Dental problems


#1

Hello out there.
I vaguely remember reading somewhere about dental problems being a symptom of PD. Does anyone out there have this as I have started to have pain at the back of my right jaw. I’m seeing my dentist in a week or so and will ask her as well.
Thanks.


#2

Hi @Bexby,

I’m sure some of our members will chime in soon with their own personal experiences with dental problems,however, it is not uncommon for people with Parkinson’s to have problems with their mouth and dental health. We cover this is in great detail on our website here - https://www.parkinsons.org.uk/information-and-support/mouth-and-dental-issues-parkinsons.

You’ll also find some helpful tips and useful contacts for mouth and dental issues via the link above, so do check it out when you can.

Feel free to give our helpline a call as well for more support on this on 0808 800 0303 from Monday-Friday: 9am-7pm, Saturday: 10am-2pm, or you can email [email protected].

Best wishes,
Reah


#3

Thank you, I found the link useful.
B


#4

Glad to hear it, @Bexby.


#5

Hi Bexby I am having a shield today from my new dentist as I appear to have been grinding my teeth in my sleep, when I do manage to sleep having had problems with my old dentist I have also discoverer I suffer with jaw disorder called tmj too long to type it but causes pain side of face and behind ear worse when I, m eating as my bite is affected don’t know if this is any help but thought I would share it with you
Pete


#6

L-Dopa side-effects : Involuntary movements are very common and usually start in the mouth, jaws or tongue.

PLEASE CHECK IN CASE IT IS YOUR MEDICATION. Bruxism haS DESTROYED MY TEETH. I haVE only one whole tooth left.

Oct/Nov.2001 One tablet Domperidone for migraINE-INDUCED vomitING

FEB. 2002 Dystonia onset - blepharospasm – muscle spasms around eyes

May 2000 GP thinks it is stress and prescribes Sertraline. I take it for 13 days. I say to GP why are you giving me this? It says it can make twitches worse and now I can’t sleep. GP prescribes Amitriptyline saYING “This will make you sleep”. I chuck it in bin after two days as acupuncturist notices I am beginning to clench my jaw.

OCT. 2002 Movement disorder specialist notes dystonia, myoclonus & chorea. He tells me it is a “tic”

Dec.02 he prescribes Sulpiride – known to cause drug-induced movement disorders

March 2003 GP gave me another antidepressant Dothiepin for jaw pain

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353837/

Sertraline induced mandibular dystonia and bruxism N. A. Uvais, V. S. Sreeraj,and S. V. Sathish Kumar J Family Med Prim Care. 2016 Oct-Dec; 5(4): 882–884.

Extrapyramidal symptoms (EPS) could be adverse effects of SSRI, which include parkinsonism, dystonia, dyskinesia, and akathisia.

https://www.mdsabstracts.org/abstract/empowering-parkinsons-patients-to-declare-pain-a-multicenter-report-of-the-use-of-the-first-parkinsons-pain-questionaire-kings-pd-pain-quest/

Kings PD Pain questionnaire includes:

Oro-facial pain: Pain when chewing, Pain related to grinding teeth during the night, Burning sensation in your mouth

A grinding issue: Drug-induced bruxism N.L. Pearson Canadian Pharmacists Journal 141(5) · Sept. 2008

Symptoms of bruxism: Chewed areas on the tongue or oral mucosa, Chipped teeth, Damage to the temporomandibular joint, Earache, Face pain, Flattened tooth surfaces, Headache, Hypertrophy of the masseter muscle, Jaw pain or decreased opening range, Sensitive teeth (i.e., to heat or cold), Worn enamel

Primary bruxism may not have an identifiable cause, but current and ongoing research suggests a link to genetic and environmental factors, as well as life or psychological stresses.

Secondary bruxism may be related to diseases, irregular sleep cycles or drug-induced oral movement disorders such as dystonia and dyskinesia. Occurrence has been linked to both drug consumption and withdrawal

Drugs reported to cause bruxism: Amphetamine analogues, Amphetamine, crystal meth, dextroamphetamine, diethylpropion, methylphenidate, methylendioxymethamphetamine (i.e., MDMA/Ecstasy), phentermine, pemoline, Buspirone 30–40 mg/day, Flecainide, Flunarizine (long term), Haloperidol 10–12.5 mg/day, Levodopa/carbidopa,

Selective serotonin reuptake inhibitors (SSRI), Citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, Selective serotonin norepinephrine reuptake inhibitors (SNRI), Venlafaxine, Thioridazine (in association with lithium), Valproic acid (in association with methylphenidate)

The time to onset of drug-induced bruxism is variable. In a review article of movement disorders associated with selective serotonin-reuptake inhibitors (SSRI), this adverse drug reaction (ADR) was detected as early as 1 day to as late as 11 months following initiation of therapy.

One case report described bruxism in a 77-year-old female suffering from Parkinson’s disease when her total daily dose of levodopa/carbidopa was increased from 550 to 700 mg. The ADR was detected during the first 2 weeks of her dose increase, appearing 1 to 2 hours after administration of the daytime immediate-release doses and during the night. Symptoms subsided following a dose reduction to 550 mg daily.

Benefits and Challenges of Dental Implants for People with Parkinson’s - Feb 01 2016

Three of the four participants broke their implants as a result of jaw clenching (a side effect of levodopa medication) or grinding the teeth, and all required further dental surgery over the course of the study.