Question:
help! my teeth are breaking and falling out

Was wondering if there are any other long term post-ops (I am 4+yrs out) who are also having SEVERE dental problems since the wls.4 months after my first wls, I had massive cavities. (never had one in my life before wls) then I turned up with 22 of them! Now I have 6 broken teeth, coating on the teeth are falling apart. the pain at times is unbearable. (real fun when your unemployed with no insurance. has anyone else had this problem, or heard of it? if so what had to be done (other than extractions to the point of zero teeth left.) Daniel    — dhuberty (posted on March 8, 2003)


March 7, 2003
I asked my debntist about this, she has some other post ops. Said our cavity rate was about the same as regular folks and in any case cavities form slowly so your first bout probably wasnt related to surgery. Will be interested in other responses. She feels are better eatring less sugar with the RNY should make for fewer cavities, We you last suppering a lot before surgery> Maybe that accounts for the first group of cavities?
   — bob-haller

March 7, 2003
Hi Daniel, I'm so sorry to hear about your teeth! Sure does sound painful. I want to recommend that you increase your calcium supplement, or maybe switch to a liquid form. When your body is low on calcium, it then takes it from your bones. The teeth are the first place it draws from. I have been taking calcium supplements for YEARS, a lot longer than since my WLS (open rny 1/31/02). I've noticed that if for some reason I forget to take my calcium for a week (or more) then my teeth start to really ache. Also, before I started taking calcium, I had a lot of problems with my teeth, root canals, breakage, etc, and now I'm glad to say I haven't had any of those problems in 4+ years. Make sure also that the calcium you take is calcium CITRATE, not carbonate. I wish you the BEST of luck!
   — [Deactivated Member]

March 7, 2003
This sounds so much like my husband who finally had his upper teeth pulled and aplate put in at 34 yrs. He is NOT a WLS patient. They think its just poor genegtics on his part as many of his neices and nephews have terrible breaking/crumbling teeth. They all are heavey coffee drinkers since teenage yra too and I oftern wondered if that could be related. Who knows. Hope you find a solution (added calium may help). Jamie
   — Jamie M.

March 7, 2003
Yes, what Elayna said! A calcium deficiency was my first thought, too. Actually, I'm 3 1/2 years out, and my teeth are the healthiest they've ever been in 20 years, and that was after having to get some teeth pulled, a few root canals, etc., all pre-WLS. Have you had a Dexascan (bone density scan)? Osteoporosis is not just a woman's disease.
   — Leslie F.

March 7, 2003
I have heard that some wls people who had or have a lot of vomiting have this problem with their teeth due to the acid in the vomit. Sorry to be gross!
   — Delores S.

March 7, 2003
Hi Daniel: I am 18 mos post op and am having problems with my teeth breaking and disentigrating. I have broken 4 teeth in the last 5 months and now have found out that my fillings are working loose(3 of them at the same time are loose)...I am currently in the process of going back to my health insurance to see a specialist(not a regular dentist)but have my health insurance refer me to a DR within their medical group...not sure yet what type of dr that I will be referred to but I have made my health insurance aware that I want this FIXED !!!!! Keep in touch and I will put you in my address book when we find out what is wrong....AND YES, I have increased my calcium over 20 times more, been on a pik-line for extra calcium in an I.V. for 10 days...you name it I have tried it.....
   — Joi G.

March 7, 2003
One of the main causes of cavities is DRY MOUTH, according to my dentist. I use a flouride rinse now every day, and also BIOTENE toothpaste for dry mouth. Saliva has some really good properties apparently...it reduces bacteria in the mouth and is a self-cleaning agent. If you're not drinking enough water, or if you're taking medications that cause dry mouth, this must be dealt with early on, or you will have problems with cavities, at least. As far as the teeth fracturing....not sure if that also may be the result of dry mouth. If your gums are not at their best, then teeth could be loosening causing your bite to be off, and perhaps contributing to teeth falling out/fracturing. Just some thoughts of my own there. I'll ask my dentist next time about the teeth falling out part.
   — [Deactivated Member]

March 8, 2003
It's me again. I forgot to say that if there is a university that trains doctors and dentist near you, they would have a clinic and that is based only on what you can afford to pay. Here in Kentucky, the University of Ky has agreat dental clinic and they do all kinds of work. They are slow but they do good work and the instructors are right there to see that they do not make a mistake.
   — Delores S.

March 8, 2003
Thirty years ago the same thing happened to my Mom. She turned 40 and all her teeth just started chipping away. She ended up with a full set of false teeth by the time she was 50. She was told that it was from nutritional deficiences dating back to childhood and even the womb! You need to get expert opinions, but don't rule out that this may be a coincidence unrelated to WLS.
   — Julie S.




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