Autoimmune and Cavities?

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New Member

Date Joined Jul 2009
Total Posts : 7
   Posted 9/2/2009 10:05 PM (GMT -6)   
I'm being tested for Lupus and get my results tomorrow. However, I'm just wondering if there is a connection between tooth decay and Lupus? I know certain medications can increase it, but what about Lupus in general? For 23 years I had NO cavities but now that I've been becoming more sick with more flare-ups, I had 12 cavities that last time I went to the dentist! And I have impeccable dental habits. I can see more that I need filled too shakehead

Just wondering if anyone else experienced an increase in tooth decay with Lupus?

Fibromyalgia, Scoliosis, IBS(?), Hypermobillity, TMJ, PTSD, mild OCD.

Cymbalta 60mg

Veteran Member

Date Joined Nov 2006
Total Posts : 1331
   Posted 9/3/2009 9:18 AM (GMT -6)   
This is a great question!!!! I don't have Lupus, but I do have RA and since my diagnosis, I have had similar issues as you! I even cut out sugary foods, no soda etc.  I brush/floss like crazy and still every check up..surprise, I need a filling or two. Are you taking MTX by chance? I've wondered if this is a cause or if it the autoimmune itself. Either way, I share  your frustration!

Regular Member

Date Joined Mar 2009
Total Posts : 48
   Posted 9/3/2009 11:37 AM (GMT -6)   
Maybe taking a calacium supplement will help? I have had weak teeth for years, they chip, cavaties galor....
"If God brings me to it, He will bring me through it!"

Dx: Rheumatoid Arthritis(1991), Panic Disorder, treatment for MCTD (2009), Acid Reflux,IBS

Tx: plaquenil, reglan,vicoden,ambien,mobic

Veteran Member

Date Joined Nov 2006
Total Posts : 1331
   Posted 9/4/2009 8:37 AM (GMT -6)   
Twinkiet..This is totally off topic, but I noticed you have Reglan in your list of meds.  Do you have gastroparesis as well? Sorry, but I don't come across many Reglan users, so I thought I would ask.

Regular Member

Date Joined May 2007
Total Posts : 482
   Posted 9/4/2009 9:55 AM (GMT -6)   
Good question. I never had a cavity in my life until shortly after the birth of my first child, that is also when the early symptoms of lupus started. As the lupus has progressed, the teeth have regressed! :-) I know my dentist said the sjogrens causes a lot of dental problems - could it just be autoimmune in general?
I take extra calcium citrate as well as a daily vitamin. Also started using "Oasis" - a mouth rinse that helps out with the dryness.
Good Luck. I have learned to really dislike going to the dentist!
Take care,

Dx: Lupus, sjogren's, celiac, severe allergies.

Daily Meds: Plaquenil, Zyrtec. Aciphex, Nasacort, Prozac, Ambien CR, CellCept

Daily Supplements: Calcium, B-100 Complex, Daily Vitamins.
As Needed Meds: Epinephrine, Benadryl, Proventil, Xopenex, Tylenal, Darvocet, Prednisone.

Veteran Member

Date Joined Jul 2009
Total Posts : 4796
   Posted 9/4/2009 12:11 PM (GMT -6)   
I am having dental issues as well. I have had teeth break off at the gum line. Over the
past few years. I am now wearing a partial plate on the top. My bottom teeth are giving
me prblems now. I also have osteoporosis and wonder if that might be a contributing factor. I
am on Boniva, and calcium and vitamin D supplements. Sometimes I wonder if I will
end up with dentures, top and bottom.

 possible MCTD, Raynauds, Fibromyalgia, Osteoporosis, Degenerative
 Disc Disease, Osteoarthritis, High Blood Pressure, Migranes and
 Pseudothrombocytopenia, biopsy shows a Scleroderma variant
 MEDS: Methotrexate, Savella, Boniva,Lisinopril, Folic Acid, Flexeril, and
 Vitamin Supplements

Veteran Member

Date Joined Jun 2006
Total Posts : 1650
   Posted 9/5/2009 9:42 AM (GMT -6)   
Unfortunately, I'm a bit of a pro on this. The dry mouth from Sjogrens causes cavities. Saliva normally keeps the teeth washed (so to speak) and when you quit producing saliva, everything sticks to the teeth and they decay. I really like ACT Restore mouthwash. It builds minerals on the teeth and I noticed a difference right away. I also often use Oral Balance gel at night before bed to moisten my mouth and Biotene toothpaste to increase saliva. Lastly, never use a mouthwash with alcohol. It actually drys your mouth making your breath worse. BTW, I had dry mouth a couple of years before being diagnosed with Sjogrens. I hope this helps Ladies. Love, Butterflake  

Systemic Lupus ('05), depression, fibro, sjogrens, cns issues, diabetes, gerd, hypertension, colitis, stage 1 kidney disease  Rx: Cellcept, plaquenil, prednisone, celebrex, lisionpril, actos, lipitor, nexeum, prozac, wellbutrin, ambien, cholestryramine, lomotil PRN: xanax, neurontin, tylenol arthritis, flexeril, nasonex, phenegren, vitamins, Acupuncture.  "Welcome to lupus, where the strange is ordinary and nothing is normal." Donna 

Veteran Member

Date Joined May 2005
Total Posts : 7725
   Posted 9/5/2009 8:22 PM (GMT -6)   
There is also a Biotene mouthwash which I use & like. Much more pleasant than the stuff w/alcohol in it, and so much better for you!
Lynnwood, Lupus & Sjogren's Moderator
Life is far too important to be taken seriously. - Oscar Wilde, 1882

Regular Member

Date Joined Oct 2006
Total Posts : 281
   Posted 9/6/2009 6:39 PM (GMT -6)   
I have been having problems with my teeth as well and I spoke with my dentist about it.He said that the autoimmune diseases do cause dental problems and that what I am doing is not the problem, it's the disease that is the problem. I have plaque build up from dry mouth and have problems with my teeth from dry mouth as well.
It's an ongoing vicious problem with Lupus. And an expensive problem getting my teeth fixed,lol.
diagnosed with RSD in March of /03, diagnosed with Lupus in Sept./06.Thyroid Disease ,RA
Taking Methotrexate, Plaquenell, Folic Acid, Synthroid,Prednisone, Pantoloc, Singulair, Tramadol, OxyCodeine and extra Strength tylenol when needed,and Zytram.

Veteran Member

Date Joined Mar 2005
Total Posts : 589
   Posted 9/8/2009 10:44 AM (GMT -6)   
yep - me too! both my GI & my Dentist told me it is an autoimmune thing, I also have Crohn's which affects front start to finish of your GI tract and it can cause tons of dental issues.  every year it is either a cap, cavities or even an absess...and we have NO dental insurance, so it is very expensive.... I totally feel your pain - last week I spent $300 on having (3) cavities filled in 2 days.... shakehead
Diagnosed with Lupus - April 2002
Diagnosed with Crohn's Disease (and all the lovely things that come with it) - January 2003 (problems since early 1990)
Fibromyalgia 2005 
Normal Meds:  Ambian 10mg, Flexeril 10mg as needed, Plaquenil 400mg, MTX 25mg Injection, Probiotics
"Extras" Right Now for Crohn's Flare:  Pred 5mg, Entocort 9mg

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