Right. Realistically, my tab’s likely not that high. But, at minimum, he can take a mini-break somewhere cavity free. And why? When anticonvulsants, or seizure medication, such as Topamax and Lamictal, say they cause dry mouth, this is a serious “nuisance” (i.e. side effect) your dentist should know about.
And hint: don’t skip cleanings.
That, unfortunately, is what I did. Shortly after a couple maintenance fillings, I did my 6 month cleaning and check-up. Everything was good and I made an appointment for my next 6 month cleaning. Then I lost my license until the meds were therapeutic, and I couldn’t drive for 10 months! I was relying on people to shuttle me everywhere. And when my appointment came up, I had just used my ride to shuttle me 2 hours for an appointment with a surgeon the day before, a trip to a specialist three days before that, other random small errands… get the drift… they were not a taxi service.
I remember thinking I’d call for a cab, or reschedule the appointment. But I was on doctor overload, not sure if I wanted to keep my dentist (I had MAJOR issues with his receptionist/billing lady) and so I cancelled the cleaning. I never called back… until I was in pain 10 months later.
I started having tooth pain, and once I could drive, I bit the bullet. I called around and my dentist was still the most reasonable, old school dentist on the block (I need a cavity filled, not a college plan for my mouth!). He understood my absence and need for valium before the procedure. And he’s wonderful with trigeminal neuralgia pain and TMJ.
But I was NOT prepared for the rude awakening two seizure meds can do, unchecked, for 10 months. And I’m nearly vegetarian (occasional chicken), hardly any sweets (occasional bit of dark chocolate at night) and I care for my teeth!!
The verdict: 7 cavities and 1 root canal (but a few of those cavities were deep, and all but one was new!).
Ouch. I will not miss my next cleaning. Everyone, this is the hard truth about medication associated dry mouth.