Mclevin Dental Office

Does Acne Medication Affect Oral Health in Teens?

Acne is a common part of the teenage years, and for many teens, managing it involves prescription medications. While these treatments can do wonders for the skin, many parents and teens are surprised to learn that certain acne medications can also impact oral health.

At McLevin Dental Clinic, we often get questions from families about how skin treatments might affect teeth and gums. Understanding this connection helps teens maintain both clear skin and a healthy smile.

How Acne Medication Can Impact Oral Health

Many common acne medications—both topical and oral—can have side effects that influence oral tissues, saliva production, and overall dental health. Here are some of the most common effects:

1. Dry Mouth (Xerostomia)

Oral acne medications like isotretinoin (commonly known as Accutane) can significantly reduce saliva production. Saliva plays a crucial role in protecting teeth by neutralizing acids, washing away food particles, and fighting bacteria. Reduced saliva increases the risk of:

Cavities

Gum disease

Bad breath

Mouth sores

2. Gum Inflammation or Irritation

Some acne medications may lead to swollen, tender, or bleeding gums. This is often due to the body’s reaction to the medication or dry mouth, which allows more bacteria to accumulate around the gums.

3. Lip and Mouth Cracking

A common side effect of isotretinoin is severely dry lips, which can extend to the corners of the mouth, leading to painful cracks (angular cheilitis). This can make smiling, eating, and talking uncomfortable.

4. Mucosal Dryness and Mouth Sores

Dry mucous membranes in the mouth can lead to discomfort, mouth ulcers, or sores, especially in teens prone to sensitive tissues.

5. Bone and Tissue Sensitivity (Rare)

Though uncommon, long-term use of certain medications may have minor effects on bone tissue, including the jawbone, which is particularly relevant during orthodontic treatment.

Medications Most Likely to Affect Oral Health

The acne medications most commonly associated with oral health side effects include:

Isotretinoin (Accutane) – known for dry mouth, dry lips, and gum sensitivity

Antibiotics like doxycycline or tetracycline – sometimes cause oral yeast infections, gum irritation, or tooth staining (with long-term use)

Topical retinoids and benzoyl peroxide – less likely to affect oral health but can cause lip and skin dryness that extends to the mouth area

How to Protect Oral Health While Taking Acne Medications

If your teen is using acne medication, it’s important to take extra steps to protect their teeth, gums, and mouth. Here’s how:

1. Stay Hydrated

Encourage drinking plenty of water throughout the day to combat dry mouth and support saliva production.

2. Use Saliva Substitutes

There are over-the-counter mouth sprays, gels, and lozenges designed to help relieve dry mouth symptoms.

3. Maintain Excellent Oral Hygiene

Brush twice daily with fluoride toothpaste.

Floss every day to remove plaque between teeth.

Use an alcohol-free, moisturizing mouthwash designed for dry mouth.

4. Moisturize Lips Regularly

Use lip balm with ingredients like lanolin or petroleum jelly to prevent cracking and dryness around the mouth.

5. Schedule Regular Dental Checkups

Regular visits to McLevin Dental Clinic help catch early signs of dry mouth complications like cavities, gum disease, or enamel erosion before they become serious.

6. Inform Your Dentist About All Medications

Always let your dental team know about any acne medications your teen is taking. This allows us to tailor cleanings, fluoride treatments, and preventive advice based on their specific needs.

Should Teens on Acne Medication Be Concerned?

While the side effects are real, they are manageable. Most teens using acne medication experience mild to moderate dryness or irritation, but with the right oral care routine and professional support, their oral health can stay in excellent shape throughout treatment.

The key is awareness and proactive care. Addressing dry mouth early, staying hydrated, and attending regular dental checkups can make a big difference.

Our Approach at McLevin Dental Clinic

At McLevin Dental Clinic, we take a whole-person approach to dental care. We understand that teens today are managing not just oral health but skin health, mental wellness, and busy schedules. Our team collaborates closely with families to ensure that medications like acne treatments don’t compromise a teen’s smile.

We provide custom oral care plans that include solutions for dry mouth, enamel protection, and gum health—so your teen can stay confident in both their skin and their smile.

Schedule Your Teen’s Dental Visit Today

If your teen is starting acne medication or experiencing dry mouth, gum irritation, or discomfort, McLevin Dental Clinic is here to help. Book a checkup today, and let’s work together to keep their smile as healthy and confident as their skin.

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