I’m often asked how physical conditions affect dental health. When reviewing a patient’s medical history, there also may be medications that impact dental care
Dry mouth. Often experienced by our patients over 50, this can lead to an increased chance of decay because saliva helps wash away debris after eating and buffers some of the acids in foods and drinks.
Among the most common causes of dry mouth are diabetes medications. To counter this problem, patients should drink lots of water after eating (preferably from the tap, where there may be fluoride present in the water) and use a highly fluoridated toothpaste; one of the best is PreviDent 5000, which can be prescribed by a dentist or physician.
Heart or artificial joints. Speaking of medications, patients who have had heart procedures or prosthetics often are advised to take antibiotics prior to and after dental care that may involve some bleeding.
Though there is some debate in this area, a dental patient should always consult with their physician before treatment, whether it is for a dental cleaning or for fillings, crowns and similar work. Consultation between the physician and dentist should take place before the dental treatment.
Arthritis. Arthritis can play a role in dental care you do yourself. Patients may have a difficult time grasping a conventional toothbrush, as well as moving a toothbrush in a circular motion to remove plaque and tartar (the hard-to-get mineral deposit often found behind the lower front teeth). Electric toothbrushes, whether ultrasonic or rotating, can help. It’s also a good idea to provide family members or friends in the hospital or nursing home/assisted care living with an inexpensive battery-powered brush to help maintain good oral hygiene. Pre-loaded floss, small brushes and water flossers may also help.
Disabilities. Patients in a wheelchair may find it difficult to have dental work done. Though there are a few dental chairs that have lifts similar to those found on specially equipped buses or vans, most of these patients get treatment while sitting in their wheelchair.
Some dental offices have portable handheld X-ray machines that minimize radiation exposure while making it much more convenient and efficient for both the patient and the operator. Another option is to carefully lift the patient into the dental chair and use cushions for comfort and stability.
Sleep. Sleep issues may also play a role in dental health. Some patients grind their teeth while sleeping; a simple night guard, worn on one arch, may help. For snoring, a Snore Guard, fitted by a dentist, can often eliminate this behavior. A more serious problem is sleep apnea, when breathing repeatedly starts and stops during the night. It’s often treated with a CPAP machine, and dental devices can be beneficial. A physician-supervised sleep study can determine the best treatment options.
Dr. Steve Marsh serves patients throughout Greater Cleveland. He does all cosmetic dental procedures, including extreme dental makeovers. Contact him at 440-461-1003 or ClevelandSmiles.com.
