Taking Precautions When Going to the Dentist

Good dental care is essential for anyone with a chronic lung condition. Respiratory and oral health are closely connected—plaque (bacterial buildup) in the mouth can create an unhealthy environment that impacts the lungs.

For those of us with bronchiectasis, dental visits can raise concerns about bacterial exposure, especially when tools like the Cavitron are used. This device sprays water to “power wash” teeth, but bacterial biofilms can form inside dental machines, posing a potential risk.

Another source of exposure is the swish bowl used for rinsing, which, like the Cavitron, may introduce harmful pathogens into the lungs through swallowing or reflux.

To minimize these risks, I prefer manual scaling, where the hygienist uses hand tools to scrape plaque from each tooth. While this method takes longer, it avoids aerosolized water. My hygienist compares the Cavitron to a jackhammer and manual scaling to a sledgehammer—both get the job done!

If your dental office resists manual scaling, it’s important to advocate for yourself:

•Explain your condition: Share that you have a chronic, non-contagious condition like COPD, and your doctor recommends manual cleaning.

•State your preference: Keep it simple—there’s no need for a detailed explanation about bacteria.

Additional Tips for a Safer Dental Visit:

1.Bring bottled water for rinsing instead of using the office’s water.

2.Clear your airways before the appointment.

3.Reduce reflux risk: If you have GERD, eat a few bites of bread beforehand. Carbs can absorb stomach fluids and reduce reflux.

4.Request specific adjustments:

•Avoid inverting the chair too much.

•Use saline water (commonly used for extractions) instead of regular water.

•Establish a signal (like raising your hand) if you need to sit up or cough.

5.Practice deep breathing: Place your hands on your belly to focus on diaphragmatic breathing and stay relaxed.

By communicating with your dental team and taking a few simple precautions, you can make dental visits safer and more comfortable.

Always consult your healthcare provider before making changes to your care plan.

#Bronchiectasis #DentalCare #OralHealth #COPD