My Blog

Posts for: August, 2014

By Gregory L Palozola D.D.S. P.C.
August 29, 2014
Category: Oral Health
KristinCavallariandtheMysteryoftheBathroomSink

While she was pregnant with her son Camden Jack Cutler, 25-year-old Kristin Cavallari noticed an odd occurrence in her bathroom sink: “Every time I floss, my sink looks like I murdered somebody!” the actress and reality-TV personality exclaimed. Should we be concerned that something wicked is going on with the star of Laguna Beach and The Hills?

Before you call in the authorities, ask a periodontist: He or she will tell you that there's actually no mystery here. What Cavallari noticed is, in fact, a fairly common symptom of “pregnancy gingivitis,” a condition that affects many expectant moms in the second to eighth month of pregnancy. But why does it occur at this time?

First — just the facts: You may already know that gingivitis is the medical name for an early stage of gum disease. Its symptoms may include bad breath, bleeding gums, and soreness, redness, or tenderness of the gum tissue. Fundamentally, gum disease is caused by the buildup of harmful bacteria, or plaque, on the teeth at the gum line — but it's important to remember that, while hundreds of types of bacteria live in the mouth, only a few are harmful. A change in the environment inside the mouth — like inadequate oral hygiene, to use one example — can cause the harmful types to flourish.

But in this case, the culprit isn't necessarily poor hygiene — instead, blame it on the natural hormonal changes that take place in expectant moms. As levels of some female hormones (estrogen and/or progesterone) rise during pregnancy, changes occur in the blood vessels in the gums, which cause them to be more susceptible to the effects of bacterial toxins. The bacteria produce toxic chemicals, which in turn bring on the symptoms of gingivitis — including painful and inflamed gums that may bleed heavily when flossed.

Is pregnancy gingivits a cause for concern? Perhaps — but the condition is generally quite treatable. If you've noticed symptoms like Kristen's, the first thing you should do it consult our office. We can advise you on a variety of treatments designed to relieve the inflammation in your gums and prevent the harmful bacteria from proliferating. Of course, your oral health (and your overall health) are prime concerns during pregnancy — so don't hesitate to seek medical help if it's needed!

How did things work out with Kristen? She maintained an effective oral hygiene routine, delivered a healthy baby — and recently appeared on the cover of Dear Doctor magazine, as the winner of the “Best Celebrity Smile” contest for 2012. And looking at her smile, it's no mystery why she won.

If you would like more information about pregnancy gingivitis, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Expectant Mothers” and “Kristen Cavallari.”


By Gregory L Palozola D.D.S. P.C.
August 14, 2014
Category: Oral Health
Tags: geographic tongue  
WhatintheWorldisGeographicTongue

Picture this: You’re feeling some mild irritation in your mouth, which seems to be coming from the area near your tongue. You go to the mirror, open wide… and notice a series of red patches on the tongue’s surface, which are surrounded by whitish borders. Should you drop what you’re doing and rush to get medical help right away?

Sure, a visit to the dentist might be a good idea to rule out more serious problems — but first, sit down and relax for a moment. Chances are what you’re experiencing is an essentially harmless condition called “benign migratory glossitis,” which is also known by its common name — geographic tongue. While it may look unusual, geographic tongue isn’t a serious condition: It’s not cancerous or contagious, and it doesn’t generally lead to more severe health problems. However, it can make your tongue feel a bit more sensitive, and may occasionally lead to mild sensations of burning, stinging or numbness.

The appearance of reddish patches on the tongue results from the temporary loss of structures called papillae: tiny bumps which normally cover the tongue’s surface. These patches may appear or disappear over the course of days — or even hours — and sometimes appear to change their shape or location.

What causes geographic tongue? Several factors seem to be responsible for setting off the problem, but as of yet the actual cause of the disease is unknown. Among these triggers are emotional stress and psychological upsets, hormonal disturbances, and deficiencies in zinc or vitamin B. The condition, which affects between one and three percent of the population, is seen more frequently in non-smokers, in women, and in those with a family history of the problem. It is also associated with people who suffer from psoriasis, a common skin condition, and those who have a fissured (deeply grooved) tongue.

Unfortunately, there is no “cure” for geographic tongue — but the good news is that treatment is usually unnecessary. If you’re experiencing this condition, it may help if you avoid foods with high levels of acidity (like tomatoes and citrus fruits), as well as hot and spicy foods. Alcohol and other astringent substances (like some mouthwashes) may also aggravate it.

While geographic tongue isn’t a serious condition, it can cause worry and discomfort. That’s why it’s a good idea for you to come into the office and have it checked, just to make sure. A thorough examination can put your mind at ease, and rule out other conditions that may be more of a concern. We may be also able to help you manage this condition by prescribing anesthetic mouth rinses, antihistamines, or other treatments.

If you would like more information about geographic tongue, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Geographic Tongue.”


By Gregory L Palozola D.D.S. P.C.
August 01, 2014
Category: Oral Health
HowCosmeticDentistrySavedJerryRicesSmile

As a Pro Football Hall of Famer and first runner up on the hit television show Dancing with the Stars, Jerry Rice has a face and smile that truly has star quality. However, that was not always the case. During an interview with Dear Doctor magazine, the retired NFL pro discussed his good fortune to have had just a few minor dental injuries throughout his football career. He went on to say that his cosmetic dentist repaired several of his chipped teeth with full crowns. Rice now maintains his beautiful smile with routine cleanings and occasional tooth bleaching.

If you have chipped, broken or missing teeth, or are considering a smile makeover, we want to know exactly what you want to change about your smile, as the old adage is true: Beauty is in the eyes of the beholder. This is one reason why we feel that listening is one of the most important skills we can use during your private, smile-makeover consultation. We want to use this time to ensure we see what you see as attractive and vice versa so that together we can design a realistic, achievable blueprint for your dream smile.

For this reason, we have put together some questions you should ask yourself prior to your appointment:

  • What do you like and dislike about the color, size, shape and spacing of your teeth?
  • Do you like how much of your teeth show when you smile and when your lips are relaxed?
  • Are you happy with the amount of gum tissue that shows when you smile?
  • Do you prefer a “Hollywood smile” with perfectly aligned, bright white teeth, or do you prefer a more natural looking smile with slight color, shape and shade variations?

To learn more about obtaining the smile you want, continue reading the Dear Doctor magazine article “Great Expectations — Perceptions In Smile Design.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss your cosmetic and restorative dentistry treatment goals. And if you want to read the entire feature article on Jerry Rice, continue reading “Jerry Rice — An Unbelievable Rise To NFL Stardom.”