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Possible Signs of COVID-19 In the Mouth

August 16th, 2020

There’s a lot to look out for when it comes to COVID-19 and trying to stay safe and healthy. From frequent hand washing, to social distancing, to getting used to wearing a face covering, to recognizing common coronavirus symptoms -the list of things is numerous! Researchers are finding that there may be another COVID-19 symptom to monitor for that can appear in your mouth.

Several recent studies have looked at the presence of oral lesions in individuals with COVID-19. Much of the research remains unclear regarding whether or not the oral symptoms were a result of the coronavirus infection or due to the individual’s other current systemic medical conditions, or because of adverse medication reactions.

In a published study authored by Carreras‐Presas and colleagues, three case reports were presented involving individuals who all developed oral ulcers/blisters and were believed to be infected with COVID-19. Out of the three investigated individuals, one tested positive for COVID-19, while the other two individuals were not tested for COVID-19 due to milder symptoms. Here’s a breakdown of the cases:

  1. The first case was a 56‐year‐old male with no existing medical conditions. He reported experiencing a fever, change in taste, pain at the roof of his mouth (palate), and a sore throat. These lesions resolved after approximately 10 days with treatment. The palate is pictured below:
  2. The second case was a 58‐year‐old male with diabetes and high blood pressure (hypertension). He presented with ulcers on his palate and reported no previous history of a herpetic infection. The lesions were healed after approximately 1 week with treatment.
  3. The third case involved a 65‐year‐old female who tested positive for COVID-19 and experienced a high fever, diarrhea, and tongue pain. Her existing medical conditions included obesity and high blood pressure, which she controlled with high blood pressure medications. Shortly after being released from the hospital she developed blisters on the inside of her lip, as pictured below. With a prescribed mouthwash her oral lesions improved after 3 days.

More research needs to be conducted to determine if oral lesions can be considered a sign of COVID-19 infection. Due to the susceptibility of COVID-19 through air droplets, researchers believe that the mouth could possibly be the first place in the body to show signs of infection. The study authors also believe that this data matches other studies that have shown ulcers and blisters to be common lesions associated with other viruses, including hand, foot, and mouth disease, and herpetic gingivostomatitis for instance.

Another research study looked at 21 hospitalized individuals who tested positive for COVID-19 who presented with a skin rash on the outer surface of their bodies. The study was published in JAMA Dermatology and conducted in Spain. Of the 21 individuals, six individuals (29%) also presented with an oral rash, resembling small red spots on the mucosa inside the mouth. These oral lesions appeared approximately two weeks after other COVID-19 symptoms were present, with a reported average of 12.3 days. Of the six individuals, four were women and two were men, and their ages ranged from 40 to 69 years old. On all individuals the oral mucosal spots (also known as an enanthem) were present on the palate. The authors of the study believe that these oral manifestations were most likely linked to the presence of a virus rather than due to a drug reaction because the oral lesions in 5 out of the 6 individuals presented with a petechial pattern. Petechiae, small red-purple spots created by bleeding under the skin, have been found in several other research studies to be associated with viral infections.

If you notice any unusual signs or symptoms occurring within your mouth, or are experiencing any typical COVID-19 symptoms, seek a medical professional immediately.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://www.medpagetoday.com/infectiousdisease/covid19/87584

https://onlinelibrary.wiley.com/doi/full/10.1111/odi.13382

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323044/

https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/teeth-and-mouth/oral-herpes-teaser.ashx

Recalled Onions? The Latest News

August 12th, 2020

For many, onions are a must-add ingredient to enhance your meal. For all of the onion lovers, whether in a salad, pasta, or sandwich, the flavor of an onion can take your food to the next level! They’re loaded with healthy antioxidants, fiber, prebiotics, and vitamins and minerals, including vitamin B, C, and potassium. Not to mention, they possess anti-bacterial properties. But, recently, you may have been told to dispose of your onions, as news reports of a salmonella outbreak from onions has reached more than 640 people across 43 states in the U.S. Salmonella is a bacteria, commonly associated with contaminated food, which typically cause symptoms of diarrhea, fever, and stomach cramps. According to the Centers for Disease Control and Prevention (CDC)salmonella could cause severe illness leading to hospitalizations or even death in individuals with weakened immune systems, most commonly impacting children under the age of 5 and elderly individuals over the age of 65. The CDC reports that this recent outbreak has resulted in approximately 85 hospitalizations.

The onion recall was initially issued on August 1st by Thomson International Inc., located in Bakersfield, California, reporting the recall for Red, Yellow, White, and Sweet Yellow Onions distributed from May 1, 2020-present. According to the company, these onions were transported to wholesalers, restaurants, and retail stores in all 50 states, the District of Columbia and Canada. Posted on the Food and Drug Administration (FDA) website, the company announced, “Consumers who have any Red, Yellow, White, and Sweet Yellow Onions under the above brand names, or who cannot tell if their onions are from Thomson International, should immediately discard these products and disinfect any surfaces that came into contact with the onions.” The onions were sold under several brand names, including Kroger, Thomson  Premium, Tender Loving Care, and others listed on the FDA’s website.

On August 10ththe FDA released an expansion of the initial recall. The company Progressive Produce LLC recalled red onions sold in Arizona, California, Nevada, and Utah stores at Trader Joe’s, in addition to yellow onions at Ralph’s in California stores.

The CDC states these guidelines if you suspect that you are experiencing symptoms of a Salmonella infection:

The CDC also states, “Several companies have recalled onions and foods made with recalled onions, such as chicken salad, macaroni salad, fajita stir-fry, pizza, sub sandwiches, diced raw onions and peppers, and other salads. Check your homes for these recalled products and throw them away. Do not eat them or try to cook the onions or other food to make it safe.”

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://www.cnn.com/2020/08/08/health/onions-salmonella-outbreak/index.html

https://www.foodnetwork.com/healthyeats/news/food-recall-onions-safe-to-eat

https://www.healthline.com/nutrition/onion-benefits#section7

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/thomson-international-complete-list-recalled-products

https://www.cdc.gov/salmonella/index.html

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/thomson-international-inc-conducts-voluntary-recall-red-yellow-white-and-sweet-yellow-onions-because

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/progressive-produce-voluntarily-recalls-red-and-yellow-onions-because-possible-health-risk?utm_campaign=Progressive%20Produce%20Voluntarily%20Recalls%20Red%20and%20Yellow%20Onions%20Because%20of%20Possible%20Health%20Risk&utm_medium=email&utm_source=Eloqua

https://www.cdc.gov/media/releases/2020/s0807-investigation-update-salmonella.html

https://gwillimdalefarms.com/wp-content/uploads/2018/03/onions-1024x683.jpeg

What's the Deal with Canker Sores?

April 29th, 2020

With the summer season around the corner, citrus fruits and fresh vegetables are aplenty. However, acidic foods such as oranges or tomatoes often trigger the appearance of canker sores. Additionally, salty and spicy foods or lack of vitamins and minerals can also lead to canker sores. According to the American Academy of Oral Medicine, canker sores (also known as recurrent aphthous stomatitis) are experienced by over half the population and typically first emerges in young teens. The oral condition affects the softer tissues of the mouth, such as the lips, cheeks, tongue, or soft palate. Sores are typically less than 1 centimeter in diameter and disappear without treatment, but it is not uncommon for sores to reappear in the same location. 

While the exact cause of a canker sore is not known, canker sores are thought to arise due to an accumulation of white blood cells in the mucosal tissue. Diet, stress, or hormonal changes are all considered possible triggers. If the canker sore is accompanied by a fever, abdominal pain, or fatigue, the sores could be a function of a systemic issue such as Crohn's, Bechet’s, or Celiac disease, and you should seek immediate medical attention. It is fairly common for canker sores to be a result of orthodontic treatment such as braces. If that is the case, ask your dentist for wax to cover any intrusive wires. 

 

To subside the pain and minimize the reoccurrence of canker sores, avoid any toothpaste or mouthwash that contains sodium lauryl sulfates and refrain from acidic, salty, or spicy foods that appear to irritate your mouth. Ask your dentist about over the counter gels available that can be applied to the sore to further ease the pain. Rinsing with warm salt water can also help. If the canker sores cause difficulty with eating, extreme pain, or the sores persist for more than two weeks you should immediately speak with your dentist to be further evaluated. 

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://www.aaom.com/

https://wa.kaiserpermanente.org/

https://www.mayoclinic.org/diseases-conditions/canker-sore/

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