Can Tooth Extraction Affect Mental Health and Cognitive Function? - Neurology

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Dementia?


Hello doctor, after having two teeth extracted last year, my mental state has been very poor, and I have experienced difficulties with memory, cognition, and awareness.
I later found some information suggesting a connection between teeth and the brain.
Can you tell me if tooth extraction can really lead to changes in mental perception? If so, why didn't the dentist mention this? I feel like I've become a different person...
why is it so severe? I'm very angry that the dentist has ruined my life...
I feel unable to live or work normally...
and I don't know if I can recover.
If I can't, then nothing matters anymore.
I just want to take revenge on that dentist and seek justice for myself.
Before the extraction, my mind was completely normal and healthy...
everything changed after the tooth extraction.

A Xiu, 30~39 year old female. Ask Date: 2022/04/18

Dr. Jiang Junyi reply Neurology


Hello Mr.
Ashu,
You asked, "Can tooth extraction really change a person's mental state?" Many case reports suggest that poor dental hygiene may increase the risk of dementia.
However, systematic reviews indicate that the evidence is insufficient to draw such conclusions.
"The literature on chronic periodontitis and multiple tooth loss as risk factors for dementia remains inconclusive." Here is the link: https://pubmed.ncbi.nlm.nih.gov/28168759/
According to the World Health Organization, the 12 major risk factors for dementia include: lack of education, hearing loss, head trauma, hypertension, diabetes, excessive alcohol consumption, obesity, lack of physical activity, smoking, depression, social isolation, and air pollution.
If you have any of these risk factors, it is advisable to strengthen their management.
Thank you for your question.
I welcome further discussion.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2022/04/18

More Info


Tooth extraction can indeed have various effects on an individual's mental health and cognitive function, although the relationship is not straightforward and can vary significantly from person to person. It's important to understand that while dental procedures, including tooth extractions, are primarily physical interventions, they can also have psychological and emotional repercussions.

Firstly, the immediate aftermath of tooth extraction can lead to physical discomfort, pain, and even anxiety about the procedure itself. For some individuals, the experience of undergoing dental surgery can trigger feelings of vulnerability or fear, which may contribute to heightened anxiety or stress levels. This emotional response can, in turn, affect cognitive functions such as memory and concentration.
Moreover, there is a growing body of research suggesting that oral health is closely linked to overall health, including mental health. Poor oral health has been associated with various systemic conditions, including cardiovascular diseases and diabetes, which can indirectly affect cognitive function. Additionally, chronic pain or discomfort following dental procedures can lead to sleep disturbances, which are known to have a significant impact on cognitive abilities and mental well-being.

In your case, if you experienced a noticeable decline in your mental state and cognitive function following the extraction of your teeth, it could be attributed to several factors. These may include the stress and anxiety associated with the procedure, potential pain management issues, or even the psychological impact of losing teeth, which can affect self-esteem and body image.
It's also worth noting that some individuals may have a predisposition to anxiety or depression, which can be exacerbated by stressful experiences, including medical or dental procedures. If you were already experiencing underlying mental health issues, the tooth extraction could have acted as a trigger, leading to a more pronounced decline in your mental state.

If you feel that your mental health has been significantly affected since the extraction, it is crucial to seek help from a mental health professional. They can provide support and strategies to help you cope with these feelings and work towards recovery. Cognitive-behavioral therapy (CBT), for example, can be particularly effective in addressing anxiety and cognitive distortions.

As for your feelings of anger towards the dentist, it's understandable to feel frustrated when experiencing significant changes in your mental health. However, it's essential to channel that anger constructively. Instead of seeking revenge, consider discussing your concerns with the dentist or seeking a second opinion from another dental professional. They may be able to provide insights into your situation and help you understand if there were any complications or if your experience is more common than you realize.

In conclusion, while tooth extraction itself may not directly cause cognitive decline or mental health issues, the associated stress, pain, and emotional responses can certainly contribute to changes in mental state. It's essential to address these feelings and seek professional help to navigate this challenging experience. Remember, recovery is possible, and with the right support, you can work towards regaining your mental well-being.

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