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Drugs and oral disorders.

T D Rees

    Periodontology 2000
    |April 14, 1999
    PubMed
    Summary

    Certain medications can significantly impact periodontal health, sometimes causing minor issues like melanosis or severe, destructive diseases. Recognizing and managing drug-induced conditions, alongside xerostomia and smoking, is crucial for effective dental and periodontal care.

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    Area of Science:

    • Oral Medicine
    • Periodontology
    • Pharmacology

    Background:

    • Medications can profoundly affect periodontal structures.
    • Some drug effects on oral tissues are minor, while others initiate destructive disease processes.

    Purpose of the Study:

    • To highlight the significant impact of drugs and medicaments on periodontal health.
    • To emphasize the need for clinicians to recognize and alter the causal role of drugs in certain oral conditions.

    Main Methods:

    • Review of existing literature on drug-induced effects on periodontal tissues.
    • Clinical case examples illustrating the spectrum of drug impacts.

    Main Results:

    • Drug-induced disorders can lead to painful, destructive periodontal diseases.
    • Drug-induced xerostomia and smoking increase susceptibility to dental and periodontal diseases.
    • Conditions like drug-induced melanosis may have minimal health implications.

    Conclusions:

    • Clinicians must be aware of the potential for medications to cause or exacerbate periodontal issues.
    • Altering the causal role of drugs is essential for managing severe drug-induced oral diseases.
    • Recognizing the combined risk of drug-induced xerostomia and smoking is vital for preventative dental care.

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