Will Prednisone also cause tooth problems/decay?

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UCreallySUCKS
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Date Joined May 2006
Total Posts : 260
   Posted 11/26/2007 4:57 PM (GMT -6)   
We all know Prednisone can cause bone loss, but can it also cause you teeth to deteriorate? Or for them to decay more quickly?  I just noticed about a week ago a tooth that seems to have pain out of nowhere, then yesterday another tooth has the same thing.  Whether it's a cavity or some other tooth problem I don't know yet (see the dentist next month), but I've read a few things online recently about patients having tooth problems after being on Prednisone.  I've been on it many many months the past 1.5 years.
---Nathan---  31 yr old male
Diagnosed May 2006 w/severe UC (pancolitis)
Currently in mild flare
2 400mg Asacol 4X day 2 Lialda/day (we'll see how that goes)
5mg Prednisone done for now :)
1 multivitamin/day
2 grams calcium/day
75mg Imuran/day
100mg Tramadol/day for abdominal pain (as needed)
1 Fioricet ever 4 hrs as needed for severe migraines


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2198
   Posted 11/26/2007 6:03 PM (GMT -6)   
In my experience, yes. There's a discussion already going on about it toward the end of this thread:

http://www.healingwell.com/community/default.aspx?f=38&m=976936


Diagnosed with ulcerative colitis spring 1999
 
Therapeutic dose sulfasalazine, back on a pred taper for first flare in years. Down to 10 mg and feeling much better.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal.
 
 


UCreallySUCKS
Regular Member


Date Joined May 2006
Total Posts : 260
   Posted 11/26/2007 6:21 PM (GMT -6)   
Thanks princesa...the info on the other thread isn't what I wanted to hear...but what I was looking for.
---Nathan---  31 yr old male
Diagnosed May 2006 w/severe UC (pancolitis)
Currently in mild flare
2 400mg Asacol 4X day 2 Lialda/day (we'll see how that goes)
5mg Prednisone done for now :)
1 multivitamin/day
2 grams calcium/day
75mg Imuran/day
100mg Tramadol/day for abdominal pain (as needed)
1 Fioricet ever 4 hrs as needed for severe migraines


kazygirl
Veteran Member


Date Joined Sep 2007
Total Posts : 955
   Posted 11/26/2007 7:05 PM (GMT -6)   
im having same problem atm (at the moment)
steph - 31 year old female - diagnosed UC in 2000
started as proctitis and now is pancolitis..this year long flare is now severe on left side only to splenic flexure. 
50mg prednisone 1x day with breakfast 5 weeks now.. will taper next week by 10mg every 5 days.
2x 500mg mesalazine 2x morning & night - colifoam enima 1x at night - 1/2 endone every 6 hours for pain
now taking calcium supps for pred side effects - got lots of those!
50mg imuran 1x day 8pm to have a baby - VSL#3 didnt work - Aloe Elite didnt work - Budesonide didnt work
ive lost 40+lbs and my legs look like sticks ... ewww
 
 


icanrace
Regular Member


Date Joined Sep 2007
Total Posts : 204
   Posted 11/26/2007 7:08 PM (GMT -6)   
yes, absolutley!

Since I started taking Pred (8th week) my teeth are VERY SENSITIVE to anything cold, especially my front teeth.
I'm down to 15mg and I'm getting off this stuff, flaring or not.
started Prednisone & Asacol on Thursday 10-4-2007

currently tapering Prednisone. Started 15mg on 11-24


bk1579
Regular Member


Date Joined Sep 2007
Total Posts : 100
   Posted 11/27/2007 10:00 AM (GMT -6)   
Oh yes, I'm with "icanrace"...When I started on Pred, in just a week or two, my teeth became extremely sensitive to anything cold, even mild water out of the tap...I'm finally off of pred, first time in close to 8 months...My teeth are still very sensitive...I wonder if that will go away?? Anyone know??
28 Yrs old
Dx UC 3/07
4 Asacol 3x/day (when I remember to take them)
5mg Prednisone
Remicade (only had three infusions)
Fish Oil supplements
Multi-vitamine
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 4548
   Posted 11/27/2007 10:15 AM (GMT -6)   
My dentist told me that Prednisone is bad for the connective tissues, tiny ligaments that anchor the teeth in place. He taught me to be fanatic about dental hygiene, especially flossing & using interdental brush as well as regular toothbrush. It definitely helped because I was developing major periodontal problems, likely from a course of Pred for severe UC flare + middle age. For those with tooth sensitivity, try using Sensodyne toothpaste for a while-- it will likely help. Usually the chain drugstores have trial sizes you can pick up to test out. / Old Hat (nearly 30 yrs with left-sided UC; currently on 3 Colazal daily; seem to be back in remission)

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 17910
   Posted 11/27/2007 11:11 AM (GMT -6)   
I got off very lucky with being on and off pred over so many yrs for my crohns-colitis that my teeth and gums are so healthy, I've always been an avid brusher and flosser so that probably helped, along with regular dental check ups (although there were a few yrs I missed here and there due to such terrible flare ups...increasing calcium can likely help with teeth/gum issues as well.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


tats
Regular Member


Date Joined Aug 2007
Total Posts : 54
   Posted 11/27/2007 10:51 PM (GMT -6)   
omg i thought i was the only one. Im walking and the wind hits my front teeth and ouchhhhhhh. I drink something and my teeth r so sensitive..Im also experiencing some blurry vision. Has any1 else had that?
diagnosed with ulcerative colitis 6/05
 
16weeks & 5days pregnant
CURRENTLY TAKING
 
20MG PREDNISONE
12 ASACOL
 


kazygirl
Veteran Member


Date Joined Sep 2007
Total Posts : 955
   Posted 11/27/2007 11:09 PM (GMT -6)   
OMG... yes, blurry vision.. i went to eye doctor and had a check up last thursday.
he said there is some cloudiness forming over my eyes but that it is most likely from the prednisone and will go away once i am off of it.
they get blurry about half way through the day and its annoying.

otherwise my eyes are perfectly fine. (according to the eye tests)

i also am having the teeth problem too :(

stupid prednisone!
steph - 31 year old female - diagnosed UC in 2000
started as proctitis and now is pancolitis..this year long flare is now severe on left side only to splenic flexure. 
50mg prednisone 1x day with breakfast 5 weeks now.. will taper next week by 10mg every 5 days.
2x 500mg mesalazine 2x morning & night - colifoam enima 1x at night - 1/2 endone every 6 hours for pain
now taking calcium supps for pred side effects - got lots of those!
50mg imuran 1x day 8pm to have a baby - VSL#3 didnt work - Aloe Elite didnt work - Budesonide didnt work
ive lost 40+lbs and my legs look like sticks ... ewww
 
 


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 11/28/2007 2:48 PM (GMT -6)   
Yes - the pred resulted in major tooth sensitivity for me. It took a long time - and using a sensitive teeth toothpaste - for my teeth to return to "normal". (I liked the Crest the best.)

Once again a reminder - if you're on pred, take your calcium!!!

Has anyone tried the new mouthwashes that are supposed to help deposit minerals back in your teeth? ACT is the one that comes to mind...
Pan-colitis and GERD diagnosed May 2003
 
Asacol 12 per day,  Azathioprine 75mg, Rowasa and Canasa as needed
Aciphex, Effexor XR, BCP, Rhinocort nasal spray
Forvia and a Probiotic
 
Osteopenia (hip and spine) from prednisone use.  Started Azathioprine because I was steroid dependent.
 
Co-Mod for the UC forum
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mogulz
Regular Member


Date Joined Sep 2008
Total Posts : 21
   Posted 3/16/2009 8:11 AM (GMT -6)   
Currently tapering off Prednisone (have been on for 9 weeks) and at 20mg/daily. Experiencing tooth sensitivity for about 1 week now - out of the blue and very sensitive to cold.

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5409
   Posted 3/16/2009 8:20 AM (GMT -6)   
Yes, 2.5 years on varying doses of pred left me with very sensitive teeth. I tried all the OTC sensitive toothpastes and the best one for me was Colgate. More than anything I think time has improved the situation. I am 8 years out from my last pred dose and the tooth sensitivity is almost a thing of the past. I still get ocassional bouts but they are less in severity and don't last as long.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


subdued
Veteran Member


Date Joined Dec 2008
Total Posts : 3231
   Posted 3/16/2009 12:40 PM (GMT -6)   
Sensitive teeth is a known side effect of Prednisone.

My teeth became sensitive to anything cold when I was nearing the end of my three-month Prednisone treatment. Two years later, they aren't nearly as sensitive. I've been taking calcium supplements for years. I also take supplements for the joints.
Joy - 47 yrs and counting
Diagnosed w/ UC Dec 06 (also have IBS)
Currently in remission

Lexapro (for stress)
Probiotics and Vitamins (a whole bunch of them)
Anti-inflammatory foods: turmeric, seaweed, garlic...
Avoid: pro-inflammatory foods, HFCS, foods high in fructose, artificial sweeteners
Previous treatments: Fecal transplantation (worked), Prednisone (stopped working), Colazal (stopped working), Asacol (stopped working)


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2838
   Posted 3/16/2009 1:14 PM (GMT -6)   
The weird sensation in my teeth (like they feel loose) and the blurry vision that I get from prednisone, these symptoms go away once I'm off it again.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering. Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; eliminated all wheat/gluten from my diet. Probiotics (Ultimate Flora, 50 billion), trying Curamin. 
Flaring, seasonal? or supplements too harsh? Back on prednisone, trying 15/20 mg. Appt 3/6 to discuss Humira, etc.   


glamourgirl
Regular Member


Date Joined Apr 2008
Total Posts : 460
   Posted 3/16/2009 6:57 PM (GMT -6)   
My teeth are still sensitive but not nearly as bad as when I'm on Pred. I use Crest sensitive toothpaste and I guess it's helped. My dentist thought I was crazy that my gums had receded so bad because of the Pred.
Female, Age 38
Diagnosed w/c.diff 7/02 when pregnant w/1st and only child during 2nd trimester(wasn't on antibiotics)
C.diff flare within weeks of delivering baby 1/03, Diagnosed with UC 2/03
Current Meds:
LDN - 2/17/09 1.5 mg., increased to 3 mg. 3/3/09
Ferrex Forte
Acidophillus, Sacchromyces Boulardii, Oil of Oregano


tooth fairy
Regular Member


Date Joined Jan 2008
Total Posts : 98
   Posted 3/16/2009 8:14 PM (GMT -6)   
Teeth are a little different from bone in their structure. Bone tissue is constantly being rebuilt over a lifetime, which is why bone loss is common with long-term prednisone use. Suddenly the amount of bone being built is less than bone being destroyed. Tooth enamel, once formed, doesn't rebuild itself over a lifetime. You can strengthen enamel with topical fluorides, but once formed (around birth and just after for most permanent teeth), it doesn't readily rebuild itself. This is why you get cavities in your teeth, but you don't get "cavities" in your bones. (your bones can heal; enamel, in most cases, can't.)

That being said, prednisone is absolutely, definitely, a contributor in tooth decay, especially if it's used over the long term. Why? Prednisone decreases salivary flow (it dries out your mouth), depriving your teeth of their natural toothpaste, and making the mouth environment more acidic. When your mouth is dry, your teeth tend to be more sensitive to hot, cold, and sweet. Also, prednisone can cause changes in your gum tissue. Many of my patients complain of bleeding gums, or gum swelling, or teeth loosening, while on this medication. When gums are infected, the bacterial load in your mouth is higher than normal, so the bacteria that cause cavities are more active (there are more of them around.)

The moral of the story: If you're on prednisone, especially for the long term, make sure you are getting good, regular care from a trustworthy dentist. Also, make sure your diet is not a contributing factor to possible decay--take only 3 meals per day, with no more than one snack. DON'T sip on sugary drinks between meals to wet your dry mouth. (Use water instead, or a mouth wetting rinse like biotene) Use a fluoride toothpaste (for sensitive teeth if you have the sensitivity issue) and consider using a fluoride supplement like a gel or rinse. Increase your daily brushing to after each meal.

Prednisone is no fun, that's for sure. I've only had to do 4 tapers of 6-8 weeks each since my diagnosis, and I'd much rather sit where I do now, with mucous and some urgency (but minimal D), than go back on the prednisone and have my body function like it did pre-diagnosis. I'll take my normal personality and no side-effects, thanks!
Erica, 32
Pancolitis, diagnosed July 2006, at age 29
(Colonoscopy January 2008 showed active disease just in sigmoid and below!)
Imuran & colazol daily; Rowasa and/or canasa rectal meds as needed for maintenence
Currently pregnant-due October 2009


kmfdm
Regular Member


Date Joined Jun 2008
Total Posts : 78
   Posted 2/17/2011 5:07 AM (GMT -6)   
Prednisone is one of the worst drugs that you can take.  Study it.  It's reprecutions are something that I have had to deal with.

kmfdm
Regular Member


Date Joined Jun 2008
Total Posts : 78
   Posted 2/17/2011 5:13 AM (GMT -6)   
nly take Prednisone if you have a bowel blockage and there is no other option.  Otherwise-don't take it.  And when you do have to take it-take ...mg a week then decrease 5mg a week, if you don't it will affect your endocrine system.-We all need that system to help us live.  Study whatever drugs you are taking and why you are taking them.  Always!  You are your own doctor, research, learn from what has happened to you so you can tell others. 

debbie1978
New Member


Date Joined Jun 2012
Total Posts : 2
   Posted 6/13/2012 10:01 AM (GMT -6)   
i found tis site by google. i typed in predisone/teeth .
 
my mom has been on high doses of predisone for over 7 yrs. we are now  (after her brain surgery) starting to taper off. we are at 35 this week, was as high as 60mg
 
mom has been through the sensitivity, but now her teeth are very dark grey, almost starting to look brownish. its such a shame because she has always been good about her teeth :(
 
has anyone seen this. is this the predisone or possible another med
 
mom isnt able to brush her teeth, so i now do it for her. which isnt as easy as you might think
 

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5484
   Posted 6/16/2012 4:33 PM (GMT -6)   
     I believe it!  I cannot count how many dental problems I had when on prednisone...ugh....pieces of teeth breaking off....fillings falling out...just awful!

Girly Girl
Regular Member


Date Joined Apr 2012
Total Posts : 46
   Posted 6/16/2012 4:49 PM (GMT -6)   
YES!!!! I have been on Prednisone for 8 months now and have been having teeth that are breaking. I have been on Prednisone off and on for the past 12 years and have had terrible tooth decay. When I first started having problems, the enamel starting showing; while I had braces on. I ended up wearing braces for 3 years and the end result being pretty little teeth. Now they are falling out and look terrible.
The dentist I had at the time was convinced that my tooth decay had nothing to do with Prednisone or my liver disease, but it was me not brushing my teeth. This was not the issue. I started seeing a new dentist who said that the Prednisone and liver disease was the cause, but it was basically too late for all my teeth. I was 19 when my wisdom teeth came in, decalcified and rotten basically. I saw an oral surgeon who said most of my teeth were going to have to come out. My dental insurance doesn't pay much, so I am just kinda stuck, patching teeth that are falling out.
The worst side effect of Prednisone.
I wish everyone with this problem the best of luck--
Primary Sclerosing Cholangitis- Diagnosed September 1999
Ulcerative Colitis- Diagnosed December 2000
Pyoderma Gangrenosum- Diagnosed October 2011
Liver Transplant Waiting List- Since May 2006

ffluffygramma
New Member


Date Joined Aug 2009
Total Posts : 5
   Posted 8/22/2012 5:15 PM (GMT -6)   
I was put on prednisone 4 1/2 years ago, started at 60mg a day for 8 months and am down to 2mgs a day now. very slow weaning off of it. My teeth have decayed, broken apart, fillings falling out and I have a space between my teeth and gums on a few teeth. shakehead   My dentist at first said that it was because I wasn't brushing my teeth enough. I had been brushing them twice a day and using a mouthrinse both times. I was at the Drs office waiting to be seen and a woman sat down next to me. I smiled at her and she saw a broken tooth and the space between my tooth and gums. She said she had had the same problem when she was on prednisone for a long period of time. When I saw my dentist again I told him about her. He said that he had some research on prednisone and teeth, and said that he was then saying that that was causing my teeth problems. I have to go to an oral surgeon in 2 month to have my upper teeth pulled and dentures put in. I HATE PREDNISONE!!!!!!!!!

eric503
New Member


Date Joined Apr 2013
Total Posts : 1
   Posted 4/10/2013 9:03 PM (GMT -6)   
Hello, I had to sign up to this site after reading this. I have the same thing happening but not to me, it's my dog. about 7 months ago my Boxer mix was diagnosed with Lymphoma and she was prescribed 20mg of Prendisone, twice a day. Her condition immediately improved, almost like she had never been sick. She has gained 25 lbs because of her constant hunger, she drinks tons of water, but I just noticed that her gums behind her lower teeth are disappearing. It's not red or inflamed at all, but there is a hole that is growing. My vet had never seen this before and I couldn't find anything under the side effects online, so when I read this, it all made sense. I've taken Prendisone but just for two days for allergies. I hope I never have to take it again and hope all of you have weaned yourselves off it.

Teddtlove
Veteran Member


Date Joined Jan 2013
Total Posts : 1021
   Posted 4/11/2013 1:17 AM (GMT -6)   
I just had a tooth break and I have been on prednisone since Dec. I had no idea it could be related. I had to get a crown.
30 female. Sherrie, 2007 diagnosed with UC, also have Hypothyroidism, Leukocytosis, Agoraphobia, Bipolar tendencies, Panic disorder, Acid reflux, Lactose intolerance, Eczema, Migraines, Degenerative disk, Hypertension, and Anemia.
Lialda, Canasa, Hyoscyamine sulfa, digestive ad lactose defense, lyrica, Lomotil , klor-con20, VSL 3DS, Rainbow light, bit D Pred 20mg, started Humira 12/31
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