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Taking your cold sore to the dentist

It’s just a cold sore. What’s the big deal?

Cold sores are extremely infectious, as the serum in them is laden with virus (herpes simplex). Stretching the lips may cause the blister to burst and pump millions of viruses into the surrounding area. Our policy is not to carry out treatment until it’s healed as it puts you, the team and other patients at risk.

Can I see my dentist/hygienist with a cold sore?

So, the big question here is, can we see you with a cold sore? The short answer is no, we can’t see you within the first 2 weeks of the cold sore appearing or until it has healed. As we work in the area where the infection is (your mouth/lips/nose), it can be easily spread. Even though we have amazing infection control policies in place, even creating an aerosol with a handpiece or the sonic scaler, can be enough to set off a reaction to someone else. Once the virus is in the air, it’s quite difficult to get rid of.

It will make your treatment uncomfortable too. Your lips may feel sore and could crack or bleed during treatment. This will just prolong the healing process for you. If urgent dental treatment is required (i.e. you are in pain and need immediate attention), our dentists will request that your cold sore is protected with a cold sore plaster to minimise the risk of cross infection during emergency dental treatment.

Sorry, but we will turn you away…

If you have an appointment and feel a cold sore developing, please contact us as soon as possible to postpone your treatment. If you arrive for your appointment with a visible cold sore we will not be able to proceed with treatment, and you will be turned away.

If you have acute symptoms requiring emergency assistance, appointments may be booked but the treatment will be at the discretion of the dentist.

Why We Reschedule Appointments for Active Oral Herpes

  • Contagious: Cold sores are caused by the herpes simplex virus (HSV-1) and are highly contagious, especially when blisters are present.
  • Discomfort: Dental procedures can irritate the cold sore, causing pain and potentially leading to cracking or bleeding.
  • Risk of infection: The area around a cold sore is more susceptible to infection, and dental work could increase that risk.

 

We follow strict guidelines to prevent the spread of infections in the clinic. Even though dentists and hygienists use personal protective equipment (PPE) such as gloves, masks, and goggles, the risk of spreading the herpes virus (either to them or via contamination in the clinic) remains a concern.

Prevention Tips to Avoid Future Outbreaks

Although it’s difficult to prevent cold sores entirely once you carry the HSV-1 virus, you can take measures to reduce the frequency or severity of outbreaks:

  • Use Lip Balm with SPF: Sun exposure can trigger cold sores, so protect your lips with a moisturising lip balm that contains sun protection.
  • Manage Stress: Stress is a known trigger for outbreaks. Practice relaxation techniques and ensure you’re getting enough sleep.
  • Eat a Balanced Diet: A diet rich in vitamins and minerals can help strengthen your immune system, making you less susceptible to frequent outbreaks.
  • Avoid Touching Cold Sores: If you do touch a cold sore, wash your hands immediately to avoid spreading the virus.
  • Keep Your Mouth Healthy: Maintain good oral hygiene by brushing twice daily, flossing, and attending routine dental check-ups to help mitigate potential triggers.

 

While it may be inconvenient to reschedule your appointment, it’s important to remember that postponing when you have an active oral herpes outbreak is a critical step in preventing cross-infection and ensuring everyone’s safety.

By taking these precautions and following proper self-care steps, you’ll be ready to return to the dentist once you’re free of active lesions. Your dental team will appreciate your diligence, and you’ll help safeguard the health of the practice, its staff, and your fellow patients.

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Your go-to place for honest advice, dental know-how, and the occasional bad joke (we can’t help ourselves). Written by our team, for real people, because dentistry doesn’t have to be dull.