Multiple Sclerosis and your Oral Health

March 23, 2022

Filed under: Uncategorized — wellesleydg @ 12:08 pm

The National Multiple Sclerosis Society (NMSS) continues to work to cure multiple sclerosis (MS) via research and many educational initiatives. Multiple Sclerosis Awareness Month is an important yearly effort to spread awareness and help individuals impacted by this disease manage their treatment and overall health. MS is an autoimmune disease in which the body’s immune system attacks its own central nervous system. This can lead to trouble balancing, impaired vision, fatigue, and other health irregularities.

MS affects approximately 2.5 million people worldwide, and the cause and a definitive cure is not currently known.

It is important to note that MS can even impact oral health. Individuals with MS have a higher risk of many dental issues. This is partly due to oral side effects (i.e. dry mouth, sinusitis, etc.) from some MS medications, as well as symptoms of MS (i.e. weakness, fatigue, loss of muscle control, facial and oral pain, etc.) impeding with proper oral hygiene practices like tooth brushing and flossing. In fact, a 2019 study published in the Polish Journal of Neurology and Neurosurgery (PJNNS) noted a high prevalence of MS patients with dry mouth (43.2%) and bleeding gums (28.1%) among Polish patients. Yet, these obstacles can often be overcome with assistance and certain adjustments.

Good oral hygiene is important for overall health, and if not maintained can lead to worsening of MS symptoms, according to the NMSS. Similarly, poor oral hygiene resulting in periodontal disease has also been linked to other systemic diseases, such as diabetes and heart disease.

In addition, according to Everyday Health, immunosuppressant treatments for MS increased the risk of the development of gingivitis (gum disease), candida fungal infections, human papillomavirus (HPV) infection, and leukoplakia (oral white lesions).

According to the National Multiple Sclerosis Society, some adjustments to your oral routine that can help if you have MS include:

If you are experiencing dry mouth possibly due to your MS medication, make sure to regularly stay hydrated with fluoridated water. Try avoiding caffeine, tobacco, and alcohol which all tend to dry the mouth out. Using a humidifier at night may also help alleviate dry mouth. Speak with your dental professionals about over-the-counter dry mouth products such as oral rinses like alcohol-free Biotène Rinse. Your dentist may recommend a prescription-strength fluoride toothpaste or fluoride treatments to help protect your teeth from tooth decay.

Do your best to implement a good oral hygiene routine, including brushing your teeth twice a day for at least two minutes each time using a fluoride toothpaste, floss daily, and eat a well-balanced meal limiting sugary foods and beverages. Keeping up with your regular dental appointments is key to staying healthy. Let your dentist know if you have MS and any other medical history along with medications you are taking. If you need any special requests be sure to let your dentist know to ensure that your visit is as comfortable as possible.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Bahar Houshman and Dr. Marisa Reason is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Reisman would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://nationaltoday.com/multiple-sclerosis-awareness-month/

https://www.everydayhealth.com/multiple-sclerosis/living-with/how-ms-affect-oral-health/

https://www.nationalmssociety.org/NationalMSSociety/media/MSNationalFiles/Brochures/Brochure-Dental-Health.pdf

https://www.google.com/url?sa=i&url=https%3A%2F%2Fmagazine.medlineplus.gov%2Farticle%2Fmultiple-sclerosis-an-overview&psig=AOvVaw3-hiGmEHxNyCRHE71o4-xU&ust=1647051396704000&source=images&cd=vfe&ved=0CAsQjRxqFwoTCPDQzuv-vPYCFQAAAAAdAAAAABAY

https://images.theconversation.com/files/241960/original/file-20181024-169807-gk9t1v.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip

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