Can a dentist tell if you’re sick?

Answered by Willie Powers

A dentist can often tell if you’re sick based on certain signs and symptoms they observe during your dental visit. The mouth is considered a window to the overall health of a person, and many systemic diseases can manifest in the oral cavity. Here are some examples:

1. Infections: Dentists can identify signs of infections in the mouth, such as gum abscesses, which can indicate a weakened immune system or an underlying systemic infection. Additionally, certain oral infections like thrush (caused by Candida fungus) or oral herpes can be a sign of a compromised immune system.

2. Vitamin deficiencies: Dentists may notice signs of vitamin deficiencies, such as pale or swollen gums, mouth ulcers, or a condition called angular cheilitis (cracks and sores at the corners of the mouth). These symptoms can suggest a lack of essential vitamins like vitamin C, B vitamins, or iron, which can be indicative of poor overall health or dietary issues.

3. Diabetes: Oral health problems, such as frequent gum infections, dry mouth, or slow healing of oral wounds, can be clues to undiagnosed diabetes or poorly controlled diabetes. Dentists may refer patients exhibiting these symptoms to a medical doctor for further evaluation.

4. Acid reflux: Dentists can sometimes identify signs of acid reflux or gastroesophageal reflux disease (GERD) by observing erosion of tooth enamel, particularly on the back surface of the teeth. This can be an indication of frequent acid exposure from stomach acid regurgitation.

5. Stress and bruxism: Dentists often recognize signs of stress-related conditions like bruxism (teeth grinding) or temporomandibular joint (TMJ) disorders. These conditions can cause excessive tooth wear, jaw pain, headaches, and muscle tension. They may suggest that a patient’s overall health is being impacted by stress.

6. Pregnancy: During routine dental exams, dentists may notice changes in the oral cavity that can indicate pregnancy, such as swollen or bleeding gums (pregnancy gingivitis) or the presence of pregnancy tumors (localized swelling on the gums). However, it is important to note that these signs are not definitive proof of pregnancy and should be confirmed by a medical professional.

It’s worth mentioning that while dentists can detect these signs, they are not medical doctors and cannot provide a definitive diagnosis. However, their observations can prompt further investigation and appropriate referrals to medical professionals for a proper diagnosis.

Dentists can often identify various signs and symptoms in the oral cavity that may indicate underlying health issues or systemic diseases. Regular dental visits can provide valuable insights into a person’s overall health and prompt further medical evaluation if necessary.