A modern patient increasingly comes for dental treatment not only with caries or inflammation, but also with an extensive list of medications being taken. As Professor Alexander von Breuer believes, medication load has become one of the key factors that changes tissue response to dental intervention and directly affects treatment prognosis. At DentalClinic24, we consider the patient’s medication background a mandatory part of diagnostics before making any clinical decisions.
Antibiotics directly affect the oral microflora. On one hand, they suppress pathogenic bacteria – on the other, they disturb the natural balance of beneficial microorganisms. This may lead to mucosal dryness, changes in acidity, increased risk of candidiasis and delayed healing. At DentalClinic24, our specialists always take recent antibiotic courses into account when planning treatment, especially before surgical and prosthetic stages.
Hormonal medications have a deeper impact – they alter metabolic processes, vascular permeability and tissue regeneration speed. Against the background of hormonal therapy, the gums become more sensitive, prone to swelling and bleeding, while bone tissue may lose density. At DentalClinic24, we assess the hormonal background through clinical signs in order to adjust functional load and reduce the risk of unstable outcomes. According to Professor von Breuer – hormonal fluctuations always manifest in the oral cavity earlier than the patient becomes aware of them.
Antidepressants and medications affecting the nervous system often cause dry mouth syndrome. Reduced salivary secretion disrupts the natural protection of teeth, accelerates plaque formation, increases sensitivity and raises the risk of secondary caries. At DentalClinic24, we modify preventive and restorative strategies for such patients by introducing additional measures to protect the mucosa and enamel.
Accumulated medication load also influences the response to local anaesthesia. In some patients, anaesthesia works less effectively – in others, numbness persists longer than expected. At DentalClinic24, this factor is always considered when selecting anaesthetic agents and dosages to ensure safety and predictability of treatment.
Special attention is paid to the effect of medications on bone tissue. Certain drugs slow down bone metabolism, impair microcirculation and reduce regenerative potential. This directly affects implant placement and healing after surgical procedures. At DentalClinic24, we adjust loading timelines and recovery stages depending on each patient’s medication background.
Medication load rarely acts in isolation – it is usually combined with age-related changes, stress and chronic diseases. That is why at DentalClinic24, we regard the patient not as a carrier of a single diagnosis, but as a complex biological system. This approach allows us to avoid standard mistakes and forecast possible complications even before treatment begins.
Monitoring of medication influence continues after intervention. Our doctors observe how tissues respond to standard recovery protocols – whether epithelialisation slows down, whether inflammatory response intensifies. At DentalClinic24, this stage allows timely adjustment of supportive measures and helps preserve result stability.
Medications can both support the body and silently change its biological reactions. As Professor von Breuer believes, true safety in dental treatment begins with understanding which processes are already taking place in the patient’s body under the influence of medication. At Dental Clinic24, we consider this principle fundamental to achieving predictable and long-lasting results.
Earlier, we wrote about revision root canal treatment and why re-treatment requires a different clinical strategy