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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tooth Deterioration While On Parkinson's Medication

I am a male 68 yrs old with Parkinson's and osteoporosis. Because of the meds for Parkinson, my teeth are deteriorating rapidly (dry mouth). The recast that I have taken for Osteo slows down the healing process when teeth are extracted, increasing the risk of osteonucrosis. I have several teeth that need removing and the dentist is afraid i might have complications. The dental work will be very costly either way I go -- partials , implants. We are exploring the area of dentures. Am I a candidate for dentures??
Mon, 21 Aug 2017
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Dentist,  's  Response
Hi..
Thanks for the query..

Dry mouth is a common cause for rapid tooth decay as in the deficiency of saliva there is reduced flushing of the debris leading to increased infection and decay..

Yes, it is true that Reclast infusion can increase the risk of osteonecrosis and to get the teeth extracted you should get off the dose of Reclast for atleast 3 months..

Also if you wish to get the Dentures, first of all all the teeth should be removed followed by complete healing of the bone and gums and then only if there is sufficient bone then denture can be placed..

As of now for dry mouth you can gargle with special mouthwash like Biotene, chew sugarfree chewing gums and use mouth lubricants like Oralgel

Hope this helps..

Regards..
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Suggest Treatment For Tooth Deterioration While On Parkinson's Medication

Hi.. Thanks for the query.. Dry mouth is a common cause for rapid tooth decay as in the deficiency of saliva there is reduced flushing of the debris leading to increased infection and decay.. Yes, it is true that Reclast infusion can increase the risk of osteonecrosis and to get the teeth extracted you should get off the dose of Reclast for atleast 3 months.. Also if you wish to get the Dentures, first of all all the teeth should be removed followed by complete healing of the bone and gums and then only if there is sufficient bone then denture can be placed.. As of now for dry mouth you can gargle with special mouthwash like Biotene, chew sugarfree chewing gums and use mouth lubricants like Oralgel Hope this helps.. Regards..