Multiple Sclerosis and Oral Health
Multiple sclerosis, or MS, is a lifelong disease that affects your brain, spinal cord, and the optic nerves in your eyes. MS can negatively affect balance, muscle control and vision as well as many other daily body functions. Also, motor function and coordination are heavily affected, resulting in muscle weakness and spasticity. Consequently, everyday tasks like holding a toothbrush become nearly impossible. Problems with coordination and fatigue also make it difficult to keep up with proper dental care. MS patients are all at higher risk for dental issues because of the complications of MS. The disease itself affects the teeth and gums on a biochemical level. The medicine that is used to treat MS can also lead to problems.
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. 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 can lead to a multitude of dental problems. Saliva is needed to reduce plaque, stop the growth of bacteria, and wash away food debris. Tooth decay and gum disease can develop without enough saliva. 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 good oral hygiene at home, dental appointments may be needed more frequently. There a few dental tips that can help reduce negative oral symptoms. Patients should sit down while brushing their teeth when dealing with fatigue. 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 using weighted gloves to steady their hand movements. Electric toothbrushes are a great alternative to consider. Use formulated mouthwash or chew sugarless gum to stimulate saliva in cases of dry mouth.
*Content from this blog was originally received from the online practice