Ozempic Teeth? Dentist Warns Of New Side Effect Linked To Tooth Decay And Cavities

A new phrase is quietly making the rounds in dental clinics and on social media: "Ozempic teeth". There is a raising concern among dentists about unexpected oral health issues, including cavities and tooth decay. While the medication has become widely known for managing type 2 diabetes and supporting weight loss, dental professionals say patients should also be aware of possible changes in their oral health. So what is really going on? "The term Ozempic teeth has emerged as an informal way to describe dental problems reported by some users of Ozempic. The medication itself does not directly damage teeth. However, certain side effects associated with its use may increase the risk of cavities and other forms of dental decay," says Dr. Sindhu U Muktamath, HOD -Dental Science, Aster Whitefield Bangalore.

What Is Ozempic?

Ozempic is the brand name for a GLP 1 receptor agonist prescribed for type 2 diabetes. It helps regulate blood sugar levels and can reduce appetite, which is why it is also associated with weight loss.

"One of the primary contributing factors of the dental problems is the dry mouth (xerostomia), which occurs when the body does not produce enough saliva. Saliva plays a vital role in oral health by neutralizing acids, washing away food particles, and helping control bacterial growth. When saliva production decreases, the risk of tooth decay increases significantly," says Dr Muktamath, adding, some users experience persistent nausea, vomiting, or acid reflux. When stomach acid encounters teeth, it can erode enamel. Over time, enamel erosion weakens teeth and increases susceptibility to cavities. However, like all medications, it comes with potential side effects. Commonly reported ones include nausea, vomiting, reduced appetite and acid reflux. According to dentists, some of these effects may indirectly impact oral health.

Why Dentists Are Concerned

Dental experts explain that several factors linked to semaglutide use may increase the risk of cavities and tooth decay.

1. Dry Mouth

Some patients report dry mouth while taking Ozempic. Saliva plays a crucial role in protecting teeth by neutralising acids and washing away food particles. When saliva production drops, bacteria can thrive, leading to a higher risk of cavities and gum problems.

Also read: People Continue Taking Ozempic For Weight Loss Despite Side Effects, Reveals Study

2. Acid Reflux And Vomiting

Nausea and occasional vomiting are known side effects of semaglutide. Stomach acid coming into contact with teeth can erode enamel over time. Repeated acid exposure weakens tooth surfaces, making them more prone to sensitivity and decay.

3. Changes In Eating Patterns

Because Ozempic suppresses appetite, some users may snack irregularly or opt for small, frequent meals. Frequent exposure to food, especially sugary or acidic options, can increase cavity risk if oral hygiene is not maintained properly.

4. Dehydration

Reduced appetite and gastrointestinal side effects can sometimes lead to mild dehydration. This can further reduce saliva flow and worsen dryness in the mouth.

Is "Ozempic Teeth" A Proven Condition?

It is important to clarify that "Ozempic teeth" is not an officially recognised medical diagnosis. There is currently no direct evidence proving that Ozempic itself causes tooth decay. However, dentists emphasise that the secondary effects of the medication may create conditions that increase dental risk. In other words, the drug may not directly damage teeth, but its side effects could contribute to oral health problems if not managed carefully.

Also read: Just Taking Ozempic Won't Help With Weight Loss, Daily Exercise Still Matters: New Study Warns

Warning Signs To Watch For

As per the dentist, patients should monitor for several potential warning signs, including:

• Persistent dry mouth
• Increased sensitivity to hot or cold temperatures
• Bleeding gums
• Bad breath
• Enamel discoloration
• A sudden increase in cavities despite maintaining regular dental care

Other possible indicators include a sour taste in the mouth, thinning or translucent tooth edges (a sign of acid erosion), and mouth sores. These symptoms may suggest acid exposure or dehydration. Prompt dental evaluation is important. Once enamel erosion progresses, it cannot be reversed, making early intervention essential.

How To Protect Your Teeth

According to Dr Muktamath, dentists recommend that patients taking GLP-1 receptor agonists, such as Ozempic, maintain consistent and proactive oral care. Preventive strategies include:

• Drinking adequate water to help reduce dry mouth
• Chewing sugar-free gum to stimulate saliva production
• Using fluoride toothpaste or prescription-strength fluoride when recommended
• Avoiding brushing immediately after vomiting, as enamel is temporarily softened

Instead of brushing right after acid exposure, patients should rinse with water or a baking soda solution to neutralise acid before brushing. Routine dental checkups every six months are generally recommended. However, patients experiencing significant dry mouth, reflux, or frequent vomiting may require more frequent monitoring. It is important for individuals with persistent symptoms to inform both their dentist and prescribing physician so appropriate adjustments to their treatment plan can be considered.

Should You Stop The Medication?

Experts stress that patients should not discontinue prescribed medication without consulting their doctor. Ozempic provides important benefits for blood sugar control and metabolic health. Instead, a coordinated approach between your physician and dentist can help manage side effects safely. "Ozempic teeth" may not be a formal diagnosis, but dental professionals are noticing patterns of dryness, enamel erosion and increased cavities in some users of semaglutide. The key message is awareness, not alarm. Understanding how medication side effects can influence oral health allows you to take preventive steps early. If you are taking Ozempic and notice changes in your mouth, do not ignore them. A simple dental checkup could protect your smile while you continue benefiting from your prescribed treatment.

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.