Oral Care

The newest FDA-approved treatment for weight management and type 2 diabetes.

Includes tirzepatide, a medication that acts on two important hormones: GLP-1 and GIP.

This dual-action approach helps suppress appetite while also supporting better blood sugar regulation.

Intended to deliver improved results when used alongside lifestyle modifications.

Approved for weight management in adults who are overweight or obese.

Contains semaglutide, a GLP-1 receptor agonist medication.

Works by mimicking a natural hormone that influences the brain’s appetite regulation centers.

Supports reduced hunger and calorie consumption to encourage long-term weight loss.

Although oral and injectable weight loss medications can contain the same active ingredient (like semaglutide), their chemical formulations are specifically tailored to their method of delivery. Injectable medications are administered directly into the bloodstream, while oral medications must withstand the digestive process, resulting in different designs to maintain their effectiveness.

Key distinctions include:

• Injectables bypass the digestive tract, allowing for more efficient absorption; oral medications often require absorption enhancers.
• Oral tablets are formulated with protective coatings and carriers to withstand stomach acid.
• Injectables are often chemically more stable, especially for peptide-based drugs.
• Injectables generally allow for higher drug levels in the blood.
• Oral tablets contain more excipients (binders, coatings, etc.) than injectables.

Oral weight loss medications can be effective, but they don’t always function identically to injectable treatments. Even when containing the same active ingredient, oral medications are absorbed differently, which can slightly impact how much of the drug is available to work in the body.

That said, for many individuals, oral options offer a convenient and clinically effective alternative.

Key points:

• Oral medications may deliver lower drug levels into the bloodstream compared to injectables.
• Higher oral doses are often used to make up for reduced absorption.
• Clinical trials show that oral semaglutide (like Rybelsus) can produce weight loss comparable to injections in some individuals.
• For those who prefer to avoid injections, oral treatments provide an effective option when taken as directed and consistently.

Understanding the causes of oral health issues is essential for effective management and prevention. Here are some of the key causes associated with various oral conditions:
1. Dental Caries (Tooth Decay)
Description: Dental caries, commonly known as tooth decay, is the deterioration of tooth structure caused by acid-producing bacteria.
Causes: The main causes of tooth decay include poor oral hygiene practices, consumption of sugary foods and drinks, and a lack of fluoride in the diet.
2. Gum Disease (Periodontal Disease)
Description: Gum disease encompasses a range of conditions that affect the tissues supporting the teeth, including gingivitis and periodontitis.
Causes: Poor oral hygiene, smoking, genetics, hormonal changes, and certain medical conditions can contribute to gum disease.
3. Tooth Sensitivity
Description: Tooth sensitivity involves discomfort or pain when consuming hot or cold foods and beverages or when brushing and flossing.
Causes: Tooth sensitivity can result from enamel erosion due to acidic foods, toothbrush abrasion, gum recession, or dental procedures like teeth whitening.
4. Oral Thrush
Description: Oral thrush is a fungal infection characterized by white patches on the tongue, inner cheeks, and other oral tissues.
Causes: Oral thrush is often linked to a weakened immune system, the use of certain medications (like antibiotics), or medical conditions like diabetes.
5. Temporomandibular Joint (TMJ) Disorders
Description: TMJ disorders affect the jaw joint and surrounding muscles, leading to pain, jaw clicking, and restricted jaw movement.
Causes: TMJ disorders can result from teeth grinding (bruxism), jaw injury, arthritis, stress, or an uneven bite.

Accurate diagnosis is crucial for determining the appropriate course of action when dealing with oral health issues. Here are common methods used to diagnose various oral conditions:
1. Clinical Examination
A comprehensive dental examination by a dentist or oral healthcare provider is the primary step in diagnosing oral health problems. This exam may include:
Visual inspection of the teeth, gums, tongue, and oral tissues.
Evaluation of dental X-rays to detect hidden issues.
Measurement of gum pockets to assess for gum disease.
Assessment of tooth sensitivity triggers.
2. Dental X-Rays
Dental X-rays, including bitewing and panoramic X-rays, provide detailed images of the teeth and jawbone, aiding in the diagnosis of cavities, bone loss, and impacted teeth.
3. Oral Culture
For conditions like oral thrush, a culture of the affected area may be taken to identify the specific fungus causing the infection.
4. TMJ Evaluation
Diagnosing TMJ disorders may involve physical examinations of jaw movement, dental impressions, and imaging (such as MRI or CT scans) to assess the joint and surrounding structures.
5. Dental Sensitivity Testing
Dentists may use various methods to determine the cause of tooth sensitivity, such as air or cold water tests to pinpoint sensitive areas.

Treatment options for oral health conditions vary depending on the specific issue and its severity. Here are some common treatment approaches, often involving active ingredients:
1. Dental Caries (Tooth Decay)
Fluoride Treatment: Application of fluoride to strengthen enamel.
Dental Fillings: Removal of decayed tooth material and filling the cavity (common materials include amalgam, composite, or glass ionomer).
2. Gum Disease (Periodontal Disease)
Scaling and Root Planing: Deep cleaning to remove plaque and tartar from below the gumline.
Antibiotics: Antibacterial medications to treat infection and inflammation.
Surgical Procedures: In advanced cases, gum surgery may be necessary to repair or regenerate tissue.
3. Tooth Sensitivity
Desensitizing Toothpaste: Toothpaste containing potassium nitrate or strontium chloride to reduce sensitivity.
Fluoride Gel: In-office application to strengthen enamel.
Dental Bonding: Applying a tooth-colored resin to sensitive areas.
4. Oral Thrush
Antifungal Medications: Prescription or over-the-counter antifungal lozenges, mouth rinses, or oral tablets containing active ingredients like nystatin or fluconazole.
5. Temporomandibular Joint (TMJ) Disorders
Physical Therapy: Jaw exercises and stretches.
Pain Medications: Over-the-counter pain relievers or prescription medications.
Oral Splints or Mouthguards: Custom-made devices to alleviate jaw pressure.

Preventing oral health problems largely revolves around adopting good oral hygiene practices and making lifestyle adjustments. Here are some tips for maintaining excellent oral health:
1. Regular Dental Check-ups
Schedule routine dental check-ups with a dentist every six months for professional cleanings and early detection of issues.
2. Brush and Floss Regularly
Brush your teeth at least twice a day using fluoride toothpaste, and floss daily to remove plaque and food particles.
3. Balanced Diet
Limit sugary and acidic foods and beverages, and incorporate a diet rich in calcium and vitamin D to support strong teeth and bones.
4. Tobacco Cessation
Avoid smoking and using smokeless tobacco, as they are major risk factors for gum disease, oral cancer, and other oral health problems.
5. Mouthguard Use
If you grind your teeth at night, consider wearing a mouthguard to protect your teeth from damage.
6. Stay Hydrated
Drinking plenty of water helps maintain saliva production, which aids in cleansing the mouth and preventing dry mouth-related issues.
7. Manage Stress
Stress management techniques, such as relaxation exercises, can help alleviate jaw tension and reduce the risk of TMJ disorders.
Promoting and maintaining oral health is vital for a healthy, confident smile and overall well-being. By understanding the causes, seeking timely diagnosis, and following preventive measures, individuals can enjoy optimal oral health throughout their lives.

Read more about Oral Care on the NHS website, following the link below:

https://www.nhs.uk/live-well/healthy-teeth-and-gums/take-care-of-your-teeth-and-gums/