Periodontal disease, or gum disease, and Rheumatoid Arthritis (RA) are a systemic inflammatory disorder, which is how they have a connection. Both diseases frustrate the immune system and attack its own tissues, eventually leading to tooth loss and pain of joints. Learn about the connection and what you can do to protect your overall health.

Studies show a strong connection between RA and gum disease, an inflammatory condition that can lead to tooth loss and other health complications. Both diseases have inflammation in common, which explains the connection. Inflammation is a protective immune system response to viruses and bacteria. RA is an autoimmune disease which causes it to mistakenly trigger inflammation even if there are no viruses or bacteria present. Also, Brushing and flossing can be challenging for those with RA. In the journal PLoS Pathogens, they found that the bacteria that causes periodontal disease, Porphyromonas gingivalis, increases the severity of rheumatoid arthritis, leads to an earlier onset of the disease, and causes symptoms to progress quickly.

It is important for patients with rheumatoid arthritis (RA) to be brushing, flossing, and seeing your dentist regularly. It is very important to work with your doctors to find out what works best for you.  People who have both gum disease and RA should have an informed care team composed of both a physician and a periodontist. If you don’t have a periodontist, you should get an evaluation from your dentist every year to monitor the status of your gums. Research has found that when patients with RA successfully treat gum disease, pain and other symptoms get better.

For patients with RA, one must pay close attention to oral health and schedule regular dental exams, eat healthy and always brush and floss. If you have trouble taking care of your teeth due to stiff, painful hands or jaws, speak to your dentist or therapist about ways to make dental care easier. Here are some tips as to how you can make dental care easier to manage:

●        Toothbrush: add a tennis ball or bicycle grip to better handle your toothbrush

●        Floss: experiment with different type of floss

●        Toothpaste: using toothpaste in a pump may be easier for you than toothpaste you have to squeeze

If you have any questions or concerns regarding periodontal disease and rheumatoid arthritis, contact our office to schedule a consultation and what we can do for you.

Periodontal (gum) disease is a progressive inflammation of the gum tissue. It is most frequently caused by bacterial infection. Left untreated, gum disease can have serious consequences for your oral and overall health.  However, one of the biggest challenges for early detection and treatment of gum disease is its silence. Gum disease can often begin and progress with few or no symptoms until reaching an advanced stage. 

Gum disease is caused when the bacteria found in plaque builds up between the teeth and gums. As the bacteria grow, the gums can become inflamed and pull away from the teeth. When gum disease is not treated promptly, it can worsen, leading to increased gum recession, infection, and bone loss. In addition, periodontal disease is the leading cause of tooth loss in adults. 

Gum disease also impacts other aspects of your overall health. Research has found links between gum disease and diabetes, heart disease, stroke, and other serious inflammatory illnesses. To help prevent gum disease, ensure you are practicing strong oral hygiene habits, including brushing, flossing, use of mouthwash, and regular dental examinations. Be aware of your risk factors for developing gum disease, such as age, tobacco use, genetics, stress, medications, grinding, obesity, or other inflammatory diseases, among others. Consider having an annual periodontal evaluation. 

While symptoms may not appear until later stages of the disease, it is important to watch for the warning signs of gum disease. Some of these include: 

• Red, swollen, or tender gums 
• Mouth pain 
• Bleeding gums caused by brushing, flossing, or eating hard foods 
• Loose or separating teeth 
• Pus between gums or teeth 
• Mouth sores 
• Chronic bad breath 
• Gums receding or pulling away from teeth 
• Changes in your bite or the fit of dentures 

Gum disease can start silently, but may cause great damage if left untreated. Once gum disease has started, it can be effectively treated, but not fully cured. Protect your oral and overall health with preventive care and regular periodontal screenings. For more information about gum disease or to schedule your periodontal screening, contact our office. 

Clearing up misconceptions about oral health can help improve personal oral hygiene efforts for a beautiful and healthier smile.  If you keep up with your oral hygiene regimen, dental visits are significantly easier and dental care is more manageable.  

Misconception #1 – My teeth are fine if I have no pain 

Tooth decay (cavities) usually doesn’t cause pain until they become very severe.  Once it gets to this stage, the amount of decay could lead to more invasive and costly treatments.  Some of the most dangerous oral disorders, such as oral cancer and gum disease, typically don’t cause pain at all.  It is important to keep up with scheduled dental appointments.  Our dentist can diagnose problems even at its earliest stages when there is no pain. 

Misconception #2 – Cavities are only caused by sweets 

When you eat sweets, the bacteria in your mouth start consuming it and produce acid.  This acid dissolves the enamel of the tooth, which results in tooth decay or cavities.  However, this process happens when you eat anything that is a starch or carbohydrate.  Food and snacks, such as crackers, bread, potato chips, fruit, peanut butter and pasta, have the same effect on your teeth. 

Misconception #3 – If my gums bleed, I should stop flossing 

Bleeding gums are often the first sign of gum disease.  This happens when bacterial infections inflame your gums due to a lack of efficient cleaning.  With regular brushing and flossing, gums will be much healthier and should rarely bleed.  However, gum inflammation can occur despite best oral hygiene habits.  In such instances, you should see improvement if you rinse with warm salt water and continue to brush and floss. 

Misconception #4 – Whiter teeth are healthier teeth 

Healthy teeth come in a wide range of natural shades.  Whiter teeth cannot show if there is an infection or cavity between the teeth.  Although pure white teeth do not equate to healthier teeth, they should still be naturally on the whiter side.  

Misconception #5 – Children are more prone to tooth decay 

Tooth decay (cavities) can develop at any age.  People assume children have poor brushing habits and are more prone to tooth decay.  Cavities form when bacteria cause a loss or weakening in tooth enamel and eventually decay forms a hole in the tooth.  This is usually seen in people with poor brushing and flossing habits, regardless of age.   Excellent oral health promotes overall good health and is definitely not a misconception.  It is important to practice good oral hygiene habits.  If you have any questions regarding your dental health, please contact our dentist. 

Alveolar osteitis, more commonly known as dry socket, is a temporary complication that can occur following a tooth extraction. Fortunately, it is rare, preventable, and short-lived. Here are some tips to help avoid dry socket after oral surgery and ensure a quick and comfortable recovery. 

What is Dry Socket? 

When your tooth is extracted, a blood clot forms in the space left behind. This clot helps to block the underlying bone, gum tissue, and nerves from bacterial infection or food debris while the extraction site heals. In rare cases, the clot can be dislodged or not formed correctly, which can leave the site exposed. This is a dry socket.  

The most common sign of dry socket is a throbbing, deep-set discomfort from within the extraction area. A foul smell may emanate, causing bad breath as well as an unappealing taste in your mouth. If this occurs, contact our office right away. 

Risk Factors and Prevention 

Developing dry socket is rare, but certain factors can put you at increased risk. Tobacco use, oral contraceptives, poor oral hygiene, or gum infection around the extraction site can increase your chances. To prevent dry socket, avoid using straws, brushing the extraction area, or rinsing your mouth vigorously during healing. Follow your post-treatment instructions and contact our office if you have questions. 

Treatment and Recovery 

If you do develop dry socket, we will provide quick, effective treatment. Our team will flush the area to remove any debris, and pack the extraction site with gauze or other dressing. Medication may be prescribed to help reduce discomfort. It is important to attend follow-up appointments to ensure your timely recovery. 

Dry socket is rare, and is temporary and treatable when it does occur. Our experienced team will guide you throughout your recovery. For more information on post-extraction care, contact our office.

If you have received a dental implant, you have invested both time and money into the future of your smile. It is important to protect this investment in order to  maintain good oral health. There are certain steps you should take after undergoing a dental implant procedure in order to care for your mouth. 

After the procedure, your mouth might be tender at first. This tenderness only lasts about ten to fourteen days. Your dentist recommends a diet of warm soup, soft foods, and cold foods during this time. Additionally, you should refrain from smoking. Although the healing time for a dental implant tends to vary depending on the patient and the situation, it generally takes between two and four months for your mouth to fully heal after receiving a dental implant. You will not experience discomfort throughout this period, though. 

Once your mouth has healed, caring for an implant is very similar to caring for a natural tooth. Although an implant cannot develop a cavity, it can still undergo the same wear-and-tear as a normal tooth. When not maintained properly, there is a risk for peri-implantitis to occur, which is similar to periodontal disease. However, this is easily preventable through regular check-ups, as well as daily brushing and flossing. 

In order to maintain good oral health, it is important to continue to regularly visit your dentist. Your dentist can clean the areas that you are unable to reach. Additionally, they will be able to check the surrounding gums and bone to ensure that they are healthy. As always, your dentist recommends thorough brushing and flossing on a daily basis. Paying  attention to your oral hygiene will ensure that your implant survives. If you continue to maintain good oral hygiene, your implants can last for the rest of your life without a need for replacement.  For questions or to schedule an appointment, please contact our dental office.