DID YOU KNOW? ORAL HEALTH & PARKINSON’S

Maintaining good oral health is an essential part of overall well-being, yet it can be especially challenging for people living with Parkinson’s disease. Parkinson’s affects muscles throughout the body, including those needed for chewing, swallowing, and speaking. Tremors, stiffness, and changes in coordination can make daily dental care more difficult, while dry mouth and medication side effects may increase the risk of cavities, gum disease, and other oral health problems.

Because oral health is closely linked to nutrition, communication, and quality of life, it deserves special attention as part of Parkinson’s care. With the right strategies, support, and professional guidance, people with Parkinson’s can protect their teeth and gums, reduce discomfort, and improve overall health outcomes.

TIPS FOR MAINTAINING ORAL HYGIENE

Brushing – Brush for at least two minutes twice a day with fluoride toothpaste. Electric toothbrushes are recommended for a more thorough clean, and the thick, weighted handle helps people with Parkinson’s. 

Flossing – Also recommended twice a day. Electric flossers using water or air can help people with Parkinson’s, as well as flossers with thick handles. 

Routine – Brush at times when tremors are less severe, like after taking medication. 

Nutrition – Choose soft, nutrient-rich foods that are easy to chew. Slow down during meal time and chew carefully to avoid buildup of food debris in the mouth. 

Fluoride Products – Use fluoride toothpaste and mouth rinses to strengthen teeth and combat cavities. Avoid alcohol-based mouth washes for dry mouth. 

Dental Visits – Prioritize regular dental visits every 3-6 months. Make sure your dentist and dental hygienist know about your diagnosis and all medications. Ask for shorter, more frequent visits, breaks during cleaning, or alternative positioning to increase comfort during visits.

TMJ AND PARKINSON’S

Research indicates that people with TMD/TMJ have a ‘significantly’ higher risk of Parkinson’s than non TMD patients. The temporomandibular joint (TMJ) connects the jaw to the skull and allows us to chew, speak, and yawn. When this joint becomes inflamed or dysfunctional, it is called temporomandibular joint disorder (TMD). Symptoms can include jaw pain, clicking or popping sounds, difficulty opening the mouth, headaches, and even ear pain or dizziness. People with Parkinson’s disease (PD) are more likely to experience TMD for several reasons:

Muscle Rigidity and Tremors: Parkinson’s often causes stiffness in the jaw and facial muscles, which can strain the TMJ.

Bruxism (Teeth Grinding): Involuntary movements or medication side effects may lead to teeth grinding or clenching, putting extra pressure on the jaw joint.

Postural Changes: Altered head and neck posture in Parkinson’s can contribute to jaw misalignment.

Medication Side Effects: Certain Parkinson’s treatments may affect jaw movement or cause involuntary facial movements (dyskinesias), further stressing the TMJ.

Conclusion: When dealing with Parkinson’s, oral health can seem inconsequential in the scope of things. However, it’s a critical component of overall health and Parkinson’s plays a unique role. Prioritize daily oral healthcare and consider your dentist a crucial member of your ‘Parkinson’s team.’