10 Tips for Improving Dental Health with Parkinson’s

Maintaining oral health is crucial for people with Parkinson's disease (PD), as the condition can affect the health of the mouth, teeth, and jaw, making dental care challenging. PD-related dental issues include excessive or insufficient saliva, increasing the risk of fungal infections, cavities, and infections that can spread to other body parts. Changes in facial and tongue muscle function may impair speech and chewing, while swallowing difficulties can lead to choking and aspiration. Furthermore, symptoms like rigidity, tremor, and involuntary movements due to PD medications can complicate daily oral hygiene and dental visits, increasing the risk of dental damage. Non-movement symptoms, including apathy, depression, and cognitive changes, can lead to neglect of dental health and nutrition, with a preference for easier-to-chew, less nutritious foods. To mitigate these risks, people with PD should adopt a comprehensive dental care routine, including the following tips: Stay hydrated. Always eat and drink in an upright position, taking small bites and sips. Brush after every meal for two minutes. If brushing after a meal is not possible, rinse your mouth with water. Remove dentures after each meal, brush and rinse them. Brush or clean dentures in a solution at night. Use a toothbrush with a large-handled grip and soft bristles. If you prefer an electric toothbrush, be sure it is an oscillating, rotating power toothbrush. Avoid using products that include alcohol, as they worsen dry mouth conditions. Consult your dentist for special products like toothpaste and gels that can help with dry mouth and other oral health problems. Floss. If movement symptoms make flossing difficult, consider using a water pick instead. Avoid using mouthwash. Mouthwashes are typically discouraged for people with PD because of the risk of choking. Ask your doctor or dentist if it is safe for you to use mouthwash. Notify your dental office of your PD symptoms to help the dentist and the staff provide better treatment. Schedule dentist appointments wisely, planning for short appointments at the time of day your symptoms are most effectively controlled. Have your dental health providers work collaboratively with your other healthcare providers to improve oral health-based quality of life. If you have concerns about your oral health or are experiencing dental challenges that may be related to PD, contact your doctor or dentist. Your care team can help you find strategies to take care of your dental health.