over time. However, if the pain increases, this is an indication that healing is delayed and could possibly be due to a dry socket. Typically, symptoms for a dry socket develop two to four days after tooth extraction. Most dry sockets happen within the first week after tooth extraction.

What is the treatment for dry socket?

Treatment usually involves symptomatic support while the socket heals. Initially, the dentist will gently irrigate to clear the socket of food debris. Next, an analgesic medicated dressing or packing is placed within the socket to cover the exposed bone. This usually provides immediate relief. This dressing may need to be replaced every few days during the healing process. The dressing is often coated with "dry socket paste," which is made up of ingredients with pain-relieving properties, including eugenol (clove oil).

Additionally, medications can be prescribed to manage the pain. Nonsteroidal anti-inflammatory drugs (such as Advil or Aleve) or narcotics (such as hydrocodone/acetaminophen [Vicodin]) are often used to relieve pain.

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Over-the-counter pain medication can be used to treat a painful dry socket.
Over-the-counter pain medication can be used to treat a painful dry socket.Source: Getty Images

Are there home remedies for dry socket?

Home treatment for a dry socket usually involves temporary management of pain until a dental professional can be seen for treatment. Methods to provide some relief include use of over-the-counter pain medications for pain management, cold compress, or insulated ice pack on the affected side of the face (15 minutes on and 15 minutes off), rinsing with salt water to remove food debris, and use of clove oil (place a one to two drops of clove oil on a clean cotton swab and gently apply to the affected area). Again, these methods are only for temporary relief of pain. Delaying a follow-up visit with the dentist or surgeon could prolong the pain as well as the recovery time.

What is the average healing time for dry socket?

Average healing time is seven to 10 days, as this is the amount of time it takes for new tissue to grow to cover the exposed socket.

Do not use a straw when drinking after a tooth extraction to prevent dry sockets.
Do not use a straw when drinking after a tooth extraction to prevent dry sockets.Source: iStock

What is the prognosis for dry socket?

Prognosis is good as there usually are no long-term consequences. Once the tissue is able to cover the bone, the healing will progress normally.

Is it possible to prevent a dry socket?

The prevention of developing a dry socket may be influenced by the methods used by the dentist or surgeon performing the tooth extraction. Such preventive methods include (1) placement of packing at the surgery with or without antibiotic (for example, tetracycline) and/or (2) placement of sutures to protect the blood clot. These details can be discussed with the dentist or surgeon prior to the procedure to determine if these preventive methods would be recommended.

After extraction, there are a few day-to-day activities that should be avoided: smoking, drinking with a straw, and vigorous spitting or rinsing. Diet should be a soft food diet. The area should be kept as clean as possible with gentle rinsing with an antibacterial solution such as chlorhexidine rinse (Peridex). This oral rinse can be prescribed by your surgeon. It is important to follow any special instructions given by the dentist or surgeon in caring for the extraction site at home.

Lastly, recent studies have shown that the incidence of a dry socket in women is significantly decreased when tooth extractions are performed during their menstrual period (menses). When teeth extractions can be electively planned, the recommendation is to perform this procedure during the menstrual period. In this way, the risk of a dry socket due to cycle-related hormonal changes can be eliminated.

What Is Stomatitis Caused By?

What is stomatitis caused by?

Stomatitis is inflammation of the mouth. It is painful and may be caused by infection, poor dental hygiene, nutritional deficiency, dehydration and other factors. Stomatitis is inflammation of the mouth. It is painful and may be caused by infection, poor dental hygiene, nutritional deficiency, dehydration and other factors.

Stomatitis is a general medical term used for an inflamed or sore mouth. The condition can cause pain and discomfort enough to make eating and talking difficult for you.

Stomatitis can occur anywhere in the mouth including

  • Inside of the cheeks
  • Gums
  • Tongue
  • Lips
  • Palate
  • Throat

Stomatitis can be caused by any of the factors that include

What are the types of stomatitis?

Depending upon the appearance and cause, stomatitis is of two types

  1. Canker sores
  2. Cold sores

Canker sores

Canker sores are an extremely common condition. Their exact cause is unknown. They are most likely to be caused due to poor nutrition or stress.

Canker sores most often have a red base with a yellow top. They are extremely painful and typically last for one to two  weeks.

When canker sores go away and keep coming back, the condition is known as aphthous stomatitis. It is among the most common oral mucosal lesions physicians and dentists observe. Smaller ulcers heal within 7 to 10 days, whereas larger ulcers may last several weeks to months. The larger ones can leave a scar when healing.

Cold sores

Cold sores, also called fever blisters, are caused by an infection with herpes simplex virus (HSV). They are fluid-filled blisters occurring in clusters. More than half of the people in the United States have cold sores.

Although cold sores can appear anywhere in the mouth, the lips are the most common location.

Unlike canker sores, cold sores are extremely contagious. They last for an average of 7 to 10 days.

Infection with HSV is a lifelong condition. Cold sores usually keep recurring.

How is stomatitis treated?

Your doctor will take your complete medical history and try to identify the cause of the stomatitis. If there is any allergy or infection, it will be treated accordingly.

Whatever the cause, doctors usually prescribe medications to relieve your pain and help heal sores. These include

  • Over-the-counter (OTC) pain relievers (such as acetaminophen or ibuprofen)
  • Ointments or gels for local application to reduce inflammation
  • Saltwater mouthwash or mouth rinses (avoid alcohol-based mouthwash)
  • OTC wax-based products for injuries from dental fittings
  • OTC product called Kanka for creating a barrier layer over the ulcers to avoid pain
  • OTC ointment or gel for cold sores
  • Vitamins

Apart from medications, you need to make certain dietary changes. Avoid food that is very spicy or very hot because these may further irritate the mucous membranes. Improve your nutrition by consuming lots of fruits and vegetables and whole-grain cereals. Drink plenty of water and other fluids to keep your mouth moist and for adequate hydration.

Visit the doctor as soon as possible for stomatitis that

How to Get Rid of Canker Sores: 14 Treatment Tips & Causes

A woman experiencing mouth and lip pain.
Canker sores are small, painful ulcers inside the mouth.Source: iStock

What are canker sores?

Canker sores (aphthous ulcers or aphthous stomatitis) are small, painful ulcers inside the mouth. They may occur on the tongue and on the inside linings of the cheeks, lips, and throat. They usually appear white, gray, or yellow in color, with a red border.

Canker sores are among the most common types of oral lesions, affecting about 20% of people. Women get canker sores more often than men. Canker sore susceptibility may be inherited, and the condition can run in families.

Canker Sore Symptoms & Signs

Some people may experience the following related canker sore symptoms and signs:

  • Bleeding gums
  • Lump or mass on gums
  • Painful gums

Learn more about symptoms and signs of canker sores »

A person with a canker sore on their lip.
Canker sores are not contagious and are categorized into three typesSource: iStock

What are canker sores types, and what do they look like?

Canker sorePicture of a canker sore (aphthous ulcer)

Canker sores are not the same as cold sores (fever blisters), which are an infection caused by the herpes virus and are contagious. Canker sores are not contagious, and are categorized into three types:

  1. Minor sores measure from 3 to 10 millimeters (mm) and are the most common type of canker sore. Lesions last 10 to 14 days and heal without scarring.
  2. Major sores are larger and deeper than minor sores, have an irregular border, and a diameter of greater than 10 mm. Major canker sores may take weeks to months to heal and can leave a scar after healing.
  3. Herpetiform sores are characterized by large groups of multiple sores. These are small ulcers (2-3 mm) but there may be as many as 100 ulcers present at the same time. They tend to heal without scarring.

A stressed out woman sits to drink coffee.
Some possible causes of canker sores include the following injury to the mouth may cause simple canker sores. An injury could be from vigorous tooth brushing, dental work, braces or dentures, or a sports accident.Source: Getty Images

What causes canker sores?

The cause of most canker sores is not well understood, and multiple factors may cause sores to appear. Some possible causes of canker sores include the following:

A image comparing a fever blister (cold sore) to a canker sore.
Canker sores are not the same thing as fever blisters (cold sores).Source: iStock

Are canker sores the same thing as cold sores (fever blisters)?

No, canker sores are not the same thing as fever blisters (cold sores).

Canker sores occur inside the mouth and are not contagious. Fever blisters are infections caused by the herpes simplex virus (HSV), they mostly occur on the lips and outside of the mouth, and they are very contagious.

A woman with her mouth open points to her inner cheek.
Common symptoms of canker sores include burning, tingling, or prickling sensation, soreness, ulcers, and difficulty speaking, eating, or swallowing.Source: iStock

What are signs and symptoms of canker sores?

Canker sores are painful sores inside the mouth. They may occur on the tongue, the lining of the cheeks, the gums, the inside of the lips, or the soft palate on the back of the roof of your mouth. Common symptoms of canker sores include the following:

  • A burning, tingling, or prickling sensation, up to 24 hours before the sore appears
  • Crater-like ulcers that are white, gray, or yellow in color, with a red border
  • Sores are usually painful
  • Difficulty speaking, eating or swallowing

Less common symptoms that can also indicate a more serious underlying infection include:

Contact your doctor or dentist if your canker sores are

  • Larger than usual
  • Spreading
  • Lasting more than three weeks
  • Causing severe pain even after taking over-the-counter pain medication
  • Causing difficulty drinking enough fluids to stay hydrated
  • Accompanied by fever

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A woman swishes her mouth with an oral rinse.
14 Home remedies can relieve the pain or irritation caused by the sore and heal faster.Source: Getty Images

What natural or home remedies cure canker sores?

In most cases, canker sores do not require any treatment, and there is nothing specific you need to do to get rid of a canker sore because it usually will heal on its own. Home remedies can be used to help relieve the pain and inflammation of canker sores.

If you already have a canker sore, there are home remedies that can be used to help relieve the pain or irritation caused by the sore and to speed healing:

  1. Topical medications applied directly on the sore, mouthwashes, and oral medications can relieve pain or inflammation.
  2. Allow ice chips to dissolve slowly in your mouth for relief of pain.
  3. Avoid acidic foods such as citrus fruits or spicy foods that may aggravate the sore.
  4. If there is any vitamin deficiency (a doctor can test for this), take supplementation as prescribed.
  5. Brush teeth gently and use a brush with soft bristles.
  6. Use toothpaste and mouthwash that does not contain sodium lauryl sulfate.
  7. Another home remedy is to mix milk of magnesia with Benadryl liquid and use it as a mouth rinse. You can also dab milk of magnesia directly onto the canker sore with a cotton swab.
  8. Rinse your mouth with salt water or baking soda rinse. Mix 1 teaspoon of baking soda per ½ cup water, and rinse.
  9. Other natural remedies include goldenseal mouth rinse, deglycyrrhizinated licorice (DGL) gargled in warm water, and saltwater rinses.
  10. Zinc lozenges may help provide relief and speed healing time. Do not give lozenges to young children, as they may be a choking risk.
  11. Vitamin C, vitamin B complex, and lysine can be taken orally when lesions first appear and may help speed healing.
  12. Infuse sage and chamomile herbs in water and use as a mouthwash four to six times daily.
  13. The herb Echinacea may help speed healing
  14. Carrot, celery, and cantaloupe juices may also be helpful.

Consult a health care professional before using any home remedy as many have not been scientifically tested or proven effective.




IMAGES

Canker Sores (Causes, Home Remedies, Treatment, and Prevention)
See a pictures of canker sores and cold sores as well as other oral health conditions
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A woman reaches for a tube of oral gel on the drug store shelf.
OTC medications can cure canker soresSource: iStock

What topical prescription and over-the-counter (OTC) medications cure canker sores?

Topical gels or ointments are used for canker sores to relieve pain, decrease inflammation, and prevent infection.

  • Topical pain medications: Gels such as benzocaine (Orajel, Orabase) and lidocaine (an anesthetic) are used directly on the canker sore to relieve pain or discomfort. Canker sore patches (Canker Cover) provide pain relief while covering and protecting the sore as it heals. These types of medications can be found over the counter.
    Topical anti-inflammatory medications: Steroid medications such as triamcinolone acetonide or fluocinonide can be used topically to decrease inflammation from canker sores. These medications usually require a prescription and should be used exactly as your doctor or other health care professional has instructed.
  • Topical antibiotics: These medications may be prescribed by your doctor or dentist if there is a possibility of the canker sore becoming infected with bacteria. Redness, crusting, pus discharge, or fever are signs of infection.

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A woman carefully pours mouthwash into a small cup.
Several mouthwash solutions may be used to treat canker sore symptoms.Source: Getty Images

What mouthwash solutions be used to treat and cure canker sores?

Several mouthwash solutions may be used to treat canker sore symptoms, and include:

  • Diphenhydramine suspension (Benadryl Allergy liquid) is available over the counter and can be used as a mouth rinse because it has topical anesthetic effects on the tissue of the mouth and the canker sore. Put the suspension in your mouth, swish it around for 30 seconds to one minute, and spit it out. Do not swallow the rinse.
  • Anti-inflammatory steroid mouth rinses may be prescribed to help reduce inflammation of the sores.
  • Tetracycline antibiotic rinses may be prescribed and have been shown to relieve the pain and promote the healing of canker sores. Do not use tetracycline if you are pregnant, people allergic to tetracycline, or if the person with the canker sore is a child under 16 years of age.




QUESTION

What causes tooth decay?
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A woman describes canker sore pain to the dentist.
Predisposition to canker sores may just be genetic.Source: iStock

What oral medications are available to cure canker sores?

Several oral medications may help relieve symptoms of canker sores.

What should a person do if they get recurrent or chronic canker sores?

  • If a person suffers from frequent canker sores, there may be an underlying medical reason or illness that causes them. See a health care professional or dentist if there are any concerns that canker sores are frequent.
  • Predisposition to canker sores may just be genetic. However, some diseases that affect the immune system such as lupus, Crohn's disease, celiac disease, or HIV/AIDS may cause frequent or recurrent canker sores.
  • Health care professionals can order tests to determine if there is an underlying medical reason for a person's frequent canker sores.

Do You Really Need to Floss?

Types of floss

Your dentist recommends that you floss daily. But like many Americans, you may only floss when you have something stuck in your teeth. Is flossing necessary?

Dental floss is a flexible strand made of nylon filaments or plastic monofilaments. It comes in waxed and unwaxed forms. Other types of interdental cleaners that can clean between your teeth include:

  • Pre-threaded flossers
  • Dental or floss picks
  • Water flossers
  • Air flossers 
  • Plaque removers made of wood
  • Tiny brushes that reach between your teeth 

Flossing not only removes food stuck between your teeth. It gets rid of any plaque build-up you might not see.

What is plaque?

Your mouth is home to 700 species of microbes. These include bacteria, fungus, and more. Some are beneficial to your health, but others can cause diseases like tooth decay.

The microbes in your mouth work together to protect themselves. They form a sticky film called plaque.

When you eat sugary foods and drinks, you’re feeding these microbes. They increase in number and produce acids. These acids eat away at the outer layer of your teeth and may cause cavities.

Why floss?

Reasons include that flossing:

Removes plaque. Brushing can remove some plaque, but a toothbrush can’t reach between your teeth. Research has shown that flossing in addition to brushing reduces gum disease (gingivitis) compared to just brushing alone.

A survey found that only 16% of Americans floss at least once a day. About 20% floss only when something is stuck, and 8% never floss at all.

If you don’t remove plaque by flossing and brushing, it will form tartar (calculus). Regular brushing can’t remove tartar. Only professional cleaning by a dental hygienist or dentist can get rid of it.

Helps prevent gum disease. Gum disease is an infection of your gums. This happens when you have a build-up of plaque along and under your gum line. In the US, 47.2% of adults aged 30 years and older have some form of gum disease.

Reduces bad breath. Bad breath can sometimes be a sign of bigger problems like cavities and gum disease. Flossing removes the bacteria hiding in your mouth. 

To floss or not to floss?

You might have seen news reports stating that flossing isn’t necessary. That’s because large-scale and long-term flossing studies have been limited. Periodontitis can take months or even years to develop. But most flossing studies have been carried out over relatively short periods.

Experts say that large-scale studies are not only expensive but also difficult to carry out. These rely on people telling the truth about their dental habits. But when it comes to questions about health behaviors, most people tend to give what they think is the right answer.

Studies in the real world tend to show weak and unreliable evidence. Controlled studies, where scientists monitor flossing, have shown that flossing is effective. Experts recommend flossing daily.

When to floss

Dentists recommend brushing twice a day and flossing once a day. Some people floss before bedtime, others prefer to floss in the morning, or after lunch. The best time to floss is when it best fits your schedule.

You can floss before or after brushing your teeth. But if you floss after brushing, there’s a likelihood that you may skip flossing because you think your teeth feel clean or you run out of time.

How to floss properly

It’s important to floss your teeth the right way. Here’s how to do it:

  1. Take about 18 inches (45 centimeters) of floss. Wind most of it around one of your middle fingers. The remaining floss should be wound around your other middle finger. 
  2. Hold the floss between your thumbs and forefingers. 
  3. Gently move the floss between your teeth. Use a rubbing motion. Don’t snap the floss into your gums.
  4. At your gum line, curve the floss into a C shape against one tooth. Slide it gently into the space between tooth and gum.
  5. Gently rub the side of your tooth. Use up and down motions to move the floss. 
  6. Repeat this on all your teeth. This includes cleaning behind your last tooth.
  7. Throw the floss away when done. Don’t reuse the floss as it’s not as effective when used again. 

Talk to your dentist if you’re having problems flossing. They may recommend using a water flosser or other types of interdental cleaners instead.

Besides daily flossing, you should:

  • Brush for two minutes after every meal. If you can’t brush, at least rinse your mouth with water.
  • See your dentist regularly for check-ups and cleanings. Regular visits allow your dentist to spot any problems early on when treatment is easier and cheaper. 

Do I Have Gingivitis or Periodontitis?

What are gingivitis and periodontitis? 

Gingivitis is the initial stage of periodontal disease. If gingivitis goes untreated, it may develop into periodontal disease. Gingivitis is the initial stage of periodontal disease. If gingivitis goes untreated, it may develop into periodontal disease.

Gingivitis is the initial stage of periodontal disease. Gingivitis occurs when bacteria grow at your gum line. This causes inflammation and sometimes infection. There are usually very few symptoms. You may not even realize anything is wrong at first. 

If your gingivitis goes untreated, it can progress and become periodontal disease. When bacteria get too deep in your gums, they can cause major health problems. 

Different types of periodontal disease include: 

  • Aggressive periodontitis: This is when otherwise healthy patients have rapid bacterial growth and decay in their teeth and gums.
  • Chronic periodontitis: Here, inflammation under your gums slowly causes your teeth to detach from your gums.
  • Periodontitis caused by other diseases: Sometimes your periodontitis is a symptom of another health condition like heart disease, respiratory disease, or diabetes.
  • Necrotizing periodontal disease: A lack of sufficient blood flow to your gums can cause periodontitis as a result of human immunodeficiency virus (HIV), malnutrition, or a compromised immune system.

Symptoms of gingivitis and periodontitis

Gingivitis doesn’t present many symptoms. If you do have symptoms, they are usually mild enough that you may not pay much attention to them. 

When gingivitis gets worse and turns into periodontal disease, you may experience: 

Causes of gingivitis and periodontitis

Gingivitis is most frequently caused by poor dental hygiene. Here are some other factors that can contribute to the condition:

  • Nutrition: A poor diet can increase your risk for gingivitis since some foods, like those high in sugar and starches, can worsen the condition.
  • Genetics: If you have a family history of gum disease, you are more likely to be diagnosed with gingivitis or periodontitis. 
  • Pregnancy: Women are slightly more likely to have gingivitis or periodontitis because of their hormone levels. Since your hormones change even more during pregnancy, this puts you at a greater risk.
  • Stress: Not getting enough sleep and maintaining high levels of stress leaves you more at-risk for getting sick or developing infections. This includes your mouth, too.
  • Tobacco use: Smoking or using other forms of tobacco puts you at a greater risk for gingivitis and periodontitis. Gum disease in tobacco users is usually more advanced.

Stages of gingivitis and periodontitis

The bacteria that cause gingivitis and periodontitis always exist in your mouth. 

Brushing and flossing regularly helps to keep your bacteria at a level that isn’t harmful to your health. When the bacteria first begin to reach higher levels, your dentist may diagnose gingivitis. Gingivitis doesn’t cause permanent damage and may be mildly discomforting. 

If gingivitis goes untreated, your condition can worsen and become periodontitis. This condition is much more difficult to treat since you cannot reverse the damage it does to your teeth and gums.

Diagnosing gingivitis and periodontitis

Only a licensed healthcare professional can diagnose gingivitis or periodontitis.

With regular dental exams every six months, your dentist can keep records of how your gums look at each checkup. They can tell you if you have gingivitis by examining your gums for inflammation. 

Your dentist may also use a small tool to push down on your gums and make sure that the pockets of space between your teeth and gums are normal. Pockets that are deeper than 1 to 3 millimeters may signify periodontitis. 

Treatments for gingivitis and periodontitis

The best treatment for gingivitis is diligent oral care. Brush and floss your teeth twice a day. Take your time and the extra care to brush your gum line. That is where bacteria cause the most damage.

If you are concerned that your efforts aren’t enough, talk to your doctor. A severe case of periodontitis may require:

  • Scraping teeth: Your dentist will remove plaque buildup from around and under your gum line to reduce bacteria. A special tool is used to scrape your teeth without causing damage to your tooth enamel.
  • Oral antibiotics: If the bacteria in your mouth cause an infection, antibiotics can kill the bacteria. Your dentist may prescribe pills or an antibiotic mouthwash. 
  • Surgery: Advanced periodontitis may require surgery to get deep enough into the gum tissue to remove bacteria and prevent future damage. 
  • Grafting: If your gum tissue recedes too much because of periodontitis, your dentist can graft gum tissue from other areas of your mouth.

Knowing whether you have gingivitis or periodontitis requires a diagnosis from your dentist. 

If you have concerns, give your dentist a call and create a treatment plan that will help you get your gum disease under control and prevent future damage. 

What Is Hyperdontia? Treatment for Supernumerary Teeth

Hyperdontia is the condition of having an excess number of teeth. Impacted wisdom teeth count as extra teeth. Hyperdontia is the condition of having an excess number of teeth. Impacted wisdom teeth count as extra teeth.

  • Hyperdontia is an oral condition characterized by having an excess number of teeth.
  • The standard number of primary teeth is 20 and the standard number of permanent teeth is 32.
  • Primary teeth are the first set of teeth that erupt in a person's mouth, generally by the age of 36 months of age, and are shed by the time the person is about 12 years old.
  • The permanent teeth then take the place of the primary teeth and usually erupt completely by the time the person reaches 21 years of age.
  • A person who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia.
  • The additional teeth are referred to as supernumerary teeth.
  • Supernumerary teeth can occur in any part of the dental arch, but the most common supernumerary teeth are permanent, anterior incisors, in the maxillary (upper) arch.
  • After maxillary incisors, maxillary and mandibular (lower arch) fourth molars are the next most common supernumerary teeth. These generally appear as extra impacted wisdom teeth.
  • An extra maxillary incisor is called a mesiodens, and an extra fourth molar is referred to as a distodens or distomolar. Extra primary teeth present at or shortly after birth are called natal teeth.

How common is hyperdontia?

The prevalence of hyperdontia is between 1% and 4% of the population with a male to female ratio of 2:1; the majority of cases are limited to a single tooth. There have been reported cases of over 30 supernumerary teeth in one person, but such large numbers are rare.

What are risk factors for hyperdontia?

When a person does develop multiple supernumerary teeth, it often is associated with a variety of conditions or syndromes such as

Cleft lip and palate are risk factors for hyperdontia.

Hyperdontia Risk Factors

Cleft Lip and Palate

A cleft lip is an opening extending through the upper lip. It may be in the midline (center) or left and/or right side of the lip. A cleft palate is an opening of the hard palate (the bony front portion of the roof of the mouth) or the soft palate (the muscular non-bony region in the rear of the roof of the mouth. Similar to a cleft lip, a cleft palate may be midline and/or to either right of left side of the palate. A cleft palate may extend from the upper jawbone to the rear of the throat.

Since development of the lip and palate occur at different times during gestation, an infant may have either a cleft lip or cleft palate or clefting of both regions.

Learn more about cleft palate and cleft lip »

What is the cause of hyperdontia?

  • The cause of hyperdontia is not entirely clear. It is believed that there may be a genetic factor in hyperdontia consisting of an autosomal dominant trait with low penetrance (only sometimes producing supernumerary teeth in a carrier of the mutated gene).
  • Other possible causes are environmental factors and overactivity of the dental lamina during tooth development.
  • The dental lamina is a zone of cells that initiates the formation of the tooth germ, which forms the tooth.

What is the treatment for hyperdontia?

It is important to detect, evaluate, and treat supernumerary teeth as soon as possible since the additional teeth will present both cosmetic and functional problems for the affected individual. As a majority of supernumerary teeth cause clinical problems, treatment generally consists of removal of the teeth when possible.

What is the prognosis of hyperdontia? Do supernumerary (extra) teeth have to be removed?

  • Supernumerary teeth may cause delayed eruption of adjacent teeth or significant crowding that will often require orthodontic treatment to correct.
  • If retained, the teeth can lead to the development of cysts or tumors.
  • It is generally not necessary to remove natal teeth unless the supernumerary teeth are loose and present a risk for aspiration due to passage into the lung.

What Triggers Oral Lichen Planus? Symptoms & Causes

what triggers oral lichen planus
Oral lichen planus is an inflammatory condition that affects your mouth and can be triggered by medications, certain goods, oral care, and other factors

Oral lichen planus is an inflammatory condition that affects the mucous membranes inside your mouth. As a chronic disease, relapses or flare-ups are common, and may be triggered by the following:

  • Medications
    • Painkillers
    • High blood pressure medications
    • Antimalarial medications
    • Antidiabetic medications
  • Foods
    • Spicy foods
    • Sugary foods
    • Fast foods
    • Alcohol
  • Oral care
    • Using mouthwash containing alcohol
    • Using toothpaste with a foaming agent such as sodium lauryl sulfate (SLS)
    • Not cleaning the mouth properly or regularly
  • Emotional factors
  • Mouth problems
    • Injury
    • Infection
  • Tobacco use

What are the signs and symptoms of oral lichen planus?

Oral lichen planus can appear as:

  • Red, swollen patches
  • White, web-like patches
  • Open sores
  • Blistering or peeling patches

Characteristic features of oral lichen planus can appear anywhere in the mouth, including:

  • Inside the cheeks
  • Gums
  • Tongue
  • Palate
  • Inner side of the lips

Although white patches are usually painless, red patches are painful and may result in the following.

  • Burning sensation in the mouth
  • Gingivitis (gum inflammation)
  • Bleeding
  • Difficulty chewing and swallowing

How is oral lichen planus diagnosed?

Doctors diagnose oral lichen planus by examining the patches in your mouth, taking your medical history (including dental history), and ordering tests that may include:

  • Biopsy: Small tissue samples are collected from one or more patches of the mouth and sent to the laboratory for analysis.
  • Culture: A sample of cells collected from lesions are analyzed for the presence of microbes—fungus, bacterium, or virus.
  • Blood tests: Tests may be ordered to rule out medical conditions such as lupus or hepatitis C infection.

How is oral lichen planus treated?

Mild oral lichen planus usually goes away on its own by just avoiding triggering factors. Your doctor may monitor the condition and start treatment only if the symptoms get worse.

Treatment may include corticosteroids, which comes in many forms:

  • Topical ointment
  • Oral pills
  • Injections directly into the patches

If your doctor suspects your immune system to be the reason for your oral lichen planus, they may prescribe medications targeting immunity, which include:

  • Topical ointment or gel: You may need to apply medications such as calcineurin inhibitors over the patches.
  • Oral pills: If you have patches in other areas of your body such as your scalp, esophagus, or genitals, you may have to take oral pills that target your immune system.