General Medications Can Have Oral Side Effects

Many medications are known to have side effects which can affect the oral health.

 
In most cases, the oral side effects of medications resolve shortly after you stop taking the medication. However, it is important to be aware of the side effects that a particular medication could have when prescribed. This holds true for over-the-counter medications too.
 
Some common oral side effects include:
 
Dry mouth — antihistamines and other drugs can cause a decrease in saliva further leading to soft tissue inflammation, pain and infection. Tooth decay can also develop, and chronic dry mouth can create difficulties for people who wear dentures. These symptoms can be decreased by increase intake of water or using sugarless lozenges or gum to stimulate the flow of saliva. Artificial saliva may be recommended.
 
Overgrowth of gum tissue — also referred to as "gingival hyperplasia” Gum tissue overgrowth is associated with anti epileptic medications, immunosupressant drugs such as those taken by organ transplant patients and calcium channel blockers taken by heart patients. Studies suggest that gum tissue overgrowth can be controlled if meticulous oral hygiene is started at the same time or before medication is taken. Tissue overgrowth can make oral hygiene difficult. Sometimes, a gingivectomy (a procedure used to remove excess tissue) may be necessary.
 
Soft-tissue reactions — oral sores, inflammation or discoloration of the soft tissue can result from taking medications prescribed for blood pressure control, immunosuppressive agents, oral contraceptives and some chemotherapeutic agents. Your dentist may recommend an oral hygiene program to limit the discomfort associated with such side effects.
 
Abnormal bleeding — reduced blood clotting is a result of aspirin and prescribed anticoagulants, like heparin or warfarin. These medications are prescribed to treat strokes or heart disease, but can cause bleeding problems during oral surgery or periodontal treatment. If you're having dental treatment, talk to your dentist about these medications, especially if the dental procedure involves bleeding.
 
Tooth discoloration — intake of tetracycline products during the development stage of teeth can cause permanent staining in those teeth. Cosmetic dentistry techniques like veneers, crowns, bonding procedures, or, in some cases, bleaching may be used to lighten teeth with tetracycline stains
 
Jaw bone necrosis - Oral bisphosphonates are drugs commonly prescribed for osteoporosis. They are a common ingredient of over the counter drugs taken by women post menopause.On long term use, the blood supply to the bone supporting the teeth takes place and bone necrosis is likely to take place even after simple extraction procedures. Regular oral hygiene regimen is recommended for such patients.

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