While there is nothing to be ashamed of, many cold sore sufferers feel embarrassed by their condition. The sores are very noticeable during speaking and eating, and cold sores can draw unwanted attention to daily interactions. The virus that causes these blisters to form also causes genital herpes, many people have experienced embarrassment due to the social stigma about how they may have contracted the virus. Others may be wary of a person with an active lesion because they are contagious on contact or indirectly through fluids from the mouth.
There is a lot of confusion surrounding the difference between cold sores and canker sores.
As explained above, cold sores are the result of a contagious virus, HSV-1, spread from person to person. The sores occur on the external mouth, or less commonly, other areas of the face like the cheeks or chin. Many people test positive for this virus, though some will never show symptoms.
Canker sores, or aphthous ulcers are non-contagious lesions that cannot be passed between people, and occur on the soft tissues of the oral cavity, including the cheeks, tongue, and inside the lips. The exact cause of canker sores is unknown, but there is a familial link, and young people and women tend to be more susceptible. Many people notice the ulcers after they have eaten acidic or spicy foods, or experience some other intraoral irritation, like slipping with your tooth brush. Cold sores and canker sores are not at all related.
Herpes simplex type 1 is highly contagious, many people have the virus but will not necessarily suffer a cold sore outbreak. It is thought that most people contract the virus at a young age, especially when parents show their children affection and inadvertently pass along HSV-1 when they are asymptomatic. It is estimated that over 90% of the population have been exposed to the virus by age 50. Once infected, a person will have herpes simplex virus for the rest of his or her life.
The strain of herpes simplex virus usually responsible for cold sores is known as HSV-1. In rare cases, cold sores can also be caused by the herpes simplex virus type 2 (HSV-2). This can be the result of having oral sex with someone who has genital herpes, usually clear up without treatment within 7 to 10 days.
You may not have any symptoms when you first become infected with the herpes simplex virus. An outbreak of cold sores may happen some time later. Cold sores often start with a tingling, itching or burning sensation around your mouth. Small fluid-filled sores appear, usually on the edges of your lower lip.
Some people have frequently recurring cold sores around two or three times a year, while others have one cold sore and never have another. Some people never get cold sores at all because the virus never becomes active.
Factors thought to trigger outbreaks of cold sores include:
However, in many cases there’s no obvious trigger for an outbreak.
Cold sores are usually mild, but may cause complications in rare cases. People with weak immune systems caused by illness or treatments such as chemotherapy are particularly at risk of complications.
The herpes simplex virus can also spread to other parts of your body as skin infections – these often occur if the virus comes into contact with broken skin, such as a cut or scrape, or a skin condition such as eczema:
It’s not possible to prevent infection with the herpes simplex virus or prevent outbreaks of cold sores, but you can take steps to minimize the spread of infection.Cold sores are at their most contagious when they burst (rupture), but remain contagious until they’re completely healed. Avoid close contact with others until your cold sore has completely healed and disappeared. However, there’s no need to stay away from work or miss school if you or your child have a cold sore.
You can help minimize the risk of the cold sore virus spreading and cold sores recurring by following the advice below:
Symptoms of the primary infection are most likely to develop in children younger than five years old. Symptoms include:
Herpes simplex gingivostomatitis usually affects young children, but adults can also develop it. It can last 7 to 14 days, with the sores taking up to three weeks to heal. However, gingivostomatitis doesn’t usually recur after the primary infection. See your MD or Pedodontist for treatment.
Primary herpes simplex viruses are rare in adults, but the symptoms are similar to those experienced by children. You’ll usually have a sore throat with or without swollen glands. You may also have bad breath (halitosis) and painful sores in and around your mouth. These can develop into ulcers with grey or yellow centers.
If you develop the herpes simplex virus at an early age, it may be triggered periodically in later life and can cause recurring bouts of cold sores. After the primary infection, the symptoms are usually reduced to just the cold sores themselves.
Antiviral creams and tablets such as Acyclovir or Zovirax may speed up the healing time of a recurrent cold sore infection if used correctly: make sure to apply or take them as soon as the first signs of the tingling sensation appear, when the virus is spreading and replicating. Tablets are generally more effective than creams.
If you have frequently recurring bouts of cold sores, Dr Yahnian can prescribe an antiviral medication.
There are a number of reasons why laser sessions are now the gold standard in the treatment of cold sores. Light energy destroys the local virus that causes cold sores to form. Patients who undergo laser therapy can prevent or diminish ulceration from occurring through photo-biostimulation technology. The laser effectively explodes the virus that causes cold sores to form. The body then cues the healing process to begin. Laser treatments can prevent future cosmetic damage by lessening the probability of cold sores recurring on the same areas of the lips.
Cold sore patients can experience immediate relief after the minutes-long treatment. There is no need for anesthesia as the laser treatment procedure is painless. The laser never needs to touch the skin to be effective. At times, patients may feel heat from the laser, but cool air from an electric dental instrument can increase patient comfort. Most sessions last about two minutes, and those with the beginnings of a cold sore relay instant relief, not pain. The optimal time to undergo cold sore laser treatment is when symptoms first appear.
To schedule, and get out of pain quickly, call
Capitol Premier Dental Group
and see how Dr. Yahnian can help you!