Has anyone had trouble with Prednisone and thier teeth?

Has anyone had problems with prednisone and teeth?
Has anyone had trouble with Fentynal and thier teeth? - 50.0%
How do you gain weight after a flare? - 50.0%

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Regular Member

Date Joined Jan 2011
Total Posts : 373
   Posted 3/30/2011 5:48 PM (GMT -7)   
nono  My teeth keep breaking every time I take prednisone, any advise? rolleyes

Crohns dx
Pelvic adhesions
Pelvic Floor tention
Interstioal Cystitis'
Severe Scoliosis

Veteran Member

Date Joined May 2009
Total Posts : 506
   Posted 3/30/2011 8:51 PM (GMT -7)   
I've had a lot of fillings done since I was on prednisone. I can't be certain it's correlated, but I only had a few before I started and I've had 10 since, so I tend to think there's something going on there.
Diagnosed with CD July 2007
Currently on Remicade, acidophilus, multivitamin.
Resection December 2009

Amor fati - Nietzsche

Veteran Member

Date Joined Mar 2006
Total Posts : 1034
   Posted 3/30/2011 10:21 PM (GMT -7)   
prednisone blocks absorption of calcium, hence if you're on it for a while you can develop osteoporosis or osteoppenia. i never had any problems with my teeth until i got on prednisone. then i started to get cavities. my brother and sister, who have never been on prednisone, dont have any cavities. it makes sense cos calcium is needed for bones AND teeth. so start taking a calcium supplement with vitamin D right away.
Crazy Harry

Crohn's since 1993 (17 yrs old then)
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon
med free as of 10/31/07

Veteran Member

Date Joined Sep 2006
Total Posts : 845
   Posted 3/31/2011 1:15 AM (GMT -7)   
I have had multiple root canals due to the steroids that I have used. I even ended up with a staph infection in my jaw after being a huge dose of prednisone for a year and having 3 root canals in a week. One of them became infected and my jaw has never been the same. Prednisone has a purpose in treating our disease but I believe it is prescribed to frequently and for too long of a duration. A member here, tooth; is a dentist and I am sure that she can give you a better answer if she checks the boards. Steroids and many of the other meds we are on dry out our mouths and make us more prone to tooth decay. We also lose calcium and our bone density becomes weak after long term steroid use.

Veteran Member

Date Joined Apr 2005
Total Posts : 3763
   Posted 3/31/2011 6:28 AM (GMT -7)   
I've been on prednisone long term. At this point I am steroid dependent and probably will never be off it entirely. I do have osteoporosis and have had some compression fractures. I can break a rib by sneezing. I do lots of things to help my bones and they have gotten better over time. However, I have never had any issues with my teeth. I see my dentist every 6 - 7 months and have not had a single cavity in over 20 years.

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 3/31/2011 6:47 AM (GMT -7)   
All my teeth have crowns on them except two. Not really sure I can blame it all on Pred, I think some side issues of having this dd can be blamed too. Malnutrition, vomiting etc can harm the teeth as well. Hugs!
Gail*Nanners* Co-Moderator for Crohns Disease
Crohn's Disease for over 35 years. Currently on Asacol, Protonix, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!

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Date Joined Jan 2007
Total Posts : 3200
   Posted 3/31/2011 7:23 AM (GMT -7)   
Oh Yeah!!! Ditto Nanners.

Too many years with CD
Two bowel resections, several obstructions.
Fibromyalgia and recently diagnosed with chronic pancreatitis and lupus.
B12 Shots bi-weekly

Laughter is the brush that sweeps the cobwebs from our hearts...

Veteran Member

Date Joined Feb 2004
Total Posts : 6518
   Posted 3/31/2011 8:02 AM (GMT -7)   
I've had way too many root canals myself but not sure I can blame pred. I do use a calcium building toothpaste and am trying to take care of my choppers until I no longer need them. I have osteoppenia but i dont take calcium. I prefer to give my gut a rest as calcium really messes me up . Hey, when I break, I break. Have to draw the line somewhere.
If we would read the secret history of our enemies,we would find in each mans life sorrow and suffering enough to disarm all hostility.

Regular Member

Date Joined Nov 2008
Total Posts : 392
   Posted 3/31/2011 9:44 AM (GMT -7)   
I have never had any problems at all with my teeth. It has been more than 10 - 15 years in between my dentist has got some work with me. And the work has just been minor. But since 07, when my disease hit in at a serious level, my teeth have almost constantly needed repair, three in a row with a few months in between, one later on the same year and so on.....in 5 years I just have used LDN for 5 - 6 months in all. I also think it's the disease itself making my teeth weaker now than before. / BEE
Crohn's disease is located in jejunum/ileum, which is called jejunoileitis. We're just a few with this type.
Diagnosed 07. Started june/07 with prednisone, continued in sept/07 with LDN, Low Dose Naltrexone.
Combines LDN with a Low Dose Prednisone (from 10 mg and down), just for some weeks if flaring. Krill oil with omega 3, DPA and DHA.
Added curcumin pills, 800 mg a day. Reducing inflammation.

Equestrian Mom
Veteran Member

Date Joined Mar 2008
Total Posts : 3115
   Posted 4/1/2011 4:12 AM (GMT -7)   
During the years I used pred my teeth broke all the time:( I really think it's a combination of the meds and our disease...I know I was malnourished for many years and that didn't help the situation.
formally known as OHIO76 ~ honoring my daughter's passion!
Crohn’s dx 1989
some terrible years before my temporary ileo in 2001
Proctocolectomy w/end ileo in 2008
...wish I knew then what I know NOW!

Regular Member

Date Joined Jun 2010
Total Posts : 337
   Posted 4/1/2011 3:33 PM (GMT -7)   
There's a lot of different things that could happen and cause your teeth to become weak and break. Prednisone is a possible culprit due to it decreasing the amount of calcium that you can absorb through your intestines. As a result, your body will leach its calcium requirements from your bones and also from your teeth. I took a Calcium supplement - 1800mg while I was on Pred and vitamin D.

Also, vomiting from this disease can cause you teeth to be bathed in acid which erodes the enamel (kind of like soda and orange juice). That causes your teeth to become more brittle and more sensitive.

Another extremely likely culprit is a lot of the medications that we take - 5-ASA meds, antidepressants, pain meds, Entocort, even Benadryl causes dry mouth as a side effect. Saliva provides a very important function of buffering your mouth after eating (acid in your mouth from food and drinks can cause cavities) and remineralizing teeth by replacing minerals that are lost while eating. When you don't have enough of it, your teeth become brittle and prone to decay.

I've had it pretty bad from Entocort and Colazal. I use a mouth rinse called Biotene to rinse with and it helps keep the oral cavity moist. It has some protiens in it that are close to human saliva. Honestly, it works pretty well. There's also a spray from the same company that can be used when you're not using the mouth rinse. There's also a product called OraMoist that's a tablet that stick to the roof of your mouth/side of your cheek and will make you salivate all day. I have not tried that because I can't find it. I stick to Biotene, sugarless gum, flossing 2x/day and brushing 3-4x/day. Also, I avoid Listerine as that will further dry out your mouth.

Though if your teeth are breaking, i'd highly, highly recommend you see your dentist...
Diagnosed 2002 at 18. Remission for about 7 years. Getting back into the swing of things at 26.

75mg Imuran, 750mg Balsalazide 3x day,Entocort 9mg/day, loading doses of Remicade.

Maybe this flare is going away?!

Regular Member

Date Joined Jan 2011
Total Posts : 373
   Posted 4/1/2011 6:13 PM (GMT -7)   
dear tooth, saw dentist yesterday he said alll my bone density is gone. he blamed it on prednisone, dry mouth, and orthidontics and Crohns Dx. I take Entocort regularly and Predisone so many times can not count, i always have dry mouth. he is telling me I need implants! I am just so upset over this, having nightmares, I am getting a second opinion next week which I have learned through these forums. But I have seen the xrays, the bone seems almost hollow ifi I am reading them right. Thanks for all the advise everyone...embarrassing almost as embarrassing as getting colostomy bag. When does this desease end!???
here is everything tongue
crohns dx
interstitial cystitis
pelvic adhesions
recent hystorectomy
chronic pain
appendix and gallbladder
6 reconstructive surgeries after childbirth
Severe Scoliosis

Post Edited (Lasardo) : 4/1/2011 7:18:09 PM (GMT-6)

malvern joe
New Member

Date Joined Jul 2015
Total Posts : 1
   Posted 7/25/2015 2:51 PM (GMT -7)   
I had to take high dose prednisone (60 mgs,/day) in 2007 for treatment of legionaire's disease and pneumonia. I took it for almost a year. Over the past 2 years I have experienced continuing tooth breakage to the point where I only have 10 teeth left. Anybody have any similar ptoblems?

Veteran Member

Date Joined May 2015
Total Posts : 2235
   Posted 7/28/2015 5:10 PM (GMT -7)   
i was on steroids (prednisone and solu medrol) for the past 3+ months and i am noticing that my teeth are very sensitive to hot and cold foods
i have to go to the dentist because i suspect cavities
steroids do decrease bone density so its possible thats what is causing it
i started taking calcium/vitamin d and vitamin k
also my ibd dietician recommended bone broth
20 year old female
Diagnosed with severe uc on 4/27/15
Prilosec 40mg
Medrol 4mg ( tapering it)
Remicade 10 mg/kg
Imuran 50 mg
Low residue diet (hopefully temporary)

Regular Member

Date Joined Jun 2015
Total Posts : 26
   Posted 7/29/2015 12:29 PM (GMT -7)   
Calcium, Vit K and D3 and Lysine which improves absorption, and in general is a great idea for those with compromised immune systems.

I highly recommend grabbing Solgar VM75 formula multivitamins and a Lysine supplement.
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