Ozempic Teeth: What You Need to Know About GLP-1 Medications and Your Dental Health

Medications like Ozempic, Wegovy, and Mounjaro have revolutionized diabetes management and weight loss for millions of Americans. These GLP-1 receptor agonists offer impressive health benefits, from better blood sugar control to significant weight reduction. However, as more patients embrace these medications, dentists across the country—including here at our Carrollton practice—are noticing an unexpected trend: dental complications that patients are calling “Ozempic teeth.”

If you’re taking a GLP-1 medication or considering starting one, understanding how it might affect your oral health is crucial. The good news? With proper awareness and preventive care, you can protect your smile while achieving your health goals.

What Are “Ozempic Teeth”?

“Ozempic teeth” isn’t an official medical diagnosis, but rather a term that has emerged to describe the dental problems some people experience while taking GLP-1 medications. These issues can include:

• Dry mouth (xerostomia) and persistent thirst
• Tooth decay and increased cavities
• Tooth sensitivity to hot, cold, or sweet foods
• Enamel erosion and visible wear on teeth
• Gum irritation, bleeding, or receding gums
• Bad breath that persists despite good hygiene
• Cracked or brittle teeth
• Slower healing after dental procedures

While not everyone on GLP-1 medications will experience these problems, awareness is the first step in prevention.

Why Do GLP-1 Medications Affect Your Teeth?

It’s important to understand that Ozempic and similar drugs don’t directly damage your teeth. Instead, the side effects of these medications create an environment in your mouth that can be highly conducive to dental problems.

The Primary Culprits

Dry Mouth: The Biggest Concern

GLP-1 medications affect how your digestive system produces secretions, including saliva. Additionally, these drugs often suppress appetite and thirst, leading to reduced water intake and mild dehydration. The result? Significantly reduced saliva production.

Saliva isn’t just for keeping your mouth comfortable—it’s your teeth’s natural defense system. Saliva neutralizes acids, washes away food particles, provides minerals that strengthen enamel, and controls bacteria that cause decay. Without adequate saliva, your risk of cavities and gum disease increases substantially.

Nausea and Vomiting

Studies show that nausea occurs in approximately 16-20% of Ozempic users, with 5-9% experiencing vomiting. When stomach acid comes into contact with your teeth repeatedly—whether through vomiting or acid reflux—it erodes tooth enamel, making teeth more vulnerable to decay and sensitivity.

Nutritional Changes

When GLP-1 medications suppress your appetite, you might inadvertently miss out on nutrients essential for oral health. Calcium, vitamin D, vitamin C, and B vitamins all play crucial roles in maintaining strong teeth and healthy gums. Some patients also gravitate toward softer, sometimes sweeter foods when experiencing nausea, which can further contribute to tooth decay.

Neglected Oral Hygiene

When you’re not feeling well, brushing and flossing can fall by the wayside. Unfortunately, skipping even a few sessions can allow plaque to build up quickly, especially when dry mouth is already present.

Protecting Your Smile While on GLP-1 Medications

If you’re taking Ozempic, Wegovy, Mounjaro, or a similar medication, here’s how to safeguard your dental health:

Hydration is Key

Drink water consistently throughout the day—aim for 64-100 ounces (2-3 liters) if possible. Keep a water bottle with you and take regular sips. Proper hydration helps maintain saliva flow and protects your teeth.

Combat Dry Mouth

• Chew sugar-free gum with xylitol to stimulate saliva production
• Use dry mouth products like Biotène gel, rinses, or sprays
• Avoid alcohol-based mouthwashes, which can worsen dryness
• Use a humidifier in your bedroom at night

Handle Nausea and Vomiting Properly

If you experience vomiting:

• Rinse your mouth immediately with water or a baking soda solution (1 teaspoon in 8 oz water) to neutralize acid
• Wait 30-60 minutes before brushing—brushing immediately can spread acid around and damage softened enamel
• Talk to your doctor if vomiting is frequent; you may need medication adjustments

Maintain Excellent Oral Hygiene

• Brush twice daily with fluoride toothpaste
• Floss daily, preferably before brushing
• Consider using a prescription-strength fluoride toothpaste if recommended by your dentist
• Don’t skip dental cleanings—keep your regular six-month schedule or more frequent visits if recommended

Focus on Nutrition

Even with reduced appetite, prioritize nutrient-dense foods. Include:

• Dairy products or fortified alternatives for calcium
• Fatty fish, eggs, or supplements for vitamin D
• Citrus fruits and vegetables for vitamin C
• Whole grains for B vitamins

Avoid prolonged snacking on sugary or acidic foods, which can compound the problem.

Communicate with Your Dental Team

This is critical: Tell your dentist that you’re taking a GLP-1 medication. This information allows us to:

• Monitor your oral health more closely
• Watch for early signs of enamel erosion or gum problems
• Adjust your preventive care plan
• Recommend additional protective treatments like fluoride varnish
• Provide personalized strategies for your situation

Warning Signs to Watch For

Contact our office if you experience:

• Increased tooth sensitivity that doesn’t improve
• Persistent dry mouth despite increased water intake
• Visible changes in tooth color or texture
• Bleeding gums or gum recession
• New or worsening bad breath
• Any tooth pain or discomfort

Early intervention can prevent minor issues from becoming major problems. Unlike some GLP-1 side effects that may resolve when you stop the medication, dental damage can be permanent if left untreated.

Our Commitment to Your Complete Health

At Tejal A. Kakade, DMD, MAGD, PC, we understand that your health journey extends beyond your teeth. GLP-1 medications can be powerful tools for managing diabetes and achieving weight loss goals, and we’re here to ensure that your oral health remains strong throughout your treatment.

We create customized preventive care plans for patients on GLP-1 medications, including:

• More frequent monitoring appointments if needed
• Professional fluoride treatments
• Personalized oral hygiene recommendations
• Early intervention for any emerging issues
• Coordination with your medical team when necessary

Your decision to improve your health through GLP-1 medications should be supported, not complicated by dental concerns. With awareness, proactive care, and the right dental team, you can maintain a healthy, confident smile while achieving your health goals.

Take Action in CarolltonToday

If you’re currently taking Ozempic, Wegovy, Mounjaro, or any GLP-1 medication, we encourage you to schedule a consultation with our office. Let’s work together to create a dental care plan that protects your smile while you focus on your overall wellness.

Remember: your oral health is an essential part of your complete health picture. Don’t let “Ozempic teeth” catch you off guard—be proactive, stay informed, and maintain regular dental care.

Contact us today to discuss how we can support your dental health during your GLP-1 treatment journey. Your smile deserves the same attention and care as the rest of your health goals.

Dr. Tejal Kakade is a Master of the Academy of General Dentistry (MAGD) providing comprehensive family dentistry in Carrollton, GA. Her practice emphasizes preventive care and patient education to help patients maintain optimal oral health throughout all stages of life.