Experts warn of rising tooth damage linked to Ozempic use

As GLP-1 medications like Ozempic, Wegovy, and Mounjaro gain popularity for weight loss and diabetes management, dentists are raising alarms about a new and surprising side effect—what’s now being called “Ozempic teeth.”

While not a formal medical diagnosis, “Ozempic teeth” refers to a range of oral health problems experienced by users of GLP-1 receptor agonists. Reports include tooth decay, enamel erosion, dry mouth, gum inflammation, cracked or loose teeth, and in some cases, tooth loss.

According to Dr. Catrise Austin, a cosmetic dentist and author of "Stop Diabetes Today", these effects appear to stem from side effects commonly associated with GLP-1 medications—including dry mouth, vomiting, malnutrition, and reduced oral hygiene.

What’s causing “Ozempic teeth”?

Several mechanisms are likely contributing to this growing dental health concern among GLP-1 users:

1. Dry mouth (Xerostomia)

Saliva helps neutralize acid and protect enamel. GLP-1 drugs can significantly reduce salivary flow, increasing the risk of cavities and gum disease.

2. Nausea and vomiting

Common with drugs like Ozempic, repeated vomiting exposes teeth to stomach acid, which can erode enamel and increase sensitivity.

3. Appetite suppression and nutrient deficiency

Some patients may experience such strong appetite loss that they become deficient in vitamins like C, D, and B complex—all essential for gum and tooth health.

4. Neglected oral care routines

Feeling unwell can cause some individuals to skip brushing and flossing, accelerating tooth decay.

Expert advice to protect your teeth

Dr. Ehsan Ali, a board-certified physician known as the “Beverly Hills Concierge Doctor,” confirms the risks and offers actionable advice:

✅ Stay hydrated – Drink plenty of water throughout the day to combat dry mouth.

✅ Use saliva-boosting products – Sugar-free gum or mouth rinses can stimulate saliva production.

✅ Don’t skip meals – Ensure you consume a nutrient-rich diet to support oral and overall health.

✅ Rinse after vomiting – Neutralize acid by rinsing with a mixture of water and baking soda before brushing.

✅ Brush and floss consistently – Avoid sugary and acidic snacks, and maintain strong oral hygiene habits.

✅ Avoid alcohol, tobacco, and caffeine – These can worsen dry mouth and damage oral tissues.

When to seek dental or medical help

If you’re on a GLP-1 medication and experiencing symptoms like:

• Bleeding gums
• Chronic bad breath
• Tooth sensitivity or looseness
• Sudden changes in your bite or tooth structure

It’s time to visit your dentist or speak with your prescribing doctor.

Doctors may need to adjust your dosage or prescribe support treatments to reduce side effects and protect your teeth before permanent damage occurs.

The bottom line

GLP-1 medications like Ozempic and Wegovy are powerful tools in managing diabetes and promoting weight loss. But patients—and clinicians—should remain aware of their potential impact on dental health.

With the right preventive care, lifestyle adjustments, and early intervention, it’s possible to enjoy the benefits of these medications without sacrificing your smile.