About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
Dentistry - Can medication cause teeth to crumble?
Expert: Mark Bornfeld DDS - 2/28/2009
Question Dr. Bornfeld,
I am a Vietnam Veteran and on 80% disability as an out-patient at a VA Hospital. For the past several years they have been prescribing such medications as: Morphine, Nifedipine, Hydraclorolthiazide, Cyclobenzaprine, Meloxicam, Simvastatin, Bupropion, and Fluoxitine.
During the past few months all of my front teeth have been literally crumbling, so I researched the possible cause on the internet. As a result, I suspect the cause may be the Morphine.
I don't grind my teeth, and my oral hygene regime has not changed. The VA doesn't know the cause, and they won't give me any more dental care. The pain is steadily increasing. Please help me find the source of this problem.
I am 62, unemployed and living on VA disability. Do you know if there is any program that will me find Dental help?
Answer Dear nightrain,
Medications that inhibit salivary secretion and thereby cause mouth dryness can significantly increase susceptibility to tooth decay. Of the medications you mention, the cyclobenzaprine is perhaps the greatest offender. Other unrelated medical conditions can also contribute to dry mouth.
It is unclear from your brief narrative whether the VA won't provide additional dental care due to limitations in your coverage, or simply because they don't know what services are appropriate for managing your dental complaint. However, if you wish to explore your options outside the VA system, you may wish to see whether you qualify for free dental service through the Donated Dental Services program. To investigate the services available in your state, see their web site at:
