Dentists serve as disease detectives for their patients

March 26, 2002
Cancers of the mouth, tongue and jaw are usually first discovered during dental examinations and many other illnesses leave clues in the mouth.

Early detection of serious medical conditions is being made in an unexpected place -- the dental office. Because many other diseases can cause specific signs and symptoms in and around the mouth and jaw, dentists see clues that may point to critical health issues. As a result, increasing numbers of dentists are urging their patients to seek medical tests that seem unrelated to their dental checkups.

Roger Smith, DDS, dental director of the affiliated Delta Dental Plans of Michigan, Ohio and Indiana, refers to a case in which a New Jersey woman had an undiagnosed illness. During this time she visited her periodontist for a periodic checkup. He found his patient had an enlarged thyroid gland and referred her to a physician for follow-up.

"More than 120 disease signs and symptoms can now be detected through a routine oral exam," said Smith. "Regular dental checkups are more important than ever, not only for oral health but for general well being."

Cancers of the mouth, tongue and jaw are usually first discovered during dental examinations and many other illnesses leave clues in the mouth. When your dentist does an oral exam, looking for cavities is only part of the job.

The affiliated Delta Dental Plans of Michigan, Ohio and Indiana make up the leading group dental benefits provider in the Midwest. Last year the company paid nearly $1 billion for dental treatment for more than 4.5 million members. It is considered an industry leader in dental benefit design, claims administration and cost management.

Oral Clues That May Indicate a Serious Health Problem

Anemia
Burning fiery red tongue, inflammation of the corners of mouth or pale gum tissues.

Diabetes
Dry mouth, distinctive breath odor, burning tongue, high rate of tooth decay, inflammation and infections in the mouth.

Anorexia nervosa and bulimia
Chemical erosion of tooth enamel, fillings may appear to be raised above the eroded tooth surfaces, sensitive teeth, enlargement of the parotid glands making the face look full and round, sweet aroma of the patient's breath.

Kidney failure
Retarded tooth development in children, dry mouth, odor, metallic taste and ulcers on the tongue and gums.

Deficient immune system (HIV positive)
Unexplained sore(s), red mouth due to opportunistic yeast infections (thrush mouth), non-removable white areas on the sides of the tongue.

Heart disease
Pain radiating to the jaw caused by insufficient oxygen to the heart muscle.