Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Living with lupus is very hard. You get so tired, your joints hurt, and you get rashes on skin. You don’t need another thing to worry for. But then you feel it. Your mouth is so dry. Your gums bleed when you brush them. A tooth begin to hurt. You think, is this bad luck? Or lupus can cause teeth problems? The answer is yes. In this article, I tell you how. I writed about health for many years and talk to lots of patients and doctors. I will make it simple for you. No hard doctor words. Just simple talk and real fixes so you can get your mouth health back.
I remember I was sit with a woman name Sarah. She was tell she had lupus when she was in her late 20s. For years, she just thinked about her joint pain and having no energy. Then her dentist said she had five new cavities. She was so surprised. “I brush all the time!” she say to me. “How this happen?” Sarah’s story is one I hear a lot. The problem is that lupus is a sickness where your body’s defense system get all mixed up. Instead of fighting germs, it start attacking your own good parts.
This attack can happen anywhere. It can hurt your skin, your joints, your kidneys, and yes, your mouth. Lupus can make the parts inside your mouth get sore and swollen. It’s like a secret fight happening in your body. You might not see it, but the fight can hurt the parts that make spit. It can make your gums sore, and it can even make painful sores in your mouth. It’s not your fault, and you are not making it up. The link is real.
This soreness make a big problem for teeth. Your mouth is a sensitive place. It need to be balanced to be healthy. Lupus mess up that balance. Is like you try to grow plants in bad dirt. You can give water and sun, but if the dirt is sick, the plants struggles. Your mouth is the same. When lupus is acting up, it makes your mouth a much harder place to keep clean, even if you brush and floss good.
You might think a dry mouth is not a big problem. Just drink water, right? It’s not that easy. When you have lupus, your body’s defenses can attack your spit glands. These are the little places in your mouth that makes spit. When they get hurt, they don’t make enough spit. This is called dry mouth, and it’s a huge problem for teeth. You see, spit is your mouth’s best defender.
Think of spit like a little river in your mouth. It wash away food bits that get stuck. It also stops the bad acids that germs make. These acids eat the hard outside part of your tooth and make cavities. Spit even has special things in it that help fix and make your teeth strong. So when that river is dry, you are in trouble. Food and sticky stuff stay on your teeth longer. Acid have more time to do bad things. This is why people with lupus dry mouth get cavities more.
The problem is worse because dry mouth is not comfortable. It can be hard to chew and swallow. It can change how food taste. Your tongue might feel scratchy and your lips can get dry and cracked. It’s a feeling that is always there and adds to the stress of lupus. You feel thirsty all the time, but drinking water don’t seem to fix the real problem. This is not just a small problem, it’s a big danger for your teeth health.
Do your gums look red and puffy? Do they bleed easy when you brush? This is another warning sign. Just like lupus cause swelling in your joints, it can cause swelling in your gums. This is called gingivitis. If you don’t treat it, it can become a more serious gum sickness called periodontitis. This is a big problem because periodontitis don’t just stay in your gums.
Think of your gums like the ground that holds your teeth. When that ground get weak, things fall down. Periodontitis is a sickness where the swelling goes deep. It starts to break down the bone and parts that hold up your teeth. Your gums might pull away from your teeth and make small pockets. These pockets are great places for germs to hide and grow. After time, this can make your teeth get loose and maybe even fall out.
For a person with lupus, this is two problems. The swelling from lupus makes you more likely to get gum sickness. And having gum sickness, which is another swelling problem, can make your lupus feel worse. It’s a bad circle. Your body is already work overtime to fight lupus. Adding a bad infection in your gums puts more stress on your whole body. So, caring about your gums is not just for saving your teeth, it’s for your health all over.
When you have lupus, you need strong medicines to calm down your body’s defenses. These drugs can save your life. They help with your symptoms and protect your body parts. But sometimes, these same medicines can have bad effects that hurt your teeth. It feel unfair, right? The very thing that help you fight lupus might be make a new problem in your mouth.
For example, some steroids like prednisone can make you loss bone. This can make your jawbone weak, the bone that holds your teeth. A weaker jawbone can make you more likely to lose teeth. Other medicines that calm your defenses can sometimes make your gums swell up. They can also make you more likely to get mouth infections like oral thrush, which is a yeast infection that looks like white spots in your mouth.
It is very important to talk to your doctor about this. Never stop taking a medicine if your doctor don’t tell you to. The important thing is to know about the possible bad effects. If you know your medicine might cause dry mouth or gum problems, you and your dentist can make a plan to fight it. It’s about working together. Your lupus doctor and your dentist need to be on same team, and you are the boss of the team.
Sometimes when I talk to people with lupus, they say their dry mouth and dry eyes are very bad. When I hear that, a bell ring in my head. I ask if their doctor ever talked about Sjögren’s syndrome. Sjögren’s (you say it SHOW-grins) is another sickness where your body attacks itself. The main things Sjögren’s attack is the parts that make wetness, like your spit glands and tear glands. This make your mouth and eyes very, very dry.
The hard part is that Sjögren’s often comes with other sicknesses like it. It’s very common for a person with lupus to also get Sjögren’s. This is called secondary Sjögren’s. If you have this, your dry mouth problems might be even worse. The risk for lots of cavities go way up. It’s like trying to stop a fire with no water. The acid from germs just goes crazy in your mouth.
If you have lupus and a very dry mouth, ask your doctor about Sjögren’s. Getting the right name for your problem can get you new treatments. There are special mouthwashes, gels, and even medicines that can help your mouth make more spit. Knowing what you have is the first thing. You might think it’s “just” from lupus, but if it’s really secondary Sjögren’s, you might need a different plan to keep your teeth safe.
Let’s be clear. Yes, it is. I know you don’t want to hear that, but it is the truth. And knowing the truth helps us fix the problem. You are not mean to lose your teeth. But you have a bigger hill to climb than someone who don’t have lupus. It’s because of all the problems we talked about before.
Think about it. You have dry mouth, so there’s less spit to wash away acid and food. You might have gum sickness, so the ground your teeth stand on is weaker. You might be taking medicines that have bad effects for teeth. All of these things works together to make a place where cavities can grow easy and fast. A small cavity can become a big problem much quicker for someone with lupus.
This is why you cannot miss dentist visits. I have seen patients who felt okay and then went to the dentist after a year or two and found big problems. The rot happened quiet, without much pain first. Then all of a sudden, they needed many fillings or even a root canal. For someone with lupus, seeing the dentist every six months is not just a good idea, it is something you must to do. It lets your dentist find problems when they are small and easy to fix.
Okay, enough talk about problems. Let’s talk about fixes. You have more power than you think. You can build a good defense for your teeth with a strong routine every day. This isn’t about doing something hard. Is about doing it every day and being smart. Your bathroom sink should be your main spot in the fight for a healthy mouth.
First, you need to brush two times a day, at least. But how you brush is important. Use a soft toothbrush and a toothpaste with fluoride in it. Hard brushes can hurt your soft gums. Be soft. Think like you are giving your teeth and gums a massage, not scrubbing a floor. Flossing is also something you have to do. You have to do it every single day. Floss gets in the small spaces your toothbrush don’t reach. This is where cavities and gum sickness likes to start.
Because dry mouth is a big enemy, you need to fight it all day. Sip water all day. Not big drinks, but little sips. Chew gum with no sugar or suck on candies with no sugar to help your mouth make more spit. There are also products you can buy at the store to help. Look for mouth sprays, rinses, and gels that are made for dry mouth. Using one of these before bed can make a big, big difference.
Your dentist is a very important helper for your health. But they can’t help you if they don’t have all the informations. When you go for a visit, don’t just say you are there for a cleaning. You need to have a real talk. Tell your dentist you have lupus. Be clear. Tell them about all the medicines you takes, and how much you take.
Tell them about your problems. If you have dry mouth, say it. If your gums are bleeding, tell them. If you get sores in your mouth, show them. The more they know, the better they can make a plan just for you. They might say you should use a special high-fluoride toothpaste to give your teeth more protection. They might say you need cleanings more, maybe every three or four months, not every six.
Don’t be shy. Your dentist is a health expert. They are there to help you, not to think bad of you. A good dentist will understand how lupus and mouth health are connected. They will be an important part of your health team, working with your lupus doctor to keep all of you healthy. If your dentist seem like he don’t care or don’t take your worries serious, it might be time to find a new one. You should have a dentist who is a partner in this fight.
Sometimes, even when you try your best, a tooth can get very hurt. A big cavity or a crack can mean you need more then just a small filling. You might need a crown. A crown is like a little hat made just for your tooth that fits over it to make it strong again. Thinking about this can be scary, but new dentist work has made it a much easier thing.
Today, many dentists work with a digital dental lab. This is very neat. Instead of using that sticky paste to make a copy of your tooth, they can use a small camera to take a 3D picture. This picture is sended to the lab by computer. The lab then uses that computer file to make a crown that fits perfect. It’s more fast, more right, and much more comfortable for you. The way they do it is great and helps your dentist get a better crown for you.
For what the crown is made of, you have choices. One of the best things today is called zirconia. A special zirconia lab can make a crown that is super strong and looks real. Zirconia is a kind of white material that can be the same color as your other teeth, so nobody will know you have a crown. It’s also very gentle to your gums, which is good when you have lupus. If you need a crown, ask your dentist about these new choices. To make it cost less, some dentist offices work with labs from all over. It’s not strange for a dentist to get good work from a china dental lab, this help keep price down but the work is still good quality you need.
What you eat have a big affect on your body’s swelling and your mouth health. Eating the right foods can be a strong help for both your lupus and your teeth. It’s not a cure, but it can help your body. The goal is to choose foods that fights swelling and stay away from foods that make it worse.
Try to eat lots of fruits, vegetables, and good fats. Things like berries, green leafy vegetables, salmon, and nuts are great choices that fight swelling. These foods have lots of vitamins and good things that help your body fight. But you want to eat less of foods that cause swelling. This means sugary snacks and drinks, foods that come in a box, and anything with lots of bad fats. Sugar is very bad because is the favorite food of the germs that makes cavities.
Also, think about how your food feels. If you have dry mouth and sore gums, crunchy, hard foods can hurt to eat. You don’t have to stop eating them, but you can be smart. Cut apples in small pieces instead of biting a whole one. Choose softer foods like yogurt, smoothies, and soups when your mouth feel very sore. A healthy food plan helps your whole body, and your mouth is a part of that body.