Dental care for patients with Sjögren’s syndrome

Sjögren’s syndrome (SS) is a chronic autoimmune disease that affects the exocrine glands, particularly the salivary and lacrimal glands. This can lead to a variety of symptoms, including dry mouth (xerostomia) and dry eyes (keratoconjunctivitis sicca). These symptoms can have a significant impact on a person’s quality of life, including their dental health.

Dental problems associated with Sjögren’s syndrome

Patients with SS are at an increased risk for a number of dental implants in las vegasproblems, including:

• Tooth decay: Xerostomia can reduce the amount of saliva in the mouth, which can lead to tooth decay. Saliva helps to neutralize acids produced by plaque bacteria and wash away food particles. Without enough saliva, these acids can attack the teeth and cause cavities.
• Gum disease: Xerostomia can also make it difficult to swallow and clear food particles from the mouth, which can lead to gum disease. Gum disease is an inflammation of the gums that can cause redness, swelling, and bleeding. If left untreated, gum disease can lead to tooth loss.
• Oral candidiasis: Oral candidiasis, also known as thrush, is a fungal infection of the mouth. Xerostomia can make the mouth more susceptible to oral candidiasis. Symptoms of oral candidiasis include white patches on the tongue and inside of the mouth, soreness, and difficulty swallowing.
• Other dental problems: Patients with SS may also experience other dental problems, such as enlarged salivary glands, difficulty wearing dentures, and dry mouth sores.

Dental care for patients with Sjögren’s syndrome

It is important for patients with SS to see a dentist regularly for preventive care and treatment of any dental problems that may arise. The dentist can develop a personalized dental care plan based on the patient’s individual needs.

Preventive care

Preventive care for patients with SS may include:

• Brushing and flossing regularly: Patients with SS should brush their teeth twice a day and floss once a day to remove plaque and food particles. It is important to use a soft toothbrush and a fluoride toothpaste.
• Using fluoride mouthwash: Using a fluoride mouthwash once a day can help to prevent tooth decay.
• Using artificial saliva: Artificial saliva can help to relieve dry mouth and keep the mouth moist. It is available in a variety of forms, including sprays, gels, and lozenges.
• Seeing the dentist for regular checkups and cleanings: Patients with SS should see the dentist for regular checkups and cleanings every 3-6 months. The dentist can check for signs of tooth decay, gum disease, and other dental problems.

Treatment

Treatment for dental problems associated with SS will vary depending on the specific problem. Some common treatments include:

• Fillings and crowns: Fillings and crowns can be used to repair damaged teeth and prevent further decay.
• Root canals: Root canals may be necessary if a tooth becomes infected.
• Extractions: Teeth that are severely damaged or infected may need to be extracted.
• Gum disease treatment: Treatment for gum disease may include scaling and root planing, deep cleaning procedures to remove plaque and tartar from below the gum line. In some cases, antibiotics may also be prescribed.
• Treatment for oral candidiasis: Treatment for oral candidiasis typically involves antifungal medications.

Other tips for patients with Sjögren’s syndrome

• Stay hydrated: Drinking plenty of fluids throughout the day can help to keep the mouth moist.
• Avoid sugary foods and drinks: Sugary foods and drinks can contribute to tooth decay.
• Chew sugar-free gum: Chewing sugar-free gum can help to stimulate saliva production.
• Use a humidifier: Using a humidifier at night can help to add moisture to the air and relieve dry mouth symptoms.

Conclusion

Dental care is an important part of overall health for patients with SS. By following the tips above, patients with SS can help to prevent dental problems and maintain good oral health.