Participants: Nick Evenson (Host), Dr. James Marcum
Series Code: UP
Program Code: UP000087A
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00:01 The following program presents
00:02 principles designed to promote good health 00:04 and is not intended to take the place 00:05 of personalized professional care. 00:07 The opinions and ideas expressed 00:09 or those of the speaker. 00:10 Viewers are encouraged to draw their own conclusions 00:13 about the information presented. 00:16 Have you ever bitten your tongue 00:18 or tipped a tooth? 00:19 These are a couple of obvious causes of oral pain. 00:21 But there are many more that aren't so apparent. 00:24 Join us for today's program 00:25 as we discover the best that modern medicine has to offer 00:28 when it comes to pain in your mouth. 00:30 And learn a few things that you can do to prevent disease 00:32 through simple lifestyle changes. 00:35 I'm Dr. James Markham. 00:37 Are you interested in discovering the reason why? 00:40 You want solutions to your health care problem. 00:43 Are you tired of taking medications? 00:46 Well, you're about to be given Ultimate Prescription. 00:52 Since our very early years, 00:53 most of us have been taught to brush 00:55 and floss our teeth every day and for good reason. 00:58 Our oral care helps fight disease, 01:00 which if not taken seriously can cause serious pain. 01:04 Oral pain is the topic of today's program 01:06 and we thank you for joining us. 01:08 This is the Ultimate Prescription, 01:09 and I'm your host Nick Evanson. 01:11 Dr. Markham. Yes. 01:13 Have you ever experienced oral pain? 01:15 I think everyone has, Nick, 01:16 if you've ever got bopped in the mouth 01:18 or bitten your tongue that counts as oral pain. 01:22 Lots of oral pain is caused by trauma. 01:24 You know something's in your mouth. 01:26 It's not right. 01:27 Some, you know a lot of people have suffered 01:28 through cavities and problems with their mouth, 01:31 and, you know, we're going to talk a little bit 01:33 about that today. 01:34 But we've been talking in general 01:36 about all the different causes of pain. 01:38 And pain is not very fun. 01:41 And I think what we've learned is that 01:43 if we can get the cause of pain, 01:44 that's the best way to deal with it. 01:46 That's right. 01:47 And if it's a dangerous pain, 01:49 you know we need to get help right away. 01:52 And then, of course, 01:53 chronic pain is a whole different ballgame 01:56 and we sort of been addressing that as well. 01:59 But oral pain it is something that affects many people 02:01 and I think the probably the specialists in oral pain 02:05 are probably dentists. 02:07 Now I understand you have a daughter 02:09 who's recently experienced some oral pain. 02:10 Yes, yes. 02:12 She had her wisdom teeth taken out. 02:14 Okay. And that was very painful. 02:15 They said it was crowding her mouth, 02:17 and she had a wisdom teeth taken out, 02:19 and this really hurt her. 02:21 You know when they took them out 02:22 and she's getting better and that caused her oral pain, 02:25 and she's just now getting over that. 02:27 But you know if you're having lots of oral pain 02:29 that doesn't go away, 02:30 the specialist to really have it checked out, 02:32 look at the mouth, 02:33 look at the teeth is the dentist. 02:35 That's right. 02:36 And we recently had the opportunity to go 02:37 to the Davis family dental care, 02:39 and Dr. Joel Davis is one of my good friends. 02:41 And he's a recent graduate of dental school 02:44 and you know sometimes 02:45 people are afraid of young dentists. 02:47 Both are on top of things though. 02:48 They've had the latest training, right? 02:50 And so Dr. Davis shared with us 02:52 about some of the most common causes 02:53 he sees in his practice, 02:55 and some of the latest and greatest techniques 02:57 he's learned to treat the symptoms, 02:58 let's have a look. 03:00 I tell all my patients that there are two battles 03:03 that we fight in dentistry, 03:05 one is tooth decay 03:06 and the other is periodontal disease. 03:08 So tooth decay is a cavity, it's destroying the tooth. 03:11 Periodontal disease is more like high blood pressure. 03:13 You don't know you have it until it's measured for, 03:15 but periodontal disease is a slow destruction 03:18 of the supporting tissues 03:19 that hold the tooth in the mouth. 03:21 Periodontal disease is usually not painful, 03:24 it's a slow progress of chronic problem 03:26 that needs to be treated with a deep cleaning, 03:30 but it usually is not painful, until the tooth becomes loose. 03:33 At that point, it's almost too late to save the tooth. 03:37 Almost every time a patient comes into the dental office 03:40 with pain in their mouth, 03:41 it's because they've had a cavity 03:43 that has gone untended to untreated for too long. 03:47 And the tooth decay is destroyed the tooth 03:49 all the way down to the nerve on the inside of the tooth. 03:52 It's caused them to have intense pain 03:54 that lasts for two or three minutes at a time 03:56 which is severe 8, 9 out of 10. 04:00 Sometimes, it's the worst pain patients have ever experienced. 04:03 But if it's keeping you awake at night, constantly throbbing, 04:08 we know that the nerves involved, 04:09 and you're going to need some treatment right away. 04:12 Other things that bring patients in 04:14 might be pain of a sore. 04:18 You know an ulcer or some type of canker sore 04:20 that formed on the gums or on the lips 04:22 you know we can treat those 04:24 with some topical creams or rinses. 04:27 Temperamental with their joint disorder 04:29 or TMD is a disorder of the joint 04:33 that can be painful or you might just have popping 04:37 or clicking when you open and close. 04:39 If a patient locks open, 04:43 that can be very uncomfortable and kind of scary. 04:45 But typically, 04:47 joint problems are not painful as more of a chronic. 04:51 You hear a kind of a crepitus or grinding sound in the joint 04:54 when you open and close or a popping and clicking. 04:56 And when, when should you come in 04:58 when you have tooth pain? 04:59 Well, the answer will always be 05:01 the sooner we can catch that problem, 05:03 the smaller it is 05:04 and the easier it should be to fix. 05:06 The longer you wait, it's going to cost a lot more, 05:09 it's going to hurt your wallet a lot more 05:11 just because it's a lot more complex to fix. 05:15 Prevention is worth everything. 05:17 If we can stop things from happening 05:19 such as tooth decay, 05:20 periodontal disease is worth everything. 05:21 I have patients all the time to ask me. 05:24 "I've got this special rinse, 05:26 this special paste or this special brush." 05:29 What works is the thing that you actually use 05:32 and you need to remove plaque off the teeth daily 05:35 with a brush and with floss. 05:37 It's traditional, it's tried and true. 05:40 Flossing and brushing is what works 05:42 because for removing the plaque off the tooth 05:44 on a daily basis, 05:46 then we are eliminating the causative factor 05:48 for tooth decay, 05:50 which is bacteria or periodontal disease 05:52 which is bacteria once again that is trapped in the plaque 05:55 or the tartar that's on the tooth. 05:58 So it really comes down to really good home hygiene. 06:01 And at the dental office, 06:02 that's one of our goals is to help educate you 06:06 and enable you to do a great job at home. 06:09 And we'd like to give a special thanks to Dr. Davis 06:12 for letting us come in and see his practice 06:14 and sharing his thoughts with us. 06:15 You know, that's great because I'm not a dentist, 06:18 and I don't deal with a lot of oral pains. 06:20 So I'm glad we can have specialists 06:22 that we're going to share with us their expertise, 06:24 so we're going to continue to get them to come on 06:26 the Ultimate Prescription and share their knowledge, 06:29 their expertise, 06:31 when's the place for a modern medicine, 06:33 what we can do to prevent it. 06:34 So I want to thank Dr. Davis 'cause a lot of people, 06:37 Nick, have mouth pain and cavities 06:40 and things that aren't happy in their mouth. 06:41 That's right. 06:43 You know Dr. Davis just emphasized that point 06:44 that you know flossing and brushing your teeth 06:48 is more to do every day. 06:50 And if we do that, we can avoid a lot of pain. 06:52 You know another friend told me one time, 06:53 "You have to brush your teeth, 06:55 just the ones you want to keep." 06:56 This... 06:57 Well, you know that's interesting, Nick, 06:59 because if you think about you know oral pain, 07:01 you know we have our teeth and our gums, 07:04 what did you know I talked to Dr. Davis once about this 07:06 as what did we do before we had toothbrushes 07:08 you know we've always had toothbrushes. 07:10 That's true. 07:12 And he was telling me that 07:13 the reason a lot of the cavities, 07:14 gum pain, and problem happens is because of processed sugar. 07:18 Yeah, sure. 07:19 And if we can get processed sugar out of our lives, 07:22 we can save a lot of oral problems. 07:24 That's right. 07:26 And also you know the canker sores 07:28 and some of those things you know 07:29 that's great we put them so topical stuff on it 07:31 to get a feel better total. 07:33 But if we can do the things 07:34 if process sugar our lifestyles are contributing to it, 07:37 if we can do that, it's going to help a lot. 07:39 Yeah, certainly. 07:40 Now you know I guess 07:42 we should talk about all the different causes, 07:43 other causes of oral pain, too. 07:45 Yeah. 07:46 What are some of those 07:47 and if you experience any others? 07:49 Well, I mean you know as a cardiologist, 07:50 I run into people with different, 07:52 and so we're going to talk to people 07:54 and if they have any questions go to our website. 07:56 We'll give it over to Dr. Davis 07:57 'cause we might not be able to handle 07:59 all these oral questions, 08:00 but think let's think about 08:02 we talked about our teeth and gums. 08:03 Okay. 08:04 But a lot of that can from trauma okay. 08:07 Right. 08:09 People might have braces 08:10 or special things in their mouth. 08:12 They might be professions or things that hit their mouth. 08:15 You know that would cause trauma, 08:17 that could cause pain in the mouth. 08:19 Why it's so serious if we have a lesion in the mouth 08:22 is if we think about it if the mouth bleeds, 08:24 there's lots of bacteria in the mouth. 08:26 And you can be set up for infections in the mouth. 08:29 One of the serious infections that I'm concerned about is 08:31 if you have a long-term dental abscess 08:34 which is an infection, 08:35 and it should go untreated and it gets in the bloodstream, 08:39 guess what the, the bacteria in the blood 08:41 is circulating all through the body. 08:43 Causes more stress on the heart. 08:44 Yeah, more stress on the heart 08:45 and if you have an abnormal heart valve, 08:48 that bacteria that's floating through says, 08:50 "I'm getting a little hungry. 08:52 What can I latch on to? 08:53 Oh, there's a heart valve. 08:55 I didn't about that, let me grab onto that." 08:56 So he grabs on just, "Mmm, little tasty." 08:59 Let me invite my friends over, and before long, 09:01 we could have an infection on the heart valve, 09:03 we call that endocarditis. 09:06 Also dental care 09:08 and it is causing a lot of inflammation 09:10 and inflammation is not good for the body either 09:12 especially, heart disease. 09:14 So we want to keep that mouth healthy 09:16 just to prevent heart disease infections there, 09:18 so trauma is a big deal. 09:20 We don't want to get are or you know so, Nick, 09:22 I would advise don't get in fights. 09:24 Okay. 09:26 If you're playing basketball and you've got some rough guys, 09:28 you might want to wear mouth guard, 09:31 things of that nature. 09:32 If you're wearing braces, you know you want to be careful 09:35 that you don't get a sharp wire that's banging into things. 09:37 Right. 09:39 Those are some just some common things of trauma, 09:41 so trauma is up there pretty high of oral pain. 09:44 Now every time I go to my dentist, 09:46 he pulls out the tongue, he kind of pokes around, 09:48 feels around. 09:49 I assume he's checking for cancer. 09:50 Yes, he is. 09:52 Now can that be a source of real pain in the mouth 09:53 or how would you know other than him checking? 09:55 Well, you might feel a mass. 09:57 If the cancer is pushing on a nerve 09:59 or pushing on an important structure, 10:00 it could cause pain as well. 10:02 So that that's a big, big issue if you have oral cancer, 10:05 who's at risk of having cancer. 10:08 A lot of people that chew tobacco, okay, 10:10 that's a carcinogen that gets in there. 10:12 So those are people 10:13 that are at a higher risk of having oral cancer, 10:15 but he will look for cancer 10:17 but cancer is a cause of referred pain. 10:19 And also sinuses. 10:21 You know sometimes sinus pain can be referred into the jaw. 10:26 And you might feel like a pressure 10:28 on the upper jaw that kind of thing. 10:30 It might be due to pain. 10:32 Other types of pain is infections, okay, 10:35 have you ever had a strep throat? 10:36 I haven't really. 10:38 Yeah, oh, have ever have a sore throat? 10:39 Yep, I had a sore throat. 10:40 Well, many people have had sore throats. 10:42 And sore throats can be from an infection, 10:44 either a bacterial infection or a viral infection. 10:48 Lots of kids around five, six age gets strep throat. 10:52 And that's very painful. 10:53 And if you look in their throats 10:55 and they say ah, you'll see all sorts of you know 10:57 so white splotchy blots, tonsils, tonsillitis, 11:01 you know we can get that tonsils infected 11:04 that can cause a lot of pain. 11:05 Usually, when you swallow, 11:08 so those are another couple of causes of chronic pain. 11:11 So you've probably... 11:13 Every question I asked you, Nick, 11:14 you've never had problems with 11:15 so have you ever had pain in your mouth? 11:17 I've had sore throat. 11:18 Okay, so you had the sore throat. 11:20 Yeah, I had a sore throat. 11:21 I don't know, 11:22 what's difference between sore throat and strep throat, 11:24 I guess I think strep being a bit more serious. 11:25 It's a cause, you know, 11:26 that you know strep is a bacterial infection. 11:29 Whereas sometimes you just get a viral infection 11:31 or you know common cold or rhinovirus is a common virus 11:34 that can cause a sore throat but it's not, it's not quite, 11:39 they don't get the white blotches. 11:40 You don't run afoul of that kind of thing. 11:43 So I think we've talked about causes of pain in the mouth, 11:45 teeth, gums, trauma, cancer, infections. 11:50 We've talked about the sinuses. 11:52 And if you have it, you've got to get it looked at. 11:54 That's right. 11:55 Now let's go back to processed sugar. 11:56 You mentioned that earlier, 11:58 that's a really, really tough one 11:59 to eliminate from your diet. 12:01 It is, but it's sort of a contributor 12:04 to all sorts of problems. 12:05 Cavities, bacteria in the mouth, 12:07 they like that processed sugar. 12:09 It can create, 12:10 weakens your immune system or likely to get infections, 12:14 more you know, more like the gum health, 12:15 the gums aren't happy when you get a lot of processed sugar. 12:18 So if we can get rid of processed sugar, 12:21 we can eliminate a lot of the problems 12:24 of chronic mouthing. 12:25 If you do that and you get rid of processed sugar 12:29 and you take good care of your teeth 12:31 and you avoid trauma, boy, you can will be low risk 12:34 for having problems with mouth pain. 12:36 If you do have oral pain 12:37 and it doesn't go away pretty quickly, 12:39 you need to get it evaluated. 12:41 The specialist that does that 12:42 is someone like Dr. Davis, a dentist. 12:45 Don't go to a cardiologist if you have mouth pain. 12:47 That's right. 12:49 'Cause I will look at you and I said, 12:50 "Kelly, my daughter's having some pains, 12:52 she want me to look at her sockets the other day." 12:54 And I looked at them and said, 12:55 "Ah, they look pretty good to me." 12:56 She said, "Well, why does it hurt?" 12:58 "Well, it probably hurts 12:59 because their nerves were disrupted 13:00 when the teeth came out." 13:02 Well, that didn't sit well coming from dad. 13:03 So she made an appointment to see the dentist today. 13:06 She wanted to hear from the professional dentist. 13:07 The expert. 13:09 So you might want to go to the expert, 13:11 if you want an expert opinion. 13:12 But I just want to give some general principles on pain, 13:15 what to do, how to prevent it, 13:17 what we need to do when we're experiencing pain. 13:19 Yeah, but we've got a bunch of questions 13:21 that are coming to the website 13:22 and we're going get to those in just a moment. 13:23 If you have a question please visit our website 13:25 at HeartwiseMinistries.org. 13:27 You can ask the doctor your questions, 13:29 and we'll get them to the preferred specialist, 13:32 and you can also request prayer 13:34 and there's a bunch of health resources 13:36 on the website. 13:37 So visit that, communicate with us, 13:38 and we we'll be back in just a moment. |
Revised 2016-12-31