Helping a Family Member With Bipolar Disorder Maintain Oral Health
Posted on: 2 December 2020
Bipolar disorder is a chronic mental illness, categorized by alternating periods of depression and an elevated mood. The disorder used to be known as manic depression, with the elevated state demonstrated by a sense of mania, which would then be followed by depression. The name of the condition gradually shifted to become formally known as bipolar disorder, which is a more accurate reflection of the nature of the illness.
People with bipolar disorder can experience dental issues related to their illness even though these issues are not directly caused by their disorder. If a family member has been diagnosed with bipolar disorder, how can you help them with their dental care?
1. Dry Mouth
Some forms of medication prescribed in the management of bipolar disorder can have an adverse effect on dental health. Several antidepressants have been known to result in dry mouth, most notably tricyclics and selective serotonin reuptake inhibitors. The resulting reduced levels of saliva can cause an imbalance in oral bacteria, making teeth more prone to cavities and general degradation. Saliva replacement can be necessary, although this can be as simple as consuming sugar-free candies and staying hydrated.
2. Lithium Carbonate
When your loved one is being treated with lithium, they might be more prone to dental decay as a side effect of the medication. There are case studies that indicate that lithium carbonate can accelerate decay. If your loved one is facing this situation then it's vital that you set up regular dental checkups so dentists can treat any decay while still in its infancy.
Manic and Depressive States
Your loved one might also experience polar opposites in terms of their dental self-care. During the manic (euphoric) phase of their illness, they might be prone to overly-enthusiastic dental care, with excessive brushing and flossing to the point that dental enamel and gum tissue might become damaged. During the depressive phase, they might neglect their dental health entirely. If your loved one is living with you, it can be helpful to supervise their dental care to make sure it's adequate and isn't overdone.
If your loved one stays on their correct medication, their mood swings can be somewhat regulated, allowing an appropriate level of dental self-care, but the situation still requires ongoing monitoring, and sometimes direct assistance will be needed. If you have any questions about how bipolar disorders can affect oral health, contact a local dentist.
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