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OCTOBER 2023
Dental health and mental health
Did you know that when you brush your teeth, you’re also supporting your mental health?
“People are often surprised that their mental health is connected with their oral health, and their oral health, in turn, with their mental health,” says Cleveland Clinic Psychologist Susan Albers. “But they’re really interconnected.”
A dental checkup can be an opportunity for a mental health tune-up. That makes seeing your dentist twice a year even more important. Make sure to get your visits in before the end of the year. Your Costco dental plans cover preventive care at 100% when you see an in-network provider.
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How dental health affects mental health (and vice versa)
In a 2015 American Dental Association study, 1 in 5 adults reported experiencing anxiety because of the condition of their mouth and teeth. This is especially significant for young adults, whose oral health concerns led 22% of them to reduce participation in social activities.
“When your oral health is suffering, it can decrease your quality of life,” explains Dr. Albers. “If you feel embarrassed about the health of your teeth, it can trigger social anxiety. You may withdraw. Or it may hurt your self-esteem. This can lead to an increase in some of your mental health symptoms.”
The opposite is also true — your mental health can affect your dental health. The health of your teeth can give clues to your stress level, your anxiety, your mood and the presence of chronic eating problems.
For example, worn enamel can be a big red flag that you’re experiencing high levels of anxiety or stress. Stress can also increase the level of cortisol in your body, weakening your immune system and making you more susceptible to canker sores, gingivitis and gum disease. In addition, if you’re struggling with depression, you may not have the motivation or energy for dental care.
Managing your dental and mental health
Because your mental health and dental health are interconnected, things you do for one also benefit the other. These small changes in your day-to-day life can have a lasting impact.

Eat a healthy diet
Eating a wide variety of nutritious foods, like veggies, fruit and lean proteins, boosts your mood and protects your teeth and gums.

Watch out for dry mouth
Certain antidepressants, anti-anxiety medications and mood stabilizers can reduce the saliva in your mouth and cause dry mouth. Since saliva washes away cavity-causing bacteria and germs, this could be a concern. If you think you might have dry mouth from your medication, talk with your dentist, doctor and therapist to make sure it’s not hurting your teeth.

Practice stress-reduction techniques
Deep breathing, meditation or using an app to help you relax are some of the techniques you can try to reduce stress and anxiety. If you notice you have worn enamel, or that you clench or grind your teeth at night, you may want to try wearing a mouth guard when you sleep. You can get a custom-fitted mouth guard from your dentist, or, for a shorter-term solution, you can look for an over-the-counter option.

See your dentist
Dentists aren’t just there to polish up your pearly whites. They can also detect when other things are going on in your life. Dr. Albers notes that dentists are often the first professionals to identify and diagnose a mental health issue. And that many referrals to counselors and therapists come from dentists.
“Dentists are very willing to help,” says Dr. Albers. “They’ve seen signs and symptoms of conditions before. And a dentist and therapist working together can help you work through your mental health issues and protect your oral and overall health.”
Sources:
Cleveland Clinic. The link between dental health and mental health: what you need to know.
American Dental Association. Oral health and well-being in the United States.
Use your Costco benefits to support your dental health and mental health. See the resources below to learn more.
Resources for you
- Resources For Living® (RFL®) offers support for your mental health, including six no-cost counseling sessions each for you, every member of your household and your dependent children up to age 26. Visit RFL or call 833-721-2320 (TTY: 711) to learn more.
- Costcobenefits.com is your place to learn about your dental coverage, including your eligibility for an Aetna® dental plan. Click “Find a Provider” under What If I if you need help finding a dentist. You can review your plan options and enroll in a dental plan during Annual Enrollment, November 1–21. Learn more at Costcobenefits.com.
- Aetna.com, the Aetna HealthSM app or your Aetna Health Concierge can also help you find a dentist who’s accepting new patients. When you call your concierge at 800-814-3543 (TTY: 711), they can even assist with scheduling your first appointment. Visit Aetna to learn more.
- Resources For Living® (RFL®) offers support for your mental health, including six no-cost counseling sessions each for you, every member of your household and your dependent children up to age 26. Visit RFL or call 833-721-2320 (TTY: 711) to learn more.
- Costcobenefits.com is your place to learn about your dental coverage, including your eligibility for a Triple-S dental plan. Check out the Full-Time Plan Booklet or Part-Time Plan Booklet for coverage details. Click “Find a Provider” under What If I if you need help finding a dentist. You can review your plan options and enroll in a dental plan during Annual Enrollment, November 1–21. Learn more at Costcobenefits.com.
- Triple-S can also help you find a dentist and provide information on plan details. Visit Triple-S or call 800-981-3241 for more information.
- Resources For Living® (RFL®) offers support for your mental health, including six no-cost counseling sessions each for you, every member of your household and your dependent children up to age 26. Visit RFL or call 833-721-2320 (TTY: 711) to learn more.
- Costcobenefits.com is your place to learn about your dental coverage, including your eligibility for an HMSA dental plan. Click “Find a Provider” under What If I if you need help finding a dentist. You can review your plan options and enroll in a dental plan during Annual Enrollment, November 1–21. Learn more at Costcobenefits.com.
- HMSA can also help you find a dentist and provide information on plan details. Visit HMSA or call 800-776-4672.