The tooth decay the dentist found on the elderly man’s mouth was one highly unusual black hole on one of his front teeth. He was taking nitroglycerine tablets which he placed under his upper lip instead of under his tongue. These tablets caused that very big hole in his tooth.
The oral medicine specialists have stated that hundreds of commonly taken pills and tablets are direct causes of tooth decay and gum disease. Patients suffer tooth decay and gum disease because their doctors either don’t tell them these are the side effects of the medication or the doctors themselves have no clue.
A dentist and pharmacologist advises patients to know more about the medicines and the general health conditions of their patients. Look at each tablet and each pill with scrutiny and think about the side effects they may have, he tells dentists.
Oral medicine specialists, who taught classes at this week’s ADA meeting on recognizing drug side effects, said the top problems include the following facts. Gum swelling is apparently suffered by 20% of patients who take calcium channel blockers for high blood pressure and heart disease. The inflammation opens pockets in the gums for bacteria to infiltrate, leading to massive swelling and serious gum disease. Included in this list of medicines are the widely sold drugs.
Medications to prevent epilepsy attacks and to treat hyperactivity also create similar types of swelling. Used to prevent organ rejection, cyclosporin is capable of causing a bigger type of swelling. There is a similarity between the leukemia’s gum inflammation and the inflammation caused by cyclosporin.
Cancer patients experience dry mouth from radiation treatment, and dry mouth is a side effect of more than 400 drugs. Topical fluoride treatment might be necessary for people who don’t have enough saliva since they are prone to dental problems and infections. The problems caused by calcium channel blockers can be so serious that the dentist would call the doctor and ask him to change the prescription.
If it is impossible, the patients must see the dentist frequently and their plaque buildup must be monitored. Showing a photograph of a patient with damaged teeth and gums, another dentist pointed out that gum side effects can be avoided by a clean mouth. Absence of plaque is the absence of any problem, he stated.
The gums of the Dilantin patient in the picture he had were swelling so badly that only the tips of his front teeth were seen. Treatment of the gum pockets within 10 days is recommended by him for patients going on Dilantin to minimize the condition. Prescription drugs are just among other problems for dentists. An active ingredient in over the counter lozenges, cough drops, and antacids is sugar.
Cavities kept on showing up inside the mouth of one woman. Dentists were left mystified because she took care of her teeth and always brushed and avoided sweets. Large amounts of antacid were consumed by the woman every day, it was later found out.
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