Dental problems after a myeloma diagnosis are actually quite common — so you're definitely not alone in this. Up to 30% of people with myeloma can experience issues affecting the bones in the face or mouth.
There are a few key reasons why teeth and mouth problems can increase after diagnosis:
- Bone disease — Myeloma Show Full Answer
Dental problems after a myeloma diagnosis are actually quite common — so you're definitely not alone in this. Up to 30% of people with myeloma can experience issues affecting the bones in the face or mouth.
There are a few key reasons why teeth and mouth problems can increase after diagnosis:
- Bone disease — Myeloma causes bones to break down faster, and the jaw is made of bone, so it can be affected too
- Treatments like bisphosphonates (e.g., Zometa or Aredia) or denosumab (Xgeva), used to protect bones, can sometimes cause a serious condition called osteonecrosis of the jaw (ONJ), where the jawbone loses its blood supply
- Chemotherapy can cause bleeding gums, dry mouth, mouth infections, and changes in taste
- High calcium levels (hypercalcemia) from myeloma can also contribute to oral health issues A MyMyelomaTeam member shared, "After my first week of chemo, my gums have started bleeding." Another noted that fatigue, headaches, and painful gums and teeth made it hard to eat.
The good news is that regular dental care can make a real difference. It's worth making sure your dentist and oncologist are in communication with each other about your care. One MyMyelomaTeam member even had their ONJ caught early during a routine dental exam — a great reminder that prevention and early detection really matter.
If you're on bisphosphonates or denosumab, avoid invasive dental procedures like extractions or implants unless absolutely necessary, and always let both your dentist and oncologist know before any dental work.
May 13