Rheumatoid Arthritis and Gum Disease

There are a number of health conditions that have consequences for a patient’s teeth and gums, and rheumatoid arthritis (RA) is one of the most common. Dr. Stephanie Herbst of Enid Dental Care understands her patients’ needs and wants patients with RA to know they can expect compassionate care for gum disease.

 When people have RA, their immune system attacks their synovium, which is a tissue that lines the joints. The attacked synovium swells up and hardens, sometimes causing joint deformities. Johns Hopkins recently examined the connection between gingivitis and rheumatism. They found that people with RA are twice as likely as the average person to have gum disease and six times as likely to have severe gum disease. It is true that people with rheumatism commonly have limited dexterity and find it difficult to brush and floss. But another study found that synovium and gum tissue share similar cellular structures. This could help to explain why gum disease is common in people with RA who have not yet lost the use of their fingers.

By maintaining regular dental check-ups, people with RA can keep their gum pockets as clean as possible. We can assist them by guiding them toward grips for toothbrushes and prescription throat moisturizers. RA is believed to be caused by genetic and environmental factors, but people can significantly reduce their risk of developing it by not smoking.

Dr. Stephanie Herbst operates Enid Dental Care at 2411 Heritage Trail, Ste #4, Enid, Oklahoma, 73703. To schedule an appointment, call 580-237-2213 or visit Enid Dental Care and fill out a contact sheet.

 

Osteonecrosis of the Jaw

Patients at Dr. Dennis Morehart’s practice benefit from the experience and expertise of a Master in the Academy of General Dentistry. That means that Dr. Morehart is knowledgeable about oral surgery and the complications that can arise. To set patients’ minds at ease, we want to explain more about something they may have heard of: osteonecrosis of the jaw (ONJ).

The death of exposed jaw bone tissue is extremely rare but there is a small chance of it happening in people who are on bisphosphonate medications. These medications are used to prevent bone resorption. They are often taken in pill form for osteoporosis and through an IV to counteract the side effects of chemotherapy on people with cancer.  Cases of ONJ typically result from the much stronger IV doses.

In the absence of extreme periodontal disease or other infection, the only way jaw bone tissue would be exposed is as the result of a tooth extraction. For this reason, it is wise for patients to get dental work done before starting cancer treatments and to make sure all their medical care providers are fully informed of what the others are doing. But if ONJ does set in, it can be treated with antibiotic rinses.

Dr. Dennis Morehart, Master of the Academy of General Dentistry, operates Enid Dental Care at 2411 Heritage Trail, Ste #4, Enid, Oklahoma, 73703. To schedule an appointment, call 580-237-2213 or visit Enid Dental Care and fill out a contact sheet.

 

Mouth Ulcers

Mouth ulcers are a very common annoyance, but at Enid Dental Care, Dr. Dennis Morehart can provide patients with advice for managing their symptoms. There are, however, some differences between the causes of different kinds of ulcers which are important to know for managing oral health.

Cold sores are ulcers caused by the herpes simplex virus-1, which nearly everybody has. It is transferred through skin-to-skin contact as well as through sharing cups and utensils and lasts for the duration of a person’s life, but ulcer outbreaks are rare and usually clear up after a month. Other ulcers tend to be associated with physical damage to the mouth, which can be caused by misaligned bites and orthodontic brackets rubbing against the inside of the lips. Cankers are large white ulcers which have no certain cause but are hypothesized to be associated with stress and nutritional deficits.

Ulcers of all kinds usually heal on their own, but dentists can advise patients about topical cream to provide pain relief and infection-fighting medications. Dr. Morehart may also be able to identify physical problems in the mouth that are contributing to soft tissue damage.

Dr. Dennis Morehart, Master of the Academy of General Dentistry, operates Enid Dental Care at 2411 Heritage Trail, Ste #4, Enid, Oklahoma, 73703. To schedule an appointment, call 580-237-2213 or visit EnidDentalCare.com and fill out a contact sheet.