She Strengthens

The Surprising Link Between Crohn’s Disease and Oral Health

A Chronic Condition with Far-Reaching Effects

Crohn’s disease, a type of inflammatory bowel disease (IBD), is often associated with symptoms like abdominal pain, diarrhea, and weight loss. However, its impact extends beyond the digestive tract, affecting oral health in surprising ways. As a result, it’s crucial to inform your dentist about your condition, enabling them to monitor and address related dental and oral concerns.

The Connection Between Crohn’s and Oral Health

Research reveals a strong link between IBD and dental conditions like dental caries, infections, and periodontitis. This connection stems from the shared pathogens or microorganisms responsible for these conditions. In fact, up to 35% of individuals with IBD experience symptoms outside their digestive tract, with 5-50% of those cases manifesting in the oral cavity.

Recognizing the Signs and Symptoms

Oral manifestations of Crohn’s disease can appear in various forms, including:

• Canker sores in the mouth or on the lips
• Inflammation or cracks in the corners of the mouth
• Throat irritation with visible bumps and lumps
• Swollen lips
• Skin tags inside the mouth or behind teeth
• Thickened mucus inside the mouth
• Abscesses or swelling with discharge

Understanding Oral Crohn’s Disease

Oral Crohn’s disease is a less common form of the condition, causing ulceration in and around the mouth. Although it often accompanies bowel disease, 60% of oral Crohn’s cases initially present without gut symptoms. Over time, 30% of these individuals will develop gut symptoms.

Treating Oral Crohn’s Disease

Treatment begins with identifying the cause of canker sores, which may be triggered by medication. Your dentist should rule out medication as a cause before developing a treatment plan. Additional treatments may include:

• Exclusion diets to identify and reduce intake of aggravating foods
• Special mouthwashes or pastes for mouth ulcers
• Injections into swollen lips or cheeks for cosmetic improvement

In severe cases, surgery may be necessary.

The Impact on Dental Treatment

Individuals with Crohn’s disease may require more dental treatment due to increased risk of gum inflammation, gingivitis, and bad breath. Regular dental cleanings and bi-annual check-ups are essential to prevent and manage oral symptoms.

Questions to Ask Your Dentist

To ensure you receive the right treatment and prevention plan, consider asking your dentist:

• How does Crohn’s disease affect oral health?
• Do I have any oral signs or symptoms of Crohn’s disease?
• What signs or symptoms should I look out for?
• How often should I get dental cleanings?
• What mouthwash, toothpaste, floss, or toothbrush should I use?
• How can I keep my breath smelling fresh?
• Should I avoid any specific foods or dental products?

Taking Control of Your Oral Health

Crohn’s disease may have far-reaching effects, but with the right information and dental care, you can manage and even prevent some oral symptoms. Consult with your dentist to develop a personalized care plan that addresses your unique needs.