Dental Issues and UC

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Veteran Member

Date Joined Jul 2006
Total Posts : 723
   Posted 6/11/2009 1:05 PM (GMT -6)   
I have had a high level of cavities develop on my teeth, particularly over the past 10 years.  Prior to that my teeth were in excellent condition.  Almost all of the cavities since then have developed on the gumline.  I do drink a lot of soda, and that is something that will have to change, but I can't help but feel there is something else going on to contribute to my problem. 

Has anyone ever received advice from a dentist etc or found something to have worked/helped them to keep teeth healthy? 
The dentist is a difficult place for me to go, for one, I ended up the ER 2 months after they gave me an anitbiotic tablet under the gums called "Arestin."  I won't let them give me that this time, particuarly without a thorough, convincing, well articulated reason (not just to inflate the bill).  I went to the hygenist yesterday, who I let apply fluoride quite vigorously to my teeth, and am having some bowel issues today.  Only thing is I had pizza last night with jalapenos, so for all I know that got me this time.
I try to speak with the dental professionals to get more in depth on what might cause my problems or what I can do, but the only answer i get is stop eating sugary foods and floss.  They'll sometimes toss something else out there like maybe I have a dry mouth, or acidic pH saliva, etc...but they always say it has to do with acidity and bacteria producing cavities.  Well, my question to them was: would a probiotic help?  The hygenist had no idea.  I believe the mouth is the first part of the digestive system, correct? And yet the dentists know nothing about any of those aspects.
Thanks guys
Diagnosed with Ulcerative Colitis 6/2006 at age 26 after sudden E.R. visit
~Pancolitis (Mild to Moderate)
 ~I had Mono in 2000
On Colazal 3x3/day; Folic Acid 1mg; Calcium/Magnesium/Zinc combo
(Generic Balsalazide not as effective for me)
In remission about 2-3 months after E.R. but not back to normal!
I hate Ulcerative Colitis and can't wait till we eradicate it

Serenity Now
Veteran Member

Date Joined Jan 2009
Total Posts : 2153
   Posted 6/11/2009 1:17 PM (GMT -6)   
My initial thought about the probiotic is I'm not sure how that would help. Probiotics are supposed to help the intestinal bacteria, are they not? So I'm not sure if it would have any impact on the bacteria in your mouth. But I could easily be wrong. Taking probiotics is a good idea anyway.

You're right, something seems to be going on if you are developing cavities over the last 10 years. I have received no other advice from dentists other than brushing, flossing, using a dental rinse, having regular checkups. All the usual.
ack, 42, Vancouver BC
DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June 2008.
Current Meds: Ferrous Sulfate, plus various supplements
Previous Meds: Jan-Mar 2009: Asacol 800 mg (1 pill x 4 daily), stopped Mar14/09. 

Elite Member

Date Joined May 2003
Total Posts : 30986
   Posted 6/12/2009 1:22 AM (GMT -6)   
My dentist doesn't make much money from my teeth...I've seen him for 30 years and he jokes my teeth are the healthiest body!

I agree that proper dental hygeine is a must.

Change your toothbrush once a month.

Brush teeth and tongue at least twice a day.

Use a tongue scraper.

Drink enough water during the day.

Do floss once a day after brushing.

Use flouride toothpaste at least once daily...

Get your teeth cleaned at least once a year or every 6 - 8 months.

I think the soda is a big culprit if you swish it through your might want to use a straw?
You could chew gum which will keep the saliva flowing....since most of them are all artificially sweetened..I find that Spry gum is OK for contains only xylitol.
Oh, forgot to add that apples are supposed to be awesome for mouth/teeth/preventing cavities...
Are you getting/taking calcium?  You might want to do a calcium/mag/D liquid formula to help keep the calcium in your teeth.

*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

Post Edited (quincy) : 6/12/2009 12:25:42 AM (GMT-6)

Elite Member

Date Joined Apr 2004
Total Posts : 23551
   Posted 6/12/2009 7:21 AM (GMT -6)   
I have always had very bad teeth and I joke that by the time I am an old lady, I will still have all my teeth because they will be all porcelain! (I have about 6 crowns lol) But one thing that I found works really well to help my teeth is I got one of those spinning toothbrushes (mine is made from Braun), I floss everytime after I brush and I use a mouthwash (Listerine I think) that builds up enamel. My teeth have been much healthier. But what also might help is if you HAVE to have a soda ;) rinse your mouth out afterwards.

Regarding the flouride treatments, I can't do them either. I get bad intestinal cramps about a half hour after they do them and then I have issues too.
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate ALL mesalamines**~Allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-had 2 series of 3, OA-Celebrex, Tylonel Arthritis and Voltaren Gel
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Old Hat
Veteran Member

Date Joined Feb 2007
Total Posts : 5190
   Posted 6/12/2009 9:02 AM (GMT -6)   
Do you use an interdental brush? That's great for getting out particles of food lodged at the gumline. My dentist has Crohn's so even though he's aware of all the hassles that come with IBD, he recommends the usual: waterpik, electric toothbrush, interdental brush, flossing after every meal, etc. My previous dentist used to say: "Just think of flossing as your new hobby!" LOL. It really does help gums as well as teeth, though. As one gets older, the gums usually become a bigger problem than teeth so beware if yours bleed easily & take care. / Old Hat (30 yrs with left-sided UC ... [etc.]) 

Veteran Member

Date Joined Aug 2007
Total Posts : 2204
   Posted 6/12/2009 3:44 PM (GMT -6)   
If you've been on steroids at any time in your treatment, they can adversely affect your teeth as well as causing bone loss. The high dose steroids I was on when first diagnosed caused osteopenia and cavities to develop where I formerly only had one or two. I had one tooth develop a crack and had to get a crown. Of course, UC itself that often causes weight loss and malnutrition can affect the body all over - including the teeth.

I'd highly recommend the Sonicare toothbrush as the best way of keeping your teeth their cleanest and a flouride, tartar control toothpaste. Floss once a day and use a cavity preventing rinse before bedtime. I used to be lazy about flossing, but not any more. I want to keep my teeth.

Eliminate or greatly reduce sugary sodas that might as well be considered a pro-cavity mouth rinse. Drink water instead. Eliminate or cut back on in between meal noshing. Brush after every meal, if possible. I carry a travel toothbrush and small tube of toothpaste to brush after lunch at work.
Diagnosed with ulcerative colitis spring 1999. Have been in remission for years with only a few minor blips.
Maintenance dose sulfasalazine. Probiotics, vitamin D, fiber supplement and fish oil caps. George's aloe vera juice and l-glutamine for gut healing. Mostly grain-free and dairy-free low carb diet.

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