Dental treatment for reflux-induced erosion should focus not only on appropriate restoration but also on all available preventive measures, such as neutralization of acid and remineralization or strengthening of enamel against acid attack.
Full Answer
How are patients with rheumatoid arthritis (RA) treated before invasive dental procedures?
It is recommended that patients with severe RA who have had joints surgically replaced with prosthetic joints may require prophylactic antibiotic therapy before invasive dental procedures. Patients with RA who have upper-airway obstruction resulting from TMJ dysfunction may pose difficulty in intubation. The patient HS Grover et al 76
Can dental therapies protect oral health of acid reflux patients?
recommend dental therapies to protect the oral health of patients suffering from acid reflux. Introduction Dental professionals commonly review health histories listing medications that identify patients with a diagnosis of acid reflux.
How can oral health care providers help patients with rheumatoid arthritis?
Oral health care providers need to recognize and identify modifications of dental care based on the medical status of patients with RA. Furthermore, oral health care providers play an important role in the overall care of these patients as it release to early recognition, as well as control of the disease.
What can I use to treat arthritis in my mouth?
After brushing, it can be helpful to use a fluoride rinse such as ACT or Colgate FluriGard. You can also use an alcohol-free mouthwash such as Biotene, also, look in your grocery store for dry mouth toothpaste. Arthritis can affect the joint in your jaw (temporomandibular joint or TMJ) that opens and closes the mouth.
How can arthritis affect dental treatment?
Arthritis can affect the temporomandibular joint (TMJ) that opens and closes the mouth sometimes making it painful to open and close your mouth. Different oral Infections can also occur: Bacterial infections can cause swelling around your tooth or over the jaw, severe pain, fever, and swollen nodes around your jaw.
Can arthritis cause acid reflux?
Gastroesophageal reflux disease (GERD) is common in patients with many chronic diseases, but has not been well recognized in rheumatoid arthritis (RA).
Can you get dental implants If you have rheumatoid arthritis?
Dental implant candidates with rheumatoid arthritis may be able to complete implant surgery, depending on their bone density and gum health. Treating rheumatoid arthritis often involves immunosuppressant medications, which may increase infection risk and compromise bone healing.
Can rheumatoid arthritis cause acid reflux?
Stomach Pain or Indigestion RA and medicines used to treat it are linked to mouth and stomach ulcers, stomach bleeding, acid reflux, diarrhea, and constipation. Painful diverticulitis (inflamed pouches in your GI tract) and colitis (an inflamed colon) are also possible if you have RA.
Can arthritis in the neck cause acid reflux?
Heartburn is often a symptom of reflux disease. Stiff neck can be related to an injury or arthritis, in addition to other conditions.
Can acid reflux make your joints hurt?
Gastroesophageal reflux (GERD) is associated with chronic, painful temporomandibular disorder -- pain in the temporomandibular joint -- and anxiety and poor sleep contribute to this association, according to a study in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/lookup/doi/10.1503/cmaj.181535.
What is the downside to dental implants?
The risks and complications you are taking for dental implants include infection, damage to other teeth, delayed bone healing, nerve damage, prolonged bleeding, jaw fractures and more. If you are willing to take these risks, dental implants might be right for you.
Can dental implants trigger autoimmune disease?
Some research suggests that metal medical and dental implants may cause an autoimmune reaction in people with metal allergies and other genetic predispositions. Some of the diseases researched in connection to metal devices include: Multiple sclerosis. Systemic lupus erythematosus (Lupus)
What are the side effects of titanium implants?
One of the causes of implant failure can be attributed to allergic reactions to titanium. There have been reports of hypersensitive reactions such as erythema, urticaria, eczema, swelling, pain, necrosis, and bone loss due to titanium dental implants [15, 67, 68].
What are the five signs of rheumatoid arthritis?
Five signs of rheumatoid arthritisStiffness. Waking up refreshed in the morning is the best way to start the day. ... Chronic fatigue. If you've noticed joint stiffness with a decrease in energy, it may be time to give us a call. ... Joint swelling. ... Numbness and tingling. ... Fever.
What foods should be avoided with rheumatoid arthritis?
Foods You Should Avoid with Rheumatoid ArthritisGrilled, broiled, or fried meats (and other fried foods). ... Fatty foods full of omega-6 fatty acids. ... Sugars and refined carbohydrates. ... Gluten. ... Preservatives and flavor enhancers. ... Alcohol.
What are the 4 stages of rheumatoid arthritis?
The four stages of rheumatoid arthritis are known as synovitis, pannus, fibrous ankylosis, and bony ankylosis.Stage I: Synovitis. During stage I, you may start having mild symptoms, including joint pain and joint stiffness. ... Stage II: Pannus. ... Stage III: Fibrous Ankylosis. ... Stage IV: Bony Ankylosis.
What is the most common disease that affects the oral health of people with rheumatoid arthritis
A study conducted at the Johns Hopkins Arthritis Center found that gum disease and tooth loss are more prevalent in people who have rheumatoid arthritis (RA). Another syndrome that is known to hinder oral health is Sjögren’s syndrome. This syndrome can be seen in people who have rheumatic diseases.
How does arthritis affect the jaw?
Arthritis can affect the joint in your jaw (temporomandibular joint or TMJ) that opens and closes the mouth. Inflammation can form along the tendons, this can cause damage affecting the joint and making it painful or difficult to open your mouth. It is important to recognize these symptoms if you have RA or other forms of arthritis. Specific types of x-rays can help to get a better picture of this joint to see if there are any problems with inflammation. Using a bite guard at night can help reduce your symptoms of TMJ.
How to treat ulcers in the mouth?
A folic acid supplementation can help with reducing ulcers. Brush and floss regularly, avoid chewing tobacco and smoking cigarettes. Be sure to see a dentist regularly and tell your doctor or treating rheumatologist about any new oral health issues.
Why is saliva not good for teeth?
Having a lack of saliva creates problems for the health of your teeth. Saliva is not only a lubricant to help food pass through your throat; it also has proteins that reduce the bacteria in your mouth. To help trigger a salivary response try using a throat lozenge or sugar free candies.
What causes swelling in the jaw?
Different oral Infections can also occur: Bacterial infections can cause swelling around your tooth or over the jaw, severe pain, fever, and swollen nodes around your jaw. Fungal infections can cause a white coating or clumping that can develop on the tongue or around the inside of your cheeks.
Can autoimmune diseases make it difficult to brush your teeth?
Postdoctoral research fellow Malini Moni, BDS, MS shares information and tips about common oral health problems seen in patients living with rheumatic diseases. Pain from these autoimmune diseases can make it difficult for some people to brush or floss their teeth.
Can methotrexate cause tongue ulcers?
These infections bring about a white coating or clumping that can develop on the tongue or around the inside of your cheeks. People taking Methotrexate can sometimes have oral ulcers. These ulcers can be painful and uncomfortable; however, taking a folic acid supplementation can help reduce the ulcers.
What keywords were used in the Medline search?
They used primarily MEDLINE searches, which included such key words as "rheumatoid arthritis" and "dental care" and subsequent appropriate subheadings. While the MEDLINE search spanned the years from 1975 to the present, the most recent literature was prioritized. Appropriate medical and dental textbooks were also used.
What are the considerations for xerostomia?
However, considerations include the patient's ability to maintain adequate oral hygiene, xerostomia and its related complications, the patient's susceptibility to infections, impaired hemostasis, and untoward drug actions and interactions.
Can RA be changed?
In most patients with RA, the condition will necessitate few or no changes in routine dental care. However, considerations include the patient's ability to maintain adequate oral hygiene, xerostomia and its related complications, the patient's susceptibility to infections, impaired hemostasis, and u …. Rheumatoid arthritis: a review and suggested ...
Does RA require dental care?
Rheumatoid arthritis: a review and suggested dental care considerations. In most patients with RA, the condition will necessitate few or no changes in routine dental care. However, considerations include the patient's ability to maintain adequate oral hygiene, xerostomia and its related complications, the patient's susceptibility to infections, ...
What is the first line of treatment for RA?
Nonsteroidal anti-inflammatory drugs, or NSAIDs, are the current mainstream "first-line" treatment, although this protocol is now criticized by many physicians who are arguing for more aggressive early treatment of RA.
Which antirheumatic drugs have anti-inflammatory and immunosuppressive effects?
Corticosteroids, another option, have both anti-inflammatory and immunosuppressive effects. "Second-line" or disease-modifying antirheumatic drugs, or DMARDs, whose mechanisms of action as a group are predominantly unknown, include gold, sulfasalazine, hydroxychloroquine, D-penicillamine, azathioprine and leflunomide.8.
What is RA in medical terms?
Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by synovial inflammation that results in destruction of joint tissues.1Rheumatoid arthritis was first described clinically in 1800 in a doctoral thesis by Landre-Beauvais, a French medical student, who called the condition "primary aesthenic gout.".
What is the TMJ in RA?
Most of the patients with RA will exhibit some temporomandibular joint, or TMJ, involvement during the course of the disease. Involvement of the TMJ results from granulomatous involvement of the articular surface of the synovial membrane, which leads to destruction of the underlying bone.
When was the ACR revised?
In 1987, the American Rheumatism Association (now the American College of Rheumatology, or ACR) revised the criteria it had set in 1958 to create a better model for the diagnosis of RA. Morning stiffness, arthritis of three. Original Article Nepal Med Coll J 2011; 13(2): 74-76. 75.
Who established the distinction between RA and gout in 1859?
Sir Alfred Garrod established the distinction between RA and gout in 1859 and gave the condition its present name.2The classic characteristics of this disease are bilateral and symmetric chronic inflammation of the synovium, a condition known as synovitis.
Can RA be diagnosed with a lab test?
There are no specific laboratory tests to diagnose RA. Rheumatoid factors— immunoglobulin M, or IgM, antibodies directed against other immunoglobulins—are found in more than two-thirds of adult patients with RA, but they are not specific to RA and are found in patients with a number of other conditions.
How to help acid reflux?
10 tips tp help chronic acid reflux. 1. Avoid dietary irritants: Some foods increase acid secretions while others lower esophageal pressure, the muscle that keeps the acid in our stomach out of our throats. Caffeine-containing, spicy, and acidic foods like citrus, vinegar, tomato, and chili peppers are known offenders, ...
How to reduce acid contact time in esophagus?
Make lunch your biggest meal and dinner lighter. 8. Achieve or maintain a healthy weight: Obesity is also a contributing factor to GERD, weight loss may reduce acid contact time in the esophagus, leading to decreased symptoms.
How to stop GERD?
2. Quit smoking: Smoking poses several known health risks and exacerbates GERD. Smoking can decrease the effectiveness of medications like cimetidine (Tagamet) and alters stomach contents, making them more acidic, but it also decreases lower esophageal pressure, making us more susceptible to reflux. 3.
How to get rid of nocturnal reflux?
Raise the head of the bed: If nocturnal reflux is interfering with your ability to sleep through the night, raise the head of your bed 6 to 8 inches by securing wood blocks under the bedposts. According to the National Digestive Diseases Information Clearing House, just using extra pillows will not help. 10. Try sugar-free chewing gum.
Does chewing gum help with reflux?
Chewing gum has been shown to increase salivary secretions, which helps raise the esophageal pH, creating a less acidic environment. Just avoid cinnamon, spearmint or mint flavored if this is a reflux trigger for you. By providing your email address, you are agreeing to our privacy policy.
Health
Epidemiology
- A study conducted at the Johns Hopkins Arthritis Center found that gum disease and tooth loss are more prevalent in people who have rheumatoid arthritis (RA). Another syndrome that is known to hinder oral health is Sjögrens syndrome. This syndrome can be seen in people who have rheumatic diseases.
Overview
- Sjögrens syndrome is an autoimmune condition that can occur alone or in conjunction with another autoimmune disease. In this disease, inflammation causes damages to the glands that secrete fluid such as the salivary gland and even the glands that create tears. Sjögrens can lead to cavities through the mouth, severe oral dryness, difficulty eating, and even tooth loss. More infor…
Causes
- Salivary glands that are damaged cause dry mouth, sticky, saliva, difficulty swallowing, and trouble with food being stuck in the throat. If a salivary gland is badly blocked it can become infected causing severe pain and swelling in the gland. Having a lack of saliva creates problems for the health of your teeth. Saliva is not only a lubricant to help food pass through your throat; it …
Prevention
- To help trigger a salivary response try using a throat lozenge or sugar free candies. Make sure that you are frequently drinking fluids. After brushing, it can be helpful to use a fluoride rinse such as ACT or Colgate FluriGard. You can also use an alcohol-free mouthwash such as Biotene, also, look in your grocery store for dry mouth toothpaste.
Clinical significance
- It is also important to be aware of fungal infections such as Candida or Oral Thrush. These infections bring about a white coating or clumping that can develop on the tongue or around the inside of your cheeks.
Risks
- People taking Methotrexate can sometimes have oral ulcers. These ulcers can be painful and uncomfortable; however, taking a folic acid supplementation can help reduce the ulcers. It may also be helpful to have a mouthwash with a numbing medication if the ulcers are very painful.
Diagnosis
- It is important to let you doctor know if you develop any of these symptoms so you can receive treatment as soon as possible.