As more people use GLP-1 medications like Ozempic and Wegovy to manage diabetes and support weight loss, a new concern is emerging: declining dental health. Reports of what patients are calling “Ozempic teeth” are drawing attention to a lesser-known risk of these medications—serious oral health problems.
What Is “Ozempic Teeth”?
“Ozempic teeth” is not a formal diagnosis, but it’s a term that’s gaining popularity among users and dentists alike. It refers to a group of dental health issues—such as tooth decay, gum inflammation, enamel erosion, tooth sensitivity, and even tooth loss—that appear to be linked to GLP-1 drugs.
Although anecdotal for now, these issues are being widely reported by people taking medications like semaglutide (Ozempic, Wegovy), tirzepatide (Mounjaro, Zepbound), liraglutide (Saxenda, Victoza), dulaglutide (Trulicity), and exenatide (Byetta, Bydureon BCise).
Why These Medications May Affect Your Teeth
Dr. Catrise Austin, a cosmetic dentist and author of Stop Diabetes Today, notes that several side effects of GLP-1 medications can contribute to oral health decline:
Dry Mouth (Xerostomia): Saliva helps wash away bacteria, neutralize acids, and protect tooth enamel. Reduced saliva production—commonly reported by GLP-1 users—can rapidly increase the risk of cavities and gum disease.
Nausea and Vomiting: According to FDA data, up to 20% of patients on Ozempic experience nausea, and 5–9% report vomiting. Frequent exposure to stomach acid weakens enamel and heightens sensitivity.
Malnutrition and Nutrient Deficiency: Appetite suppression may lead to inadequate intake of essential nutrients like vitamin C, D, and B vitamins—each vital for gum health and tissue repair.
Neglected Oral Care: When feeling ill, some patients may neglect daily brushing and flossing, compounding the risk of tooth decay and gum disease.
Protecting Your Oral Health on GLP-1 Medications
Dr. Ehsan Ali, a Beverly Hills-based physician, stresses the importance of oral health for overall well-being. “Poor dental hygiene doesn’t just affect your smile—it can raise your risk of infections, inflammation, and even cardiovascular issues,” he explains.
Here’s how to guard your teeth while taking GLP-1 medications:
Stay Hydrated: Drink water regularly to combat dry mouth.
Use Saliva-Stimulating Aids: Sugar-free gum or mouth rinses that stimulate saliva can help.
Don’t Skip Meals: Even if your appetite is low, aim to eat balanced meals that include calcium and vitamin D.
Brush and Floss Consistently: Oral hygiene remains essential. Floss before brushing for the best results.
Avoid Acidic and Sugary Foods: These can accelerate enamel erosion.
Rinse After Vomiting: Mix water with a small amount of baking soda to neutralize stomach acid before brushing.
Avoid Alcohol, Caffeine, and Tobacco: These substances worsen dry mouth and can damage gum tissue.
When to Seek Medical or Dental Help
If you experience any of the following, it’s time to see a healthcare professional:
- Increased tooth sensitivity
- Persistent dry mouth
- Bleeding or swollen gums
- Loose or cracked teeth
- Ongoing nausea or vomiting
Dr. Ali emphasizes early action: “The sooner we identify the problem, the easier it is to manage and prevent lasting damage.”
The Bottom Line
GLP-1 medications can offer life-changing benefits for managing diabetes and supporting weight loss. However, these health gains shouldn’t come at the expense of your dental health. Awareness, prevention, and early treatment are your best tools for maintaining a healthy smile while using Ozempic or similar medications.
