Dental Care in Scleroderma
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- Arnold Gardner
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1 Dental Care in Scleroderma
2 People living with scleroderma face unique challenges while trying to maintain their oral health. They are more likely to be affected by dental conditions such as small mouth, dry mouth, jaw pain, gum disease, and dietary issues. Many people living with scleroderma have hand involvement, making it difficult to brush and floss. Please speak with your dentist about adaptive devices and tools that can help. More frequent check-ups are important for people who have scleroderma. HOW DOES SCLERODERMA AFFECT MY ORAL HEALTH? WHAT CAN MY DENTIST AND I DO ABOUT IT? Microstomia (small mouth) and Tightness of the Mucosa (the lining of the mouth) from the teeth. Treatments: jaw muscles. the tongue and cheeks. Sclerodactyly tightness of the skin on the hands and fingers. Problem: Use adaptive devices:
3 Xerostomia (dry mouth) Problem: Treatments: Gastroesophageal Reflux Disease (GERD or acid reflux) Treatment: Myofacial (muscular) Pain and Temporomandibular (jaw joint or TMJ) Pain Treatments: inflamatory. Loosening of the Teeth may be due to periodontal (gum) disease or Scleroderma
4 Treatment: Dysgeusia (change in taste sensation) Medications and dry mouth can cause taste changes. loss of appetite and weight loss. Treatment: Problem: Treatment: patient to develop accommodations for brushing and flossing. Depression dental appointments. side effects. Treatment: medical doctor. worse oral health and worse oral health causes worsening depression.
5 SUGGESTIONS FOR YOUR DENTAL APPOINTMENTS: one area at a time or one tooth at a time. for you. is cold. SUGGESTIONS FOR YOUR DENTIST:
6 National Patient Education Conference The Member Magazine of he Scleroderma Foundation Rewind San Francisco Scleroderma VOICE Challenges for Kids with Scleroderma Ernie Ross Racing to Victory Fa l 2011 wwwsc ero erma o g
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8 FLUORIDE Today, most people drink fluoridated water and prescribe or recommend additional fluoride for those with scleroderma. Topical fluoride strengthens teeth by replacing calcium on the surface of teeth.there are fluoride rinses available and prescription strength fluoride gels and toothpastes that make teeth even more of fluoride varnish are a relatively convenient and your dentist whether or not a prescription fluoride regimen is appropriate for you PROFESSIONAL CARE Living with scleroderma can be overwhelming. and to minimize oral health care problems. asking your medical doctor, calling the state or local dental society, calling the local chapter of the live with scleroderma for the name of their dentist. information.
9 follow these simple recommendations: how it affects your oral health. one area at a time or one tooth at a time, or long appointments with breaks. for you. is cold. rubber dam and shorter burs. professionals and, if necessary, having your dentist speak with your physician about your overall condition as it relates to your oral health, will help to ensure that your dental care will be the best possible for your unique situation. Please note that this brochure is provided for substitute for informed medical advice. The Scleroderma Foundation thanks David M. Leader, DMD of the Department of General Dentistry attufts University School of Dental Medicine, for his assistance in the preparation of this brochure.
10 Our Three-Fold Mission Is Support, Education and Research
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