Hi, I'm just wanting people's advice or stories. I'm wondering if hypothyroidism is related to bad teeth? I am 39, female and since I found out I had hypothyroidism my teeth have got so bad, I have had 3 of my adult teeth removed and now I have plenty of fillings due to cavities and yesterday while eating a part of my molar come away, now I have a big hole. I'm not experiencing pain at the moment thankfully but I will probably have to get that removed now too. I brush my teeth everyday and use mouthwash in the middle of the day. I very rarely eat sugary foods or drink juice. I have never been a person that loves sweet things, my family love sweet things yet they have no problems. I follow the same routine as my family and non of them have any dental problems. Has anyone had anything similar?I am wanting to have a conversation with my dentist about my issue and whether my thyroid is causing me dental issues but I am worried incase he doesn't agree and has a bad reaction where he thinks I am just making up excuses. Please let me know what you think. Thankyou
Low thyroid causing bad teeth?: Hi, I'm just... - Thyroid UK
Low thyroid causing bad teeth?
your previous post
healthunlocked.com/thyroidu...
TSH 8 on 100mcg Levo
So very hypo
Presumably you have now had increase in dose to 125mcg daily
Now taking iron correctly at least 4 hours away from Levo
Retest thyroid and vitamin levels 8 weeks after changing dose
Meanwhile get vitamin D tested
NHS easy postal kit vitamin D test £31 via
NHS Guidelines on dose vitamin D required
panmerseyapc.nhs.uk/media/2...
GP will often only prescribe to bring vitamin D levels to 50nmol.
Some areas will prescribe to bring levels to 75nmol or even 80nmol
leedsformulary.nhs.uk/docs/...
GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)
mm.wirral.nhs.uk/document_u...
But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better
pubmed.ncbi.nlm.nih.gov/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly when supplementing
Can test via NHS private testing service
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.
One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Vitamin D may prevent Autoimmune disease
newscientist.com/article/23...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Recipe ideas
bbc.co.uk/food/articles/mag...
Interesting article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
when you retest
Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
Post all about what time of day to test
healthunlocked.com/thyroidu...
Testing options and includes money off codes for private testing
Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee
Only do private testing early Monday or Tuesday morning.
Tips on how to do DIY finger prick test
support.medichecks.com/hc/e...
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal
Monitor My Health (NHS private test service) offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65
(Doesn’t include thyroid antibodies)
monitormyhealth.org.uk/full...
10% off code here
thyroiduk.org/testing/priva...
Just TSH, Ft4 and Ft3 test - £32
monitormyhealth.org.uk/thyr...
10% off code here
thyroiduk.org/testing/priva...
Randox FULL thyroid test including both thyroid antibodies just £29
Test at home or in clinic
randoxhealth.com/en-GB/at-h...
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12
I think there is a link between hypothyroidism and problems with teeth.I was diagnosed with periodontal disease in my 30s. My gums were receding causing gaps which allowed bacteria to reach the roots. I kept getting abcesses and had to have several root canal fillings and had a couple of teeth out. Like you, my oral hygiene was scrupulous so it wasn't me being negligent or lazy with my dental routine.
Then the bone loss started and I lost more teeth. Nothing to hold them in anymore.
At 42 I found out I was hypothyroid. The NHS never tested my antibodies. I tested privately through Medichecks and my thyroglobulin antibodies were in the 500s so I knew I was autoimmune.
Since starting on thyroid medication my gum problems have greatly improved. My routine is the same so I know they weren't due to me doing anything badly or wrong.
To be on the safe side, I do see a hygienist 4 times a year for deep de scaling with a water pic.
My periodontal disease is now under control and my gums haven't got any worse since I began thyroid meds.
Knowing what I know now, I think my mum had a thyroid problem too, though it was never diagnosed. Her gums were even worse than mine and she ended up having to have all her teeth out and dentures put in. Implants weren't a possibility due to the bone loss and she didn't fancy bone grafts in her mouth with animal or cadaver bone!😱
My dentist did agree that he thought my Hashi's was the cause of my gum problems years before it was diagnosed.
Just FYI, receding gums is caused by low Human Growth Hormone. But hypos usually have low HGH because for the pituitary to make it, you need good levels of T3. So, it is indirectly due to hypo. 
From a personal point of view, I doubt that being hypothyroid has an effect on the teeth themselves. The gums, yes.I have periodontal disease and same as grumpyold , I see a hygienist every 3 months for a deep clean due to pockets. My hygienist and my dentist are excellent and both agree that low thyroid levels have an effect on gums.
My teeth are a different matter altogether. I have had no extractions since my teens and have a grand total of 3 fillings. 😁 (All this after avoiding the dentist for 25 years after a bad experience)
Hubby, on the other hand, is euthyroid and has had tons of extractions and the teeth that are left are full of fillings.
This paper might be of interest:
Association Between Periodontal Diseases and Hypothyroidism: A Case–Control Study
Conclusion
The findings of the current study showed that, in a cohort of adult Saudi subjects, patients with hypothyroidism have higher prevalence and more severe periodontal disease symptoms compared to controls, suggesting significant association. However, the study was not sufficiently powered to estimate the association in the general population. Further studies are required to investigate the pathophysiology of the periodontal tissue reaction and its relationship to the underlying endocrinal disorder.
I was going to post about the study RedApple mentions but I may as well refer to it here.
Hypothyroidism causes skin problems such as dry skin or yellow skin (carotenemia) caused by the failure to convert carotene to vitamin A. When I had this I took vitamin A as a precaution. It seems obvious that if the skin on your hands are affected other skin, such as the gums, might also be affected.
When I was hypo I had dental problems. In the early days I was experimenting with my very high dose trying to bring it down. When I was on a minimal dose for a year or two my dentist would warn me about the condition of my teeth, I didn't tell her about my thyroid dose changes as I wanted an unbiased opinion. When I increased my dose my teeth got better. I sepecifically asked her if it was my teeth or my gums, she said it was the teeth. The impact foes further than expected.
A couple of years ago I was promised a TRH stimulation test to check my pituitary. I substantially reduced my hormone dose dropping the liothyronine. After a few months I got dental problems which needed complex oral surgery. I never got the TRH test, it was a lie, that issue is still with the GMC.
So, I'm sure dental heallth is related to thyroid status. It's good to have proof at last from the Saudi study. It looks like their thyroid patients may be undermedicated, we can be sure because there are no thyroid blood test results (the researchers were dentists not endocrinologists). I think the strongest evidence is the link between duration of thyroid treatment and periodontal disease.
I would say there's most definitely a connection. I have very few teeth left now despite the elaborate care I've taken of them. My brother, who is not hypo and rarely cleans his teeth still has all of his, bar one or two. Unfair or what?
Exactly, I am the same. My brother smokes, drinks energy drinks and eats crap all day, probably brushes his teeth once a week and he has nearly all his teeth, I do non of those I eat plenty of salads and vegetables and my teeth are ruined. Honestly at this point I would prefer it if they removed all my teeth and give me dentures lol x
Yes, I asked the dentist to take out all my teeth when I had the last lot extracted. But they're not keep on removing teeth that are still ok. They'd rather work round them! Crazy when you know that eventually they're all going to drop out, break or whatever. But I suppose they get more money that way.
I've spoken to several dentists about hypo affecting teeth, but no, none of them know anything about it, and for them my problems are all because I don't brush my teeth properly! Makes me so mad!!! If your teeth do not contain the correct building blocks, toothpaste is not going to save them!
Amalgum in teeth causing under active thyroid ,probs
Sensitive teeth.
Calcitonin - evidence of under treated hypothyroidism ?
Thyroid and gum/teeth health
Teeth!
