Portland family dentist A Clean Mouth Can Prevent Gum Side Effects
Thursday, September 2, 2010 9:35:49 PM
The dentist had not expected at all tooth decay quite so large to be seen on the elderly man's front tooth. Because the man almost threw up on his prescribed nitroglycerine tablets when placed under his tongue, he stuck them under his upper lip instead. These tablets ate away at his tooth, creating that big hole.
The oral medicine specialists have stated that hundreds of commonly taken pills and tablets are direct causes of tooth decay and gum disease. It's possible that doctors have no idea that the medicines may damage teeth, but it's also possible they know but aren't saying, the oral experts pointed out.
A dentist and pharmacologist at the University of Buffalo said they urged dentists to question patients about their general health and medications. He advises dentists to make careful observations of the medicines and to consider the side effects they may have.
Teachers at this week's ADA meeting, oral medicine specialists reveal what are said to be the top problems. A side effect of calcium channel blockers is gum swelling, which can be found in 20% of patients who take these drugs. Because of inflammation, the gums have openings for bacteria to cause swelling and gum disease. Many of these medicines are widely sold all over the country.
Anti epilepsy drugs and amphetamines are the source of other swellings as well. A drug used by organ transplant recipients, cyclosporin can cause massive gum swelling. The gum inflammation of leukemia looks just like it, the dentist stated.
Dry mouth, a side effect of radiation treatment, is caused by several kinds of drugs. Dental problems result from lack of saliva, and those who don't have enough may need topical fluoride treatment. If the dentist does not agree with the doctor's prescription of calcium channel blockers, he would ask the doctor to change it to another heart medicine which does not cause too much dental problems.
Otherwise, plaque buildup must be strictly monitored and the trips to the dentist have to be at least once every two months. You can avoid gum side effects if you just keep your mouth clean at all times, another dentist pointed out. According to him, the absence of plaque would mean that there's no problem.
In a photograph he showed, a Dilantin patient with swollen gums could only show the tips of his front teeth. This condition could be minimized if the patient on Dilantin would see the dentist in 10 days so that the gum pockets could be treated, he said. Prescription drugs are not the only things you should be concerned about. Antacids, cough drops, and over the counter lozenges all contain sugar.
In one woman's case, cavities were always showing all throughout her mouth. She rarely ate sweets and always brushed her teeth, so dentists were a bit confused. When the receptionist saw her taking pills, the woman said that she consumed three packs of antacid every day.
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