Oral Health and Parkinson’s: Why and How to Protect Yourself

At our practice, we understand that great oral health is a key part of your overall well-being. If you or a loved one is managing Parkinson’s Disease (PD), you may have noticed that routine oral care can become more challenging. Parkinson’s affects more than just movement; it can make tasks like brushing and flossing difficult and may increase your risk for certain dental problems. Also, gum inflammation has a way of increasing the severity of PD (discussed below) — yes, oral health and Parkinson’s are linked — so we want to share a simple guide on why you should be on the watch for gum inflammation, how to help your oral health, and how our team is here to support you in protecting your smile.

The Two-Way Street: Oral Health and Parkinson’s Progression

It’s not just that Parkinson’s disease (PD) makes dental care more difficult; your oral health can actually influence the severity of PD symptoms. This connection is rooted in inflammation.

• Gum Disease Fuels Body-Wide Inflammation: When you have severe gum disease (periodontitis), the infection and inflammation aren’t just confined to your mouth. Inflammatory chemicals and bacteria enter your bloodstream, creating a state of chronic systemic inflammation.
• Worsening PD in the Brain: Inflammation is known to play a role in the progression of Parkinson’s disease and the death of nerve cells in the brain (neurodegeneration). The increased body-wide inflammation caused by dental issues can potentially add fuel to the fire, making the neuroinflammatory process worse.
• Impact on Symptoms: This increased inflammation may be why studies have found that people with poor oral health often experience more severe motor symptoms (like rigidity and tremors) and faster decline in cognitive function.

By keeping your gums healthy and controlling inflammation in your mouth, you’re not just protecting your smile—you’re actively supporting your whole-body health and potentially reducing factors that contribute to the worsening of Parkinson’s symptoms. This is why our partnership in preventive dental care is so important!

Understanding the Connection Between PD and Caring for Your Mouth

Because of muscle stiffness, tremors, and the side effects of medications, people with Parkinson’s often experience a greater number of dental issues. Knowing these challenges is the first step toward prevention.

Here’s how Parkinson’s can uniquely affect your mouth:

• Dry Mouth and Drooling: Many Parkinson’s medications can reduce saliva, leading to dry mouth. This significantly increases the risk of cavities and infections. Paradoxically, slower swallowing can also lead to unintentional drooling, even if overall saliva production hasn’t increased.
• Higher Risk for Gum Disease & Cavities: Tremors and reduced dexterity can make thoroughly brushing and flossing very difficult. This allows plaque to build up, leading to inflammation, gum disease, and a higher chance of tooth decay.
• Muscle and Cognitive Changes: Jaw stiffness may cause pain or difficulty chewing (TMD). Additionally, cognitive changes can make it harder to consistently follow a daily hygiene routine.

How You Can Protect Your Oral Health With PD

The good news is that with a few adjustments, you can make a huge difference in your oral health. We encourage you and your caregivers to try these simple, effective strategies:

• Use an Electric Toothbrush and Other Adaptive Tools. An electric toothbrush is often easier to hold and use effectively than a manual one. Floss holders or interdental brushes can also make home care less frustrating.
• Stay Hydrated: Sip water often throughout the day to help wash away food particles. Talk to us about mouth rinses that could help.
• Keep Up with Recommended Teeth Cleaning Appointments: While some people may get their teeth cleaned three times a year, a Parkinson’s patient is likely to need more frequent cleanings. Dr. Comfortes will recommend the frequency of cleanings that is right for you, and while you’re here getting your teeth cleaned, we will monitor your oral health to catch any problems early. If you have gum inflammation, we offer Perio Protect™ therapy. This therapy consists of wearing Perio Trays for a few minutes a day. These comfortable trays hold medication against the gum line to kill the bacteria causing the inflammation. This treatment is highly effective.
• Adjust Your Diet: Limit sugary snacks and drinks. When you need to choose soft foods, look for options that are lower in sugar to reduce the fuel for cavity-causing bacteria.
• Ask for Help: Caregivers can provide invaluable assistance with brushing and flossing. If this is difficult or if swallowing difficulties are a concern, ask Dr. Comfortes and your physician-recommended therapist for advice.

We Are Here to Help

Your oral health and Parkinson’s disease influence each other. That’s why our dental team is dedicated to providing gentle, supportive care. We understand the unique needs of patients with Parkinson’s and will work with you to create a comfortable, personalized care plan that protects your smile and supports your overall health.

Please don’t hesitate to mention any concerns you have at your next visit.