Mary Poppins had a good thought when she sang the song “Spoon Full of Sugar”, but she apparently wasn’t thinking about some of the “side effects”.  A spoon full of sugar may help the medicine go down, but most dentists would likely encourage parents to skip that step when treating a child’s illness. However, most parents might not realize that even without the sugar, some children’s medicines may cause cavities while they’re fighting other health issues.  Antihistamine syrups are frequently purchased over-the-counter or prescribed to deal with problems such as chronic allergies or the flu. However, many of these syrups contain low pH levels and high acidity which can be a dangerous combination for a child’s teeth. The sugar in the medication combined with the acids dissolve dental enamel, causing erosion.  Antihistamines can also dry the mouth out and increase the potential for decay.   Although some medications are necessary for general health they can be extremely harmful to the teeth if the medicine is given at bedtime or without following proper oral health habits.  Since the flow of saliva, nature’s buffer against cavities, decreases during the night, medicines given before bedtime can do a great deal of damage if a child does not brush away sugar and acids. A fluoride toothpaste can provide extra protection against decay. If brushing is not possible, rinsing the mouth with water can minimize the risk.

A recent study revealed that placing children’s teeth in contact with syrupy medications could cause erosion to the outer layers of the teeth. However, when teeth were treated with a topical fluoride treatment, the decay was minimal.  It’s important to talk with your dentist about any medications that your child is on and see what he or she recommends to combat the problems those medications might cause.

Tips for taking medicine

• Take the medication at meal times instead of bedtime if it doesn’t interfere with absorption of the medication.
• Brush after taking syrup-type of medication
• Rinse with water or chew sugar-free gum afterwards
• Take calcium supplements or use a topical fluoride after using (always check with your pediatrician or general dentist before taking any supplements)

Medications are very important for a variety of health reasons, but be aware of the dental concerns they may cause.  If you do have questions, always consult with your physician or dentist. 

Need help with a have dental question?  Contact me through our web site at www.drscottlogan.com in the “Contact Us” section if I can assist in any way.  I’ll get back to you with an answer in a few days.