Clearwater Periodontist Shares What is Oral Lichen Planus

If you’ve noticed a small sore in your mouth, it’s possible you have a non-contagious disease known as lichen planus. Although usually benign, it’s still a good idea to have it examined and monitored.

 The condition is so named because its lesions are similar in appearance to lichen, the algae and fungi organism often found on rocks and trees. It’s believed to be a type of autoimmune disease, in which the body treats some of its own cells as foreign and reacts adversely to them. Certain medications and substances may also cause a lichenoid reaction. Besides the inner cheeks, gums or tongue, lichen planus may also appear on other skin or mucous surfaces on the wrists, legs or fingernails.

When it appears inside the mouth it usually resembles a lacy pattern of white lines or ulceration. Gum tissues may become red and inflamed, with some soreness after brushing or eating. Although there’s no known cure for lichen planus, it rarely causes serious problems — in fact, you may not even be aware you have the condition unless pointed out during a dental exam. It may, in time, fade away.

If the lesions do become bothersome (painful, itchy or overly-sensitive), there are some ways to ease discomfort: brushing with a soft toothbrush (to minimize irritation), flossing, and avoiding acidic or spicy foods and beverages which have been known to cause flare-ups. Managing stress is also helpful, and a topical steroid may be prescribed for more severe outbreaks.

Perhaps the greatest concern with lichen planus, though, is it may resemble more serious conditions, particularly oral cancer. The only way to be certain that it is a benign condition is to perform a biopsy on some of the affected tissue. If you notice a problem, be sure to visit us for a complete examination. And regardless of whether you have the condition or not, regular oral cancer screenings, as well as limits on alcohol consumption and stopping use of tobacco, will also reduce your risk of oral cancer.

Odds are if you have a case of lichen planus it isn’t causing you any problems. If it does cause you discomfort, though, you can take steps to ease your symptoms.

If you would like more information on lichen planus and similar oral conditions, please contact us or schedule an appointment for a consultation. www.brittenperio.com

Clearwater FL Periodontist Dr. Todd Britten: Pregnancy and Gum Disease

Professional dental cleanings and routine check ups are particularly important during pregnancy.

Fluctuating hormone levels during pregnancy can cause normal, healthy gums to become red, irritated and swollen. Pregnancy Gingivitis (inflammation of the gums) is the body’s exaggerated response to plaque and calculus. It can range from gums that are redder than usual, to severe swelling and bleeding of the gums. Often a routine dental hygiene visit  as well as increased oral hygiene care at home can help to keep this condition under control.

 
Sometimes a pregnancy tumor can form on the gums during pregnancy. This large uncomfortable overgrowth of gum tissue forms as a lump on the between the teeth or along the gum line and often has deep red pinpoint markings on it forms on inflamed gum tissue. These growths can occur at any time during the course of pregnancy, although they usually occur during the second trimester. These growths, while not at all cancerous, may require antibiotic treatment or to be removed surgically by your dentist or periodontist.

It is better to be closely monitored before your pregnancy if possible to catch any potential problems before they occur as well to minimize any need for dental x-rays during pregnancy. It is also important during pregnancy to stay current with your regular dental hygiene visits and examinations to catch any potential gum or tooth problems at the earliest possible time.  Although dentists will typically postpone major treatment until after delivery, emergencies do come up and need to be addressed.  Since your baby’s organs are being formed in the first trimester, this work is ideally taken care of during the second trimester to minimize any potential risk.
  
Some major studies have shown a link between gum disease and premature birth. This is likely due to the levels of elevated inflammatory chemicals in the bloodstream of a pregnant mother due to untreated gum disease.  One study published in The Journal of the American Dental Association found that pregnant women with chronic gum disease were four to seven times more likely to deliver prematurely (before week 37) and underweight babies than mothers with healthy gums.  Mothers with severe periodontal disease delivered the most prematurely, at 32 weeks. 

You can contact Dr. Todd Britten in his Clearwater, Florida periodontal practice at 727-586-2681 or visit his website at www.brittenperio.com

Clearwater FL Periodontist Dr. Todd Britten Welcomes You!

I haven't been to the dentist in a long time! What do I need to do?

Please know that you are not alone! Whether you have been away from the dentist for 6 months or 6 years, it’s never too late to get back into a good and healthy routine.  We are here to help!  Call us to schedule a thorough and educational exam appointment. 

We are grateful for the opportunity to assist you in achieving a healthy and functional smile.
Your initial exam will last approximately one hour. We will review your medical and dental history and perform a thorough examination of your teeth and gums.  This will include looking for signs of periodontal disease, gum recession, tooth looseness, and missing teeth.  Dr. Britten will also check your bite (occlusion) and perform an oral cancer screening exam.

During this initial consultation we will be able to provide a diagnosis of your periodontal condition and propose a treatment plan to improve your dental health.  Occasionally, Dr. Britten prefers additional time to review his findings and “do his homework” so that he can provide the best ​recommended treatment options.  We may then ask you to return for a complimentary second consultation visit.  

Dr. Todd Britten and his talented and experienced staff are focused on providing patient-centered care, and we take the time to explain to our patients the risks, benefits, and alternative options they have with any dental treatment. Our practice is very warm and compassionate, and we are sensitive to the needs of each individual patient. Contact our Clearwater periodontal office today to schedule an appointment at 727-586-2681 or visit our website at www.brittenperio.com

Clearwater Periodontist Dr. Todd Britten talks about Custom Fitted Nightguards

 

Many people clench or grind their teeth whether they realize it or not. Clenching and grinding can be detrimental to your teeth and to their supporting structures (gum tissues and bone). It can cause wear on the biting surfaces, root defects, gum recession, contribute to gum disease and tooth shifting and mobility, and cause muscular and TMJ (joint) issues.

Most people are completely unaware that they do it, because it happens while they are sleeping. Many patients do not realize they grind their teeth and find the thought of wearing a night guard very unappealing.

Nightguards purchased online or at the drug store are not custom fitted, they are usual one size fits all or boil & bites. They can be large, unattractive, poorly fitting and may even come out during the grinding.

Your dentist is trained in how a persons' bite should function, how the teeth should come together and will take into account your specific situation and grinding pattern. Your dentist’s office will take impressions of your teeth so that the dental lab can make a might guard that is the exact match to your teeth.

Although the initial investment may be greater, a custom fit nightguard can be an extremely worthwhile investment in the long run. It is designed by your dentist to fit your teeth exactly and is much more likely than a store bought guard to prevent you from needing more expensive dental work in the future. In many case, dental insurance covers all or part of the cost.

Dr. Britten can check your teeth and bite for signs of abnormal clenching and grinding and work with your dentist to fabricate the right appliance for you. Contact our office at 728-586-2681, via email at healthysmiles@brittenperio.com or visit our website atwww.brittenperio.com with any questions or concerns you have.

Show less

Clearwater FL Periodontist Shares: Is Periodontal Disease Contagious?

Is PERIODONTAL DISEASE CONTAGIOUS?
From Perio.org:
"Research has shown that periodontal disease is caused by the inflammatory reaction to bacteria under the gums, so periodontal disease technically may not be contagious.

However, the bacteria that cause the inflammatory reaction can be spread through saliva. This means that if one of your family members has periodontal disease, it’s a good idea to avoid contact with their saliva by not sharing eating utensils or oral health equipment.

If you notice that your spouse or a family member has the warning signs of a possible periodontal problem (bleeding, red and swollen gums, or bad breath) you may want to suggest that they see the periodontist for an exam. It may help to protect the oral health of everyone in the family."

If you have any questions, please contact us 727-586-2681 or email healthysmiles@brittenperio.com

Show less

Dr. Todd M. Britten, DMD, M.S.'s photos

1

Add a comment...

Clearwater FL Periodontist Dr. Todd Britten Shares: Clenching and Grinding of Teeth, contributes to periodontal disease

Over 60 million Americans grind their teeth at night

Do you ever wake up with an aching jaw, tooth sensitivity or notice that your teeth seem to be shifting or loosening? Clenching or grinding your teeth can put excessive force on the supporting tissues of the teeth and could speed up the rate at which periodontal tissues are destroyed. Teeth grinding or clenching can also cause abnormal wear and tear on the teeth which will prematurely age and loosen them, causing problems such as hypersensitivity (from the small cracks that form, exposing your dentin). Clenching or grinding, known as bruxism, can also lead to chronic jaw and facial pain, as well as headaches.

If no one has told you that you grind your teeth, here are a few clues that you may suffer from bruxism:

Your jaw is sore often, or you hear popping sounds when you open and close your mouth.
Your teeth look short or worn down.
You notice dents in your tongue, especially along the edges.

A common therapy involves use of a special appliance worn while sleeping which your dentist can custom fit for you.

Dr. Britten can evaluate you for evidence of clenching or grinding and make the appropriate recommendation to avoid further damage to your teeth, gums and TMJ.

If you have any questions or concerns about bruxism, please contact our office at 727-586-2681 or visit our website at www.brittenperio.com.  

Clearwater FL Periodontist Dr. Todd Britten Explains: Gum Disease, a Lifelong Condition...

Gum Disease a Lifelong Condition

Gum disease is a chronic lifelong condition which can often be halted in its earliest, often reversible stage, gingivitis. "Untreated gingivitis can advance to periodontitis (gum disease). With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body in essence turns on itself, and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed." -from Perio.org.

Once you have been diagnosed with gum disease, it can be treated with surgical and non-surgical therapy and in most cases easily maintained for life with routine periodontal maintenance (dental hygiene visits and close monitoring) and a recommended home care schedule. Gum disease is a lifelong battle, however, we are committed to working with you and your dentist to keep your smile healthy for life. Please contact our office at healthysmiles@brittenperio.com or visit our website at www.brittenperio.com for more information.