Yes, dental issues can be associated with both rheumatoid arthritis (RA) itself and the medications used to treat it. Here are some key points:

RA and Dental Health
- Gum Disease: Studies show that gum disease is more prevalent in people with RA. 70% of RA patients had at least moderate gum disease, and 30% had severe Show Full Answer

Yes, dental issues can be associated with both rheumatoid arthritis (RA) itself and the medications used to treat it. Here are some key points:

RA and Dental Health:
- Gum Disease: Studies show that gum disease is more prevalent in people with RA. 70% of RA patients had at least moderate gum disease, and 30% had severe gum disease, compared to 35% and 5% in the general population, respectively.
- Sjogren’s Syndrome: This autoimmune condition, often seen in RA patients, causes inflammation that damages salivary glands, leading to severe oral dryness, cavities, and tooth loss.
- TMJ Issues: RA can affect the temporomandibular joint (TMJ), making it painful or difficult to open and close the mouth.

Medications and Dental Health:
- Methotrexate: This medication can cause oral ulcers. Folic acid supplementation can help reduce these ulcers.
- Immunosuppressive Medications: These can increase the risk of bacterial and fungal infections in the mouth, such as Candida or Oral Thrush.

Recommendations:
- Regular Dental Exams: RA patients should get complete oral exams regularly and inform their dentist about their RA.
- Oral Hygiene: Brush with fluoride toothpaste, floss regularly, and consider using a fluoride rinse. If arthritis affects your grip, a battery-powered toothbrush can be helpful.
- Avoid Tobacco: Avoid cigarette smoking and chewing tobacco to improve overall oral health.

Signs to Watch For:
- Infections: Look out for swelling around the tooth or jaw, severe pain, fever, and swollen nodes.
- Fungal Infections: Be aware of white coating or clumping on the tongue or inside the cheeks.

Research Findings:
- Biologic Medications: Some indicators of gum inflammation were less in people receiving biological RA therapy.

For the best care, RA patients should work closely with both their dentist and rheumatologist.

 This AI-generated response comes from myRAteam and other selected sources. It is not a substitute for medical advice. Always ask your doctor about specific health concerns.

Dental Tips for the Rheumatoid Arthritis Patient • Johns Hopkins Arthritis Center

Dental Health and Rheumatoid Arthritis: A Research Update from Johns Hopkins