Dilantin, A Dangerous Drug For Your Dental Health
The tooth decay the dentist found on the elderly man's mouth was one highly unusual black hole on one of his front teeth
. Because he gagged when he put his prescribed nitroglycerine tablets under his tongue, he decided to put it under his upper lip instead. They formed that large black hole on his front tooth.
Gum disease and tooth decay may be caused by the intake of common medications that Americans always take, say oral medicine experts. According to the oral medicine experts, doctors might not have a clue that these dental side effects exist, and if they do know, they're not telling.
Find out what the status of your patient's general health is and what medicines he takes, a dentist and pharmacologist at the University of Buffalo advises other dentists. He advises dentists to make careful observations of the medicines and to consider the side effects they may have.
Oral medicine experts who were also instructor at this week's ADA meeting list down the following facts. Around 20% of those who take calcium channel blockers also have gum swelling. Bacteria get into the gums and causes serious gum disease via open pockets in the gums caused by inflammation. Many of these medicines are widely sold all over the country.
Anti epilepsy drugs and amphetamines are the source of other swellings as well. Greater gum swelling is caused by a drug used for organ transplant patients, which is called cyclosporin. Inflammation caused by leukemia is similar in appearance.
Dry mouth, an apparent side effect of 400 drugs, is also a side effect of radiation treatment for cancer. Those who don't have enough saliva may need topical fluoride treatment because they are prone to various dental problems. The dentist would often contact the doctor of the patient and request that calcium channel blockers be replaced with another heart medicine because of the gravity of the problem.
If this cannot be done, then plaque buildup must be constantly controlled and trips should be scheduled every two months. A dentist with a photograph of a patient with damaged teeth and gums said that such side effects would be no worry as long as the mouth is kept clean. There will be no problem if there is no plaque, he said.
The only visible part of the front teeth of the Dilantin patient in the photo he showed was the tips because of swollen gums. He explained that any patient on Dilantin should get dental treatment from the dentist within 10 days to avoid bacterial infection. The problem is not just confined to prescription drugs. Aside from medicines, lozenges and cough drops could pose as a problem since they contain sugar.
He is reminded of a woman who kept on having cavities. She said she brushed regularly and avoided sweets, leaving the dentists so perplexed. Then his receptionist spotted the woman popping pills, and she acknowledged she sucked on three packs of the antacid a day.
by: kucera94
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