A thyroid that is overactive or underactive can affect the gums, teeth and how the body responds to treatment. Telling the dentist about the condition helps treatment be safer.
- Both an overactive and an underactive thyroid can affect the gums, dry the mouth and slow wound healing.
- People with an overactive thyroid that is not yet stable need careful thought about local anaesthetic and major procedures.
- Tell the dentist your condition, medicines, recent test results and any other illnesses.
- Careful oral care, a moist mouth and regular check ups help catch problems early.
Many people being monitored for thyroid disease think only of tests and medication and seldom link it with the mouth. In fact both an overactive thyroid and an underactive thyroid can affect the gums, the teeth and how the body copes with dental treatment.
How does an overactive thyroid affect the mouth?
- Gums are more prone to inflammation and gum disease.
- There may be a dry mouth and a higher chance of decay.
- A fast heartbeat and palpitations are common, so during treatment anxiety levels and heart rate need attention.
- If the condition is not yet well controlled, the dentist will think carefully about local anaesthetic containing a vasoconstrictor and about major procedures.
How does an underactive thyroid affect the mouth?
- There may be a dry mouth, a larger or swollen tongue, and eating and speaking can feel awkward.
- Wounds may heal more slowly.
- Gums are prone to inflammation and infection.
- The body may be more sensitive to some sedative medicines, so tell the dentist when treatment is planned.
What should you tell the dentist?
- Whether you have an overactive or underactive thyroid, and whether it is well controlled.
- All medicines you take as prescribed by your endocrine doctor.
- Your most recent test results, if you have them.
- Other conditions such as heart disease, blood pressure problems or diabetes.
You may also read what people with high blood pressure should know before dental treatment and what to ask the dentist before treatment.
Daily oral care
- Brush twice a day and clean between the teeth.
- Drink enough water and keep the mouth moist if it is often dry, see dry mouth in people taking medication.
- Have tartar removed and regular check ups to catch gum inflammation and decay early.
When should you visit Ky Hoa Dental Clinic?
Nha Khoa Ky Hoa is at 266A - 268, 3 Thang 2 Street, Hoa Hung Ward, Ho Chi Minh City. You can call the hotline 028.3868.1097 to ask first, or walk in during opening hours and bring information about your medicines. The exact treatment plan is decided by the dentist after an examination and, when needed, a discussion with your endocrine doctor.
Frequently asked questions
Can people with an overactive thyroid have a tooth removed?
Usually yes if the condition is well controlled. Tell the dentist about your condition and medicines so they can weigh things up, especially when local anaesthetic is used.
Does thyroid disease damage teeth?
It does not directly damage teeth, but it can make gums prone to inflammation, dry the mouth and slow wound healing, so careful care is needed.
Should I ask my endocrine doctor before a tooth extraction?
It is wise to ask when the condition is not stable or a major procedure is needed. The decision is made by the dentist after an examination.