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Autoimmunity took my teeth and mouth hostage!

 

How Autoimmune Disease Impacts Oral Health

Did you know that people who suffer from immune diseases have an increased risk of developing oral health conditions and gum diseases? Numbered below are common immune diseases and how oral health is impacted by them:

  1. LUPUS ERYTHEMATOSUS

The inflammation caused by lupus affects the mouth and tongue. This inflammation, can cause sores on the lips, palate and inside the cheeks. In extreme cases patients may also experience burning of the mouth and lack of saliva. Since saliva normally washes away food, sugars and bacteria, a lack of it can result in dry mouth and an increase in dental caries. Dry mouth increases the risk of decay and yeast/fungal infections of the mouth. Tooth decay can incrase the need for fillings, the need to extract teeth, dentures to replace missing teeth or ineffective chewing which can result in stomach and digestive problems

     2 RHEUMATOID ARTHRITIS

Rheumatoid arthritis causes inflammation of the joints, and Rheumatoid Arthritis patients can experience inflammation of the temporomandibular joint (TMJ). TMJ patients experience extreme discomfort while performing any activity using their mouths: chewing and talking, opening their mouth at the dentist, eating. They may also experience facial pain, headaches, earaches, locking of the jaw, worn teeth and ringing in the ears. In a few cases, TMJ is caused by misalignment of joint and often expensive orthodontic treatment is needed to lessen or prevent the symptoms.

People suffering from Rheumatoid Arthritis can also have Sjögren’s Syndrome, an autoimmune disease of the salivary and tear glands. Sjogren’s causes severe dryness of the mouth; thus creating problems with chewing and swallowing  and dryness. Because of this dryness there can result in heavy plaque deposits on the teeth. This in turn increases the chances of tooth decay and periodontal gum disease. Because of oral dryness and food not being completely digested when it leaves the mouth and difficulty swallowing,Sjogren’s patients also experience pneumonia because they choked on food. .

     3.SCLEORDERMA (Progressive Systemic Sclerosis)

Scleroderma is known for it’s hardening of the skin; often the lips and tongue are involved. As the effects of this increases, the mouth becomes narrower and the lips and tongue grow more rigid. A tightened mouth makes it difficult to open or move the jaw, thus causing difficulties cleaning the mouth. This increases the risk of developing tooth and gum infections, including periodontal disease or tooth caries.

     4.THYMIC HYPOPLASIA 

Thymic hypoplasia, (DiGeorge’s syndrome) causes abnormal growth of the thymus and parathyroid glands, leading to a white blood cell deficiency. Therefore, people with thymic hypoplasia are prone to viral and fungal infections, especially in the mouth. Oral Candidiasis, thrush, and herpes are some of most common fungal infections that affect those suffering from Thymic hypoplasia. In extreme cases, Thymic Hypoplasia affects the mouth and jaw, resulting in improper development of the palate resulting often in a cleft palate, a split uvula, a receding chin, or a shorter-than-normal distance between the nose and the upper lip.

     5 DERMATOMYOSITIS

Dermatomyositis is an inflammatory muscle disease that causes unusual skin rashes. It affects women more than men and can affect people at any age. Muscle weakness in the head and neck are the more common signs of dermatomyositis. This is especially concerning as it can also lead to difficulty in swallowing and chewing, and those suffering from Dermatomyositis may have hard bumps inside their face and tongue.

As you can see, each of the above mentioned diseases can have adverse impacts on the health of your mouth. Since the condition of your mouth directly impacts the functioning of your mouth and digestive system, the above mentioned diseases can drastically affect your overall health. If you have been diagnosed with any of the diseases mentioned above,  I can’t stress enough the necessity of meeting with your dentist, explain the concerns you have about your mouth and find out what you need to do to avoid the chances of complications due to oral dryness.

 

Author Bio:

Emily found the perfect fit for herself as the Online Marketing Manager at Thurman Orthodontics in Fresno CA. She believes that a great smile does more than just make a person look great – it makes them feel great as well. The power of a smile has always been a mystery to Emily that she solves by researching and writing about. She loves to write about everything to do with a healthy bite and a beautiful smile – whether is it ways to achieve it or the importance of it in the various aspects of life. What brings a big smile on Emily’s face is her family and surfing. She also likes to bake and her children and co-workers call her the cookie fairy!

 

 

 

 

 

 

 

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Oral dryness in lupus? Sjogren Syndrome

Do you have a dry mouth or difficulty swallowing? Does your mouth feel like it’s been stuffed with cotton balls and you can barely speak?  Or, if you can speak are you understood? If so, I’ll guess that you don’t stray far from home without a water bottle.

Not always found in lupus, this condition of dry mouth-or xerostomia- is a hallmark of Sjogren’s Syndrome, another autoimmune disease that often is found in lupus sufferers.  This time, the cells of the immune system have set their sights on and mount their attack on the mucous-producing, or exocrine glands, thinking they are foreign invaders, when, in fact they are ‘self.’

The exocrine glands we speak of here (there are others) are the salivary glands,  abundant around the mouth and jaw. Very often, a dry mouth can be caused by medications, but this dry mouth is worse-Wait a minute, is a contest! A chronic dry mouth is HORRIBLE-whatever the cause. Continue reading

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The Bionic Woman?

 

Replacements of most joints are becoming commonplace, but some are replaced more often than others; and the hip joint is very likely the most frequently replaced joint. The following is an image of a normal hip:

normal hipNotice that the bone marrow has a blood supply, (the blood supply to the bone marrow is represented by the area with the red dots on the graph), ‘ball’ and ‘socket’ created by the ‘head’ or top of the femur and the acetabulum of the pelvis.

Over the course of years, the cartilage  can wear thin. When the cartilage doesn’t provide the cushion that it used to provide, pain results, and this pain can be quite severe and not always relieved by medication. You may have heard people use the term, ‘bone on bone’ referring to the bone in the ball rubbing against each other of the ball and socket. each. It may now look a bit more like:

Untitled 3

You can see on the patient’s same side that there is an accumulation of dead bone cells. These cells cause much of the pain: how? Bone cells are like any other cell in the body, they must rid themselves of debris and toxic wastes. This is the goal of one procedure commonly used to relieve symptoms: core decompression.

If pain from osteonecrosis still exists despite complete non-weight bearing status, ice, elevation and physical therapy with tylenol and nonsteroidal antinflammatories (NSAIDs) like ibuprofen and naproxyn, a surgical option is sometimes indicated. One of those surgical options is the total joint replacement, a THR.

anntated_THRIn the diagram to the left are the components of the hip prosthesis which are inserted by the surgeon to create a new joint.

The femoral stem is inserted into the thigh bone and bypasses any osteonecrosis or osteoarthritis which may be present.

The femoral head component has at it’s end a shiny metallic (titanium) piece which inserts into a plastic cup or liner. This liner fits into the acetabular component and doubles as cartilage to further protect the new joint.

This surgery has saved many from a lifetime of pain and if it works on me in a week, I’ll be free of hip pain for the first time in many years and one step closer to THE BIONIC WOMAN!

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