What may increase your risk of a problem from a mouth, gum, or tooth problem?

Many conditions, lifestyle choices, medicines, and diseases interfere with your ability to heal or fight infection. You may be at risk for a more serious problem from your symptoms if you have any of the following. Be sure to tell your health professional.

Conditions

  • Heart valve disease
  • Heart valve replacement
  • Previous dental injuries
  • Previous dental or gum surgery
  • Radiation therapy to the mouth, face, or neck (now or in the past)
  • Surgery to remove the spleen

Lifestyle choices

  • Alcohol abuse or withdrawal
  • Drug abuse or withdrawal
  • Smoking or other tobacco use

Medicines

  • Antiseizure medicines, such as phenytoin
  • Birth control pills (oral contraceptives)
  • Blood-thinning medicines, such as warfarin, heparin, and aspirin
  • Calcium channel blockers, which are used to control high blood pressure or for people with heart problems
  • Corticosteroids, such as prednisone
  • Medicines that contain gold
  • Medicines to prevent organ transplant rejection
  • Medicines used to treat cancer (chemotherapy)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen

Diseases

  • Cancer
  • Crohn's disease
  • Dental disease, such as tooth decay or gum disease
  • Diabetes
  • Eating disorders, such as anorexia nervosa or bulimia nervosa
  • Gastroesophageal reflux disease
  • Hemophilia
  • Idiopathic thrombocytopenic purpura (ITP)
  • Infection of the muscles and valves of the heart (endocarditis)
  • Iron deficiency anemia
  • Malabsorption syndromes
  • Scleroderma
  • Sickle cell disease
  • Sjögren's syndrome
  • Vitamin deficiencies, such as too little folate, niacin, pyridoxine, riboflavin, vitamin C, and vitamin K


Author: Susan Van Houten, RN, BSN, MBALast Updated: December 1, 2006
Medical Review: Martin Gabica, MD - Family Medicine
William M. Green, MD - Emergency Medicine
Steven K. Patterson, BSc, DDS, MPH - Dentist

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