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Dental Cavities on Prednisone

Polymyalgia Rheumatica (PMR) | Last Active: Jan 3 4:21pm | Replies (25)

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Profile picture for laura1970 @laura1970

@jfannarbor it is my understanding that prednisone causes xerostomia (dry mouth) which is linked to gum disease and cavities. Am I misinformed?

For medication induced dry mouth, I take biotine. I tolerate it much better than saliva substitutes. What is your recommendation for dry mouth?

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Replies to "@jfannarbor it is my understanding that prednisone causes xerostomia (dry mouth) which is linked to gum..."

@laura1970 Yes, my dentist said I had dry mouth and suggested the tablets that encourage salivation. She had noticed a marked difference in my teeth and jaw by comparing the xrays and was quite alarmed. I don't think she had had a prednisone patient before.

@laura1970 I have been on and off prednisone due to PMR, mainly on, for 35 years and I am a dentist. I have not had dry mouth or a problem with dental caries. The only study I could find related to dry mouth and corticosteroids was done in rats and used dexamethasone which is much stronger than prednisone. I do not doubt your dry mouth I just wonder about the cause. Prednisone is given for auto immune diseases and some of those diseases cause dry mouth. Again there may be a connection between prednisone and dry mouth and this would be a good forum to learn about it. I personally have not experienced it or know of studies that prove it, but I am all ears.