Multiple sclerosis, or MS, is a lifelong disease that affects your brain, spinal cord, and the optic nerves in your eyes. It causes problems with muscle control, balance, and vision, along with other every day body functions. Motor function and coordination are heavily affected, with muscle weakness and spasticity making everyday tasks like holding a toothbrush near impossible. Problems with coordination and fatigue also make it difficult to keep up with proper dental care. All of these complications result in MS patients being at a higher risk for dental diseases. The disease itself affects the teeth and gums on a biochemical level, along with the medications used for treatment.
The Relationship Between Multiple Sclerosis (MS) and Oral Health
There is a cause and effect relationship between MS and dental health. One of the main characteristics and symptoms of MS is heightened levels of inflammation. This happens as a result of the immune system deteriorating. Gingivitis and periodontal (gum) disease are more likely to occur because of this. When inflammation occurs due to the nature of Gingivitis, a flare of MS symptoms manifest. These MS symptoms in turn release chemicals that penetrate the gum membrane and cause more inflammation. It is a never ending cycle, that without dental intervention, will deteriorate a patient’s health. Dental procedures can be used to treat gum disease and it’s symptoms but without proper prevention, a patient’s oral health will continue to deteriorate.
Oral medications used to treat MS also contribute significantly to the onset and symptoms of oral disease. Many MS medications aim to even out and control the immune system. These medications end up causing dry mouth (xerostomia), swollen gums (gingival hyperplasia), oral ulcers (ulcerative stomatitis), oral thrush (candidiasis), and reactivation of the herpes viruses. Lack of saliva caused by dry mouth causes a multitude of dental problems. Saliva is needed to reduce plaque, stop the growth of bacteria, and wash away food debris. Without this, tooth decay and gum disease can develop. The other side effects of MS medication, like oral ulcers and swollen gums, make it painful or even impossible to brush and floss properly.
Maintaining Good Oral Hygiene and Health
Dental care is incredibly important for MS patients. Having good oral hygiene can reduce symptoms. It is important to schedule regular dental visits. At the least, biannual checkups are a must for MS patients. Depending on how well patients practice oral hygiene at home, dental appointments may be needed more frequently. There a few dental tips that can help reduce negative oral symptoms. When dealing with fatigue, patients should sit down while brushing their teeth. They can also floss while in bed. If a patient has trouble holding their toothbrush, wrap foam around the handle to get a better grip. They can also try wearing weighted gloves to steady their hand movements. Electric toothbrushes are a great alternative to consider. For dry mouth, use formulated mouthwash or chew sugarless gum to stimulate saliva.
In the United States alone every hour of every day someone loses their life to oral or oropharyngeal cancer. It is the cancer of the mouth and upper throat. Only forty percent of patients diagnosed will live longer than five years. Patients often end up suffering from facial disfigurement or trouble talking and eating. Its fatality is directly linked to its late-stage diagnosis. Dentists are often the first to identify oral cancer symptoms in patients, which is why offering oral cancer screenings is crucial. Early detection and prevention are key.
Symptoms of Oral Cancer
Dentists should provide their patients with information on the symptoms and indicators of oral cancer. If a patient has an abnormality in their mouth that does not improve or disappear after two to three weeks, they need to see a dental professional immediately. Urge your patients to perform self-checks and be vigilant of symptoms, such as: Sores or ulcers that do not heal with four…
Here's a quick note to let you know Dr. Stangebye and staff will be out of the office to celebrate the holiday weekend. Our office will be closed on Friday May 24th through Monday May 27th.
If you don't currently have an appointment scheduled, but need to see the doctor before the weekend, please call us immediately to get on the schedule. Otherwise, Dr. Stangebye will be happy to see your smile when he is back next Tuesday May 28th!