How Mental Health and Oral Health are Connected


If Michael Glick, D.M.D., had his approach, each one that receives psychological well being care can be referred to a dentist. Oral well being and psychological well being are carefully related. For instance, individuals who have anxiousness or melancholy are inclined to neglect self-care duties like brushing their enamel twice a day. This impacts the general well being of their enamel and their mouth. In addition, the medicines usually prescribed to deal with these situations may cause dry mouth, which ends up in cavities and periodontal illness.

For the higher a part of a decade, Dr. Glick, govt director of the University of Pennsylvania’s Center for Integrative Global Oral Health, has been advocating for dentists and the general public to deal with oral well being as a substitute of dental well being.

“Medical schools spend less than 15 minutes of their four-year curriculum on oral health, treating the mouth as an entry rather than a mirror of what’s happening in the body,” he says. But oral well being “is not just about disease. Oral health goes beyond what happens to your teeth — it affects other aspects of your life.”

Oral well being consists of an individual’s capacity to comfortably communicate, smile, chew, and swallow, in addition to social and psychological attributes that may have an effect on high quality of life, Dr. Glick says.

He asks, “Can you work at a front desk if you’re self-conscious about your smile? If you have missing teeth or bad breath, is it making you depressed or causing social anxiety so that you avoid certain jobs or social situations?”

A Portrait by the Numbers

According to researchers, individuals with extreme psychological well being situations are virtually thrice as prone to lose enamel than individuals within the normal inhabitants. Nearly two-thirds of individuals recognized with melancholy report toothaches, and half of all clinically depressed people price the situation of their enamel as honest or poor. In addition, individuals with substance use dysfunction and consuming problems akin to anorexia or bulimia usually have excessive ranges of tooth decay, worn enamel, or gum illness.

Signs of Stress

At the identical time, individuals beneath stress might grind their enamel at night time and get complications from temporomandibular dysfunction (TMD) — a painful situation involving the joint that connects the jaw to the cranium.

Fortunately, dentistry is broadening from a singular deal with treating tooth points to offering preventive care and help for good oral well being. Regular dental care, good vitamin, and stress-reduction practices can preserve individuals on a wholesome monitor, even when they’re experiencing a psychological well being problem.

“For many people, oral health hasn’t been emphasized, yet it’s simple and readily accessible,” Dr. Glick says. If you may have considerations about your enamel or your general oral well being, discuss to your dentist.

For extra details about psychological well being, self-care methods, and the place to seek out assist, go to

Dr. Glick was a featured speaker on the 2023 Independence Blue Cross Health Equity Summit.


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