Rheumatic Diseases & Oral Health
Rheumatic diseases are chronic, inflammatory autoimmune conditions that can affect your entire body, including your mouth. The connection can be direct, through the disease process itself, or indirect, through medication side effects or physical limitations.
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Common Connections Between Rheumatic Diseases and Oral Health
Rheumatoid Arthritis (RA) and Periodontitis
- Shared Inflammation: Both RA and periodontitis are chronic inflammatory diseases. Research shows a strong link, with patients with RA being at a much higher risk for developing severe gum disease.
- TMJ Involvement: RA can also affect the temporomandibular joint (TMJ), causing pain, stiffness, and difficulty chewing.
Sjögren's Syndrome and Dry Mouth
- Primary Symptom: This autoimmune disease directly attacks the salivary glands, leading to severe dry mouth (xerostomia).
- High Cavity Risk: The lack of saliva dramatically increases the risk for rampant tooth decay, especially root cavities, and fungal infections.
Manual Dexterity Challenges
- The Problem: Arthritis in the hands and wrists can make daily tasks like brushing and flossing difficult and painful.
- The Solution: Adaptive aids are key. An electric toothbrush can be a game-changer. Floss holders and other tools can also make hygiene easier to manage.
Medication Side Effects
Many medications used to treat rheumatic diseases, such as immunosuppressants, can have oral side effects, including an increased risk of infection or delayed healing. It's vital to keep your dentist informed about all your medications.
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