Understanding Psoriasis and Oral Health
Aug 17 , 2025
August is Psoriasis Awareness Month, a time dedicated to raising awareness about this chronic autoimmune condition that affects the skin and joints. While most people associate psoriasis with itchy, scaly patches on the skin, fewer realize that it can also affect the mouth and gums. The connection between psoriasis and oral health is significant, and dental professionals play an important role in helping patients manage symptoms and protect their overall well-being.
What Is Psoriasis?
Psoriasis is an inflammatory disease where the immune system mistakenly speeds up skin cell production. This leads to the buildup of thick, red patches of skin, often accompanied by itching and discomfort. Beyond the skin, psoriasis has been linked to other health conditions such as psoriatic arthritis, cardiovascular disease, and even diabetes. Increasingly, research shows it can also affect oral health.
Oral Manifestations of Psoriasis
Patients with psoriasis may experience oral symptoms that impact comfort and function, including:
Gum inflammation: Psoriasis can heighten the risk of gum disease by increasing inflammation throughout the body.
Lesions or sores inside the mouth: Some patients develop red patches or painful ulcers.
Geographic tongue: A condition where the tongue develops irregular, smooth patches that may change over time.
Dry mouth: Certain psoriasis medications can reduce saliva production, leading to discomfort and higher cavity risk.
While these symptoms don’t appear in every patient, recognizing the potential link helps dentists provide more tailored care.
The Psoriasis–Periodontitis Connection
Studies suggest that people with psoriasis are more likely to develop periodontitis (advanced gum disease). Both conditions involve an overactive immune system and chronic inflammation. Gum disease not only worsens oral health but also increases the inflammatory burden on the body, potentially making psoriasis symptoms harder to control. This two-way relationship highlights the importance of maintaining oral health for patients with psoriasis.
How Dentists Can Help Psoriasis Patients
Dentists and hygienists are often among the first to notice oral changes linked to systemic conditions. For psoriasis patients, dental care should include:
Frequent checkups and cleanings to reduce inflammation and bacterial buildup.
Monitoring gum health and providing early intervention if signs of periodontitis appear.
Recommendations for dry mouth management, including saliva substitutes, sugar-free gum, and hydration tips.
Patient education about the importance of daily brushing, flossing, and avoiding irritants like tobacco and alcohol.
Working in collaboration with dermatologists and physicians ensures a more comprehensive approach to patient care.
Tips for Patients Living With Psoriasis
If you have psoriasis, protecting your oral health can reduce discomfort and lower the risk of complications:
Brush twice daily with fluoride toothpaste.
Floss once per day to remove plaque and debris.
Use alcohol-free mouthwash to avoid irritation.
Stay hydrated and limit sugary foods.
Inform your dentist about medications and any new oral symptoms.
Raising Awareness in August
Psoriasis Awareness Month is not only for patients but also for the community. Dental offices can use this time to share educational content, highlight the oral-systemic connection, and encourage patients with psoriasis to schedule preventive dental visits. By recognizing the signs and offering support, dental professionals help reduce stigma and empower patients to take charge of their oral health.
Psoriasis is more than a skin condition — it is a chronic inflammatory disease with far-reaching effects, including on the mouth and gums. This August, Psoriasis Awareness Month is a reminder of the need for holistic care. Regular dental visits, good home care, and open communication with healthcare providers can make a meaningful difference in managing both oral and overall health.
