Cold Sore, Fever Sun Blisters, oral mouth - see Herpes

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by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

Cold Sore, Fever Sun Blisters, oral mouth - see Herpes
Click on the small photos below to enlarge.
Image	Photo Description
	A cold sore - primary Herpes I infection on the attached gingiva (the pink gum). Note the small, separate white "pimples" which eventually coalesce into one larger lesion. This can be very painful and is contagious. It is defined as a sexually transmitted disease - STD - though it is possible to contract it innocently, e.g. by sharing food. Herpes I infection is more frequently seen on the lips. Diagnosis and prescription medication can greatly reduce the symptoms and duration. For more information click on the "Dental Textbook" on the top of this page and then click on "Cold Sores" in the left margin.
	A cold sore - herpes gingivalis at three days. 1) Labial photo of tooth #30. 2) Palatal photo of tooth #3. This is contagious and can be quite painful. It begins as individual little red dots that coalesce on the pink attached gingiva (gum). This is distinctly different from a canker sore (see aphthous ulcer). Diagnosis and treatment with prescription medication can dramatically improve symptoms. For more information click on the "Dental Textbook" on the top of this page and then click on "Cold Sores" in the side margin. Unfortunately Herpes Gingivalis - gum herpes - is hidden inside the mouth on the gums and so the person becoming infected will typically have no idea. Common contact points are oral to oral or oral to genital.
	A cold sore - Herpes Simplex Type 1 (at 7 days). Herpes Labialis means lips as opposed to Gingivalis which means gums. This is a highly contagious sexually transmitted disease that can also be transmitted by innocent contact! Avoid kissing, oral sex and sharing food when visible. Diagnosis and prescription medication can significantly reduce the onset and severity of an outbreak. For more information click on the "Dental Textbook" on the top of this page and then click on "Cold Sores" in the side margin.
Information about these dental photos In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile. For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side. Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand. This is particularly important because a majority of our visitors are from countries where English is not their primary language. Maxilla or maxillary refer to the upper jaw. Mandible or mandibular refer to the lower jaw. There are many other similar word combinations used throughout this website because our pages are read by patients and dentists. A few of the most common are discussed here. Tooth decay, tooth cavity and dental caries all mean the same thing. Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate. Oral rehabilitation and dental reconstruction mean smile makeover. The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.

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