Posts for: May, 2015
Although normally benign, a cold sore outbreak can be irritating and embarrassing. Understanding why they occur is the first step to minimizing outbreaks.
The typical cold sore (also known as a fever blister) is caused by the Herpes Simplex Virus (HSV) Type I, medically known as “Herpes Labialis” because it occurs on or around the lips. This virus is not to be confused with HSV Type II, which causes a genital infection. Unlike most viruses, HSV Type I can cause a recurring sore outbreak in certain people. Most viruses tend to occur only once because the body produces anti-bodies to prevent further attack; it’s believed HSV Type I, however, can shield itself from these defenses by hiding in the body’s nerve roots.
These cold sore outbreaks often occur during periods of high stress, overexposure to sunlight or injuries to the lip. Initially you may have an itch or slight burning around the mouth that escalates into more severe itching, redness, swelling and blistering. The sores will break out for about a week to ten days and then scab over and eventually heal (unless they become infected, in which case the healing process may go longer). You’re contagious between the first symptoms and healing, and so can spread the virus to other people.
In recent years, anti-viral prescription medications have been developed that can effectively prevent HSV outbreaks, or at least reduce the healing time after an occurrence. The most common of these are acyclovir and valcyclovir, proven effective with only a few possible mild side effects. They can be taken routinely by people with recurring cold sores to suppress regular outbreaks.
While HSV Type I cold sores are more an aggravation than a health danger, it’s still important for you to see us initially for an examination if you encounter an outbreak. It’s possible for a more serious condition to masquerade as a cold sore or blister. A visit to us may also get you on the right track to reducing the frequency of outbreaks, as well as minimizing discomfort when they do occur.
If you would like more information on the treatment of cold sores, 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 “Cold Sores.”
You may have seen Kathy Ireland on the cover of Sports Illustrated, but did you know that she is now a business mogul?
Through it all, Ireland has kept her model good looks, and that includes a bright, glowing smile. In a recent interview with Dear Doctor magazine she said that keeping her smile has required ongoing maintenance and more.
It seems that Ireland is a bit of a daredevil. She described a moment of fun with her children when she tried to stand in their wagon and “wagon surf” across her driveway. It ended badly when she crashed into her parked car and suffered a broken nose, split forehead and several broken teeth. “I learned that my love of adventure exceeds my coordination,” she commented.
Ireland was born in Glendale, California in 1963. She demonstrated her drive to succeed early in life, starting at age 4 when she and her sister sold painted rocks from their wagon. Later she had a paper route. She began modeling at 17, with the goal of earning enough to pay for college or to start a business. In her successful modeling career she graced the covers of Glamour, Cosmopolitan, Harper's Bazaar and Sports Illustrated. Her first cover for Sports Illustrated, the publication's 25th Anniversary Swimsuit Edition, was the magazine's best-selling swimsuit issue to date.
In 1993 she founded her marketing and design firm, kathy ireland Worldwide. Now a billion-dollar industry, the firm sells fashions such as wedding gowns and bridesmaid dresses, as well as a wide range of items for home and family.
She has also written a number of books teaching others how to be successful — based on her own experience — as well as three children's books.
Discussing her oral health, Ireland says that she required serious professional assistance on more than one occasion. When she was a child she knocked out a tooth and later knocked it loose again. As an adolescent she wore braces for about three years. After the driveway incident she needed numerous veneers and dental implants to replace a lost tooth and restore her smile.
Her maintenance routine includes regular flossing and brushing, and she has her teeth cleaned every six months. She keeps up on her reading about the latest in research on dental health, and encourages her three children to floss and brush their teeth, to limit eating sweets and to do what they can to avoid injuries to their mouths and teeth.