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Effects of Medications on Oral Health

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Several medications are associated with oral complications. Changes in the oral environment are responsible for it.

Medically reviewed by

Dr. Partha Sarathi Adhya

Published At October 12, 2023
Reviewed AtOctober 12, 2023

Introduction

An important component of general health is oral health. It is impacted by a number of variables such as nutrition, cleanliness, heredity, and lifestyle. The drugs we take, however, are a frequently disregarded issue that can have a substantial influence on dental health. The relationship between drugs and oral health is a subject that is becoming more significant in the healthcare industry. The management of a variety of medical issues is often aided by medications. However, oral health can also be significantly impacted by the use of these medications. This complex interaction between them emphasizes the need to have a thorough awareness of how various medications might impact the mouth, teeth, and gums.

What Are the Complications of Medications on Oral Health?

The complications of oral structures associated with medications are;

  • Dry Mouth: Reduced saliva production is the cause of dry mouth, a common adverse effect of several drugs. Saliva plays a critical role in maintaining dental health by removing food particles, balancing acids, and preventing tooth decay. Antihistamines, decongestants, antidepressants, and certain antihypertensive medications are common factors responsible for dry mouth. Those who are dealing with this illness should prioritize staying hydrated, chew sugar-free gum, and use saliva replacements to ease pain and prevent dental problems. When faced with medication-induced dry mouth, this proactive strategy can assist people in maintaining their oral health, promoting better smiles and overall dental health.

  • Gingival Hyperplasia - Gingival hyperplasia, also known as gum overgrowth, is a side effect connected to particular pharmaceuticals such as anti-seizure medications, calcium channel blockers, and immunosuppressants. This disorder causes swelling and enlargement of gum that are difficult to clean properly. People using these drugs need to maintain a strict oral hygiene routine to combat this problem. Regular dental appointments are necessary for expert cleanings and personalized advice on how to manage this side effect. By placing a high priority on dental care, people may manage the difficulties caused by medication-induced gum overgrowth.

  • Risk of Tooth Decay Increases: Drugs with high sugar content or those that dry out the mouth increase the risk of tooth decay and cavities. An easy food source for damaging oral bacteria can be provided by sugary drugs. Moreover, dry mouth inhibits saliva production which typically helps to neutralize acids and preserve teeth structure. Individuals taking such drugs should practice strict oral hygiene routines, such as routine brushing, flossing, and use of fluoride-containing dental products, to reduce this risk. Additionally, it may be helpful to avoid oral problems brought on by these drugs by seeing a dentist more regularly for checkups and thinking about fluoride treatments.

  • Taste Alteration or Dysgeusia: Some drugs have the potential to modify one's sense of taste, which can result in an unappealing metallic or changed flavor. This could have a negative effect on someone's diet and appetite, which might have an effect on their dental health. Maintaining good dental hygiene, being appropriately hydrated, and talking to a healthcare professional about taste changes are all important parts of managing dysgeusia. The doctor can provide direction or alternate prescription alternatives as necessary. Individuals can maintain a healthy diet and general dental health by properly managing dysgeusia.

  • Ulceration: Unwanted side effects of various medicines, particularly some nonsteroidal anti-inflammatory drugs (NSAIDs), are oral ulcers and sores. These excruciating oral sores might interfere with normal living. People should prioritize good oral hygiene practices, such as consistent brushing and flossing to lessen their effects. It is also wise to avoid meals that are hot or acidic because they might make the pain worse. For optimal management, consulting a dentist or other healthcare professional is essential. If the ulcers continue, the dentist may provide specific advice and suggest alternate drugs. People can lessen the agony brought on by medication-induced oral ulcers and maintain their dental health by being proactive and alert.

  • Medication for Osteoporosis: Despite their effectiveness, osteoporosis drugs like Bisphosphonates may cause problems with the jawbone in certain patients. Osteonecrosis of the jaw (ONJ), is a disorder that can cause painful jaw symptoms such as swelling and infections. Before undergoing any invasive dental operation, it is crucial for those using these drugs to discuss their prescription with their dentist and carefully consider preventative measures. Dentists can collaborate with medical professionals to control the risk, sometimes changing drug regimens or recommending antibiotics as necessary. This proactive strategy guarantees that patients may continue to gain from osteoporosis therapy while reducing the possibility of problems from ONJ, protecting their general dental health.

What Are the Protective Methods?

The protective methods employed to prevent the complications include:

  • Routine Examination: Schedule routine dental examinations and tell the dentist about all the drugs they are currently taking. They can keep an eye on dental health and offer advice if any problems should occur.

  • Maintaining Oral Hygiene: Maintaining proper oral hygiene requires frequent flossing in addition to cleaning teeth at least twice a day. Gum disease and tooth decay can both be avoided in this way.

  • Saliva Stimulation: Some drugs might result in xerostomia, or dry mouth, which can create issues with dental health. To encourage salivation, drink plenty of water, chew sugar-free gum, or utilize artificial saliva products.

  • Nutrition and Diet: Attention should be paid to diet. Avoid consuming sugary and acidic foods and drinks in excess since they might cause tooth damage. To maintain dental health, eat a balanced diet that is high in calcium, fruits, and vegetables.

  • Mouthwash: Alcohol-free mouthwash made for dry mouth treatment may be used for your medicine-induced dry mouth or poor breath. These items can ease irritation by hydrating the mouth.

  • Follow the Doctors’ Instructions: Follow the doctors’ recommendations while taking drugs to ensure proper medication administration. If particular drugs are known to have oral adverse effects, talk to the doctor about possible replacements.

  • Regular Cleaning: If patients routinely clean their inhalers and other breathing devices, they can avoid fungal or bacterial development that might be detrimental to their dental health.

  • Be Cautious: Keep an eye out for any medication-related side effects that might harm the oral health, such as altered taste, oral ulcers, or bleeding gums. Inform your healthcare practitioner about these problems.

  • Professional Advice: Talk to the dentist or dental hygienist about ways to lessen the negative effects of the drugs on oral health. They could suggest extra safeguards or dental care items.

Conclusion

Although medications are essential for treating a number of medical illnesses, they can also negatively impact dental health. People must be honest about their pharmaceutical routine with their doctors, dentists, and other healthcare professionals in order to reduce adverse consequences. While taking drugs, maintaining dental health can be facilitated by maintaining proper oral hygiene, drinking plenty of water, and adopting sensible lifestyle and food decisions. To identify and treat any possible oral health concerns early, routine dental checkups are crucial. People can benefit from their drugs while reducing the negative effects they may have on their dental health by being proactive and knowledgeable.

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Dr. Ashwini Kumar

Dentistry

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