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Childhood Chickenpox May Cause Oral Complications in the Future

From Shawn Watson, About.com GuideFebruary 24, 2009

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Chickenpox; a nightmare for children and parents. Red fluid filled blisters that cause uncomfortable itching, fever, upset stomach and to top it all off, an unpleasant scar may result as a constant reminder for years to come. My youngest daughter is scheduled for her Varivax vaccine this Wednesday and although I am reluctantly preparing for the appointment (what parent enjoys seeing their child in pain?) the Academy of General Dentistry suggests in a press release that chicken pox may lead to oral health complications years later such as herpes-type lesions and severe bone damage to the jaws.

The varcella zoster virus is responsible for the chickenpox infection and may remain dormant in the body for years. If the virus is activated, herpes zoster; more commonly known as shingles, will infect the person causing " painful blisters that erupt along the sensory nerves usually on one side of the body or face," according to co-author of the study M.A. Pogrel, DDS, MD, adding "It can be a debilitating disease that can lead to osteonecrosis of the jaw and vision loss in addition to a prolonged painful syndrome." Osteonecrosis is a condition that causes the bone in the upper and lower jaws to become exposed. The Academy notes that the jaw bone suffers severe damage and/or death, eventually leading to tooth loss, but is clear in revealing that the exact reason for tooth loss is unknown, although it has been noted that restricted blood flow and inflammation may be a cause.

If you are at risk for osteonecrosis, AGD spokesperson Laura Murcko, DMD, recommends regular dental visits because "Your dentist can help detect early signs of osteonecrosis of the jaw by checking for loose teeth, detached gums as well as taking dental x-rays." Along with proper brushing and flossing, Dr. Murcko recommends that patients consume 1,000 to 1,200 milligrams of calcium a day, add vitamin D to their diet, exercise and weight train, quit smoking and decrease caffeine and alcohol intake.

Comments
June 27, 2010 at 9:39 pm
(1) Toronto Dentist in Etobicoke says:

Shingles is a nasty thing, especially when it involves delicate areas such as the face.

I’ve heard of blindness caused by Shingles, but never osteonecrosis. Is it related to bisphoshanate usage or a direct complication of a shingles outbreak on the lower branch of the Trigeminal?

My spellchecker isn’t liking those big medical terms I’m throwing around.

The vaccine for Chicken Pox will help eliminate risk of shingles in the future. It’s also recommended for people over 60 to reduce the risk of developing shingles.

Joe Bulger DDS
Visit my dental blog – Toronto Dentist Smile Blog

August 27, 2010 at 5:25 pm
(2) Toronto Dentist Etobicoke says:

Shawn, visiting your dentist to check for osteonecrosis? I can only see doing that if you’re at high risk. That being someone who has has IV administered bisphosphonates.

Joe :D

January 15, 2011 at 11:42 pm
(3) Lynn says:

My mother has developed osteonecrosis of the jaw after years on Fossamax and high doses of prednisone, administered orally and through epidurals for chronic nerve pain. She’s never received chemotherapy. Please be aware of that combination for increasing the risk for patients.

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