How Does Multiple Sclerosis Affect Oral Cavity Health
Muscle weakness or spasticity complicates brush or floss effectively.
Dry mouth due to dry mouth medication can lead to tooth decay and bad breath.
Many changes can help keep good oral hygiene at home.
Because multiple sclerosis is a neurological disorder, many people cannot see that this can affect oral hygiene. However, Multiple Sclerosis can affect teeth, gums and mouth both directly and indirectly. With some careful planning and routine adjustments, people with MS can continue to maintain healthy oral hygiene.
Challenges of good dental care
For patients with Multiple Sclerosis, the basis for oral self-care can be difficult – brushing and flossing twice a day – twice a day. Muscle weakness, spasticity or lack of coordination can be challenging for toothbrushes. Because of fatigue or imbalance, it may be difficult to stand by the sink.
“MS affects engine operation and engine coordination,” says Payam Kashani, The Gentle Family Dental, New York Queens. “People lose their muscles very well controlled.”
“To be good at oral hygiene, it requires good manual dexterity with brush and dental floss. People with MS can’t do this right, ” says Dr. Kashani.
Pain in and around the mouth can interfere with regular brushing and flossing. In a study published in the Journal of Oral Maxillofacial Surgery in February 2013, nearly 90% of subjects, all of whom were MS, had some face or mouth – related symptoms (including numbness or pain ). Longer – lasting patients experienced these symptoms more frequently.
Although visual disturbances were the most common symptoms observed in the study, approximately 8% of symptoms experienced trigeminal neuralgia and trigeminal nerve. Tooth elimination causes pain caused by trigeminal neuralgia or a less frequent form of pain in the area of the tongue, tonsils, jaw or ear.
Vital for Health
A study carried out by Spanish researchers in March 2012 showed that people with MS have a high proportion of tooth decay (caries) and dental disease. These problems can affect general health in many ways.
“For the past 10 years good oral hygiene has proved to be very important,” says Kashani. “Studies have shown links between the parodontal disease caused by weak oral hygiene and inflammatory processes caused by heart disease, diabetes and other types of disease.”
In addition, if the mouth, gums and teeth are not good, the consumption and digestion of healthy, nutritious food is increasingly challenging.
Bad oral hygiene can lead to infection, which can exacerbate the symptoms of MS. In addition, tooth loss affects not only the ability to chew, but also the smile and appearance of the person, which play a role in self-esteem.
Effects of medicines on the mouth
Medicines used to treat Multiple Sclerosis symptoms often have consequences for oral hygiene. A common side effect is dry mouth.
“Dry mouth usually involves tooth decay, which is very difficult to handle,” says Kashani. “The nerve is developing very quickly, and if it doesn’t get to it in time, the patient could lose the tooth.”
- Dry mouth can also cause halitosis or bad breath.
Steroids, which are often used to treat MS relapses, suppress the immune system, so people who take them do not heal very well. “The body must be able to treat the gums properly,” Kashani says. “In immunocompromised patients, gum disease develops more rapidly. They’ll lose their teeth faster. ”
Depression is a potential side effect of medicines compared to MS-and is common among people with MS in general. People with depression don’t usually take care of themselves, including oral care.
Modification of routine
The first step to good oral hygiene is to use MS to ensure adequate and regular brushing and flossing. There are several ways to solve the usual MS challenges:
- Motor coordination weakness or grip difficulty:
- Pull up the foam around the handle of the toothbrush to make it easier to hold.
- Try an electric toothbrush, circular brush heads, Dr. Kashani’s advice. “We need a special technique that dentists use in the office.”Recommend Sonicare line toothbrushes.
- Ask a family member or a personal assistant for help.
For the pain:
Very soft toothbrushes can be more comfortable. “It’s the technique that means the effectiveness of a toothbrush and not the rigidity of a brush,” Kashani says.
Talk to your doctor with the medication to ease the pain of oral or facial pain.
- Sit down with a brush.
- Bed linen in bed
To prevent dry mouth, Dr Kashani recommends a mouth rinse such as the nonalcoholic Biotène Dry Mouth Oral Rinse. “Mouth rinsing is very effective. It contains protective enzymes that are usually saliva, ” he says.
Alcoholic mouthwash is not suitable for MS sufferers. “Alcohol consumption dries the mouth even more,” says Kashani.
For those who cannot adapt brush and floss effectively, one or more of the following are recommended:
Toothpaste . “These are used twice a day as regular toothpaste”
- Daily fluoride treatments at home.
- Dentist’s vision
The dentist plays a significant role with healthcare professionals in patients with MS and regular detention of dentists is crucial. “If the patient is able to take care of home oral hygiene, a six – month visit is fine,” says Kashani. “When home oral care is compromised, it is advisable to come more often.”
At the time of the meeting, take into account the following:
- It’s a good idea to let the dentist know how MS.
- Let the dentist know about the oral symptoms associated with MS
- If you are sitting in the dentist’s chair, it is inconvenient for you, ask for a shorter period.
- Fatigue is getting worse than the day, so book an appointment earlier today.
- If possible, schedule dental cleaning and checking at the time of remission of MS symptoms.