Re: Ritalin is causing tooth decay
From: Mark & Steven Bornfeld DDS (bornfeldmung_at_dentaltwins.com)
Date: 12/27/04
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Date: Mon, 27 Dec 2004 16:25:22 -0500
Chris wrote:
> I am a 4th Year dental student at a UK Dental School. I have been
> using Ritalin for 2 months - it has been VERY beneficial.
>
> Unfortunately, I am alarmed by the appearance of mutiple white spot
> lesions (class V) in my anterior teeth. Very sesitive when I drink
> anything
>
> So far I have had a DMFT of 0.
>
> The dry mouth is a real problem.
My PDR is old (I'm afraid), but doesn't specifically list xerostomia as
an adverse reaction. However, other autonomic symptoms such as
insomnia, palpitations, diaphoresis are listed, so I assume this is a
known reaction. Anything that causes xerostomia has the potential for
exacerbating caries activity.
I'd ask your physician (esp. if there are other symptoms as well) if
the dosage needs to be adjusted. Meanwhile, use something like Biotene
rinse, and consider fluoride gels as well. Fluoride varnish may be
useful both to aid sensitivity and possibly aid remineralization.
Steve
-- Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
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