Oral Health in the Down Syndrome Community
By Regency Dental Group 2 min read

- A large tongue
- Late tooth growth
- Short tooth roots
- Small and missing teeth
- Small bones in the nose
- A small upper jaw
Common Oral Complications of Down Syndrome
It’s important to understand the potential oral health complications so that good daily routines can be established at home and treatment can be addressed early if needed.
Difficulty Chewing
Missing or irregular teeth and a misaligned jaw can cause difficulty chewing. This can also be a result of a symptom known as hypotonia, which is a lack of muscle tone that can affect the ability to chew and swallow. As the National Institute of Dental and Craniofacial Research (NIDCR) explains, improper chewing contributes to “inefficient natural cleansing action, which allow[s] food to remain on teeth after eating” and can lead to an increased risk for cavities.
Dry Mouth
Dry mouth (aka a lack of saliva) might occur in people with Down syndrome for a number of reasons: mouth breathing because of small nasal passages or a protruding tongue, chronic respiratory infections, or as a side effect of medication for hypertension. Dry mouth can result in trouble speaking, a burning sensation, or a constant sore throat. What’s more, without the proper amount of saliva to help clear away food, bacteria, and other disease-causing substances in the mouth, they’re more likely to suffer from tooth decay and gum disease.
Early Onset Periodontitis
The NIDCR calls periodontal disease “the most significant oral health problem in people with Down syndrome” — and it can happen much more quickly than to those without the condition. Several factors contribute to this including poor immunity, prolonged wound healing, short tooth roots, teeth grinding, and poor oral hygiene. When not addressed, this advanced form of gum disease can lead to visibly receding gums, lost teeth, and even certain cancers.
Overgrowth of Gums
Known as gingival hyperplasia, an overgrowth of gums can occur in people with Down syndrome who take medication for seizures. It can also simply be a side effect of poor oral hygiene. Left untreated, gingival hyperplasia can cause pain, visible gum growth over the teeth, teeth misalignment, and an increased risk for developing periodontal disease.
By keeping up with proper at-home care, scheduling preventative visits, and working with a dentist on an individualized plan, anyone with Down syndrome should be able to enjoy a happy, healthy smile for years to come.
Article Source
This article was republished from a syndicated source and is provided for general education. It does not necessarily reflect the treatment philosophy of Regency Dental Group.
This article is general information, not dental or medical advice, and does not replace an examination. If you have a dental concern, call (707) 453-1776. For a medical emergency, call 911.