High SED rate and need dental work?

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Daisy:)
New Member


Date Joined Apr 2011
Total Posts : 6
   Posted 4/28/2011 8:23 AM (GMT -6)   
My question is...is it safe to have dental work (fillings) when you have a high SED rate w/ symptoms of lupus flare?  I have been feeling rotton for awhile and have been putting off getting 8 cavities filled.  My primary ran a lupus panel a couple weeks ago and my SED rate was elevated...34, which I understand isn't extremely high, but I am in a lot of pain (joint, muscle), have fatigue, low grade (under 100) fevers w/ sweats, and on and off again viral symptoms (sore throat, post nasal drip, nausea, malice.)  I am unsure whether symptoms are from Lupus flare or Fibromyalgia or what?  Now my husband will be losing his job in 3-4 weeks and although I've been told by the Nurse Practitioner that took over for my doc who went on maternity leave, that I should avoid dental work with a high SED rate, I am worried about letting cavities go, and not knowing when I will be able to get them done due to no insurance.  Anybody have any thoughts?  I'm afraid if I ask the dentist (who is very conservative with treatment) that she will advise against it.  Cavities are not causing much pain currently, but are not small, so could become a problem anytime.  I also fear teeth breaking, requiring root canal and crown ($$$$), which has happened twice from putting off dentistry in the past.  Have you heard of SED rate preventing dental work from being done?
Thanks for your advice.

Lupus and Reynaud's Syndrome 2002; Fibromyalgia added 2006; Lupus diagnosis changed to Undifferentiated Connective Tissue Disease in 2007; Gastroparesis (stomach paralysis) 2007-2010; Lifelong struggle with depression; Anxiety with panic attacks since 2008.
Medications: Plaquenil, Fentanyl patch, Tylenol, Aleve, Methocarbamol, Klonopin, Wellbutrin, Microgestin, Kava, Vitamin D, Miralax, Multi

dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 4/28/2011 8:34 AM (GMT -6)   
I would suggest you contact your rheumy. Most likely the only concern, well at least for my situation, is that you are on antibiotics if you are on a high enough dose of Pred or other immunosuppressive and discuss any concerns with any blood thinners (depending on how severe the dental work is needed).

You should get your dental work done IMHO. Poor dental is a cause for a host of other horrible health problems (ex. heart infections, blood infections, etc) so this must be taken care of. If you have Sjogren's with your Lupus, regular doctor visits -sometimes up to 3 times a year- is important.

If your dentist is conservative, a note from your rheumy should suffice I would think.
DX:SLE, Sjogrens, Raynauds, Migraines, Occipital Neuralgia, Morphea (Localized Scleroderma), Iron Deficiency Anemia, IBS, Diverticulosis

Meds:Prednisone, Plaquenil, Sulindac, Tramadol, Topamax, Xanax, Imitrex, Fiorinal, Prenatal Multi, B12, Vit E, Calcium, Fish Oil, Biotin, Ferrous Gluconate, Baby Aspirin

Lynnwood
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Date Joined May 2005
Total Posts : 7720
   Posted 4/28/2011 8:40 AM (GMT -6)   
Yeah, with the pressing insurance issues, I agree, talk carefully with your doctor. Normally if you are flaring I know they'd prefer we avoid anything stressful to the body, but insurance throws a bit of a wrench into things.
Lynnwood, Lupus & Sjogren's Moderator
DIAGNOSING-LUPUS & LUPUS-RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde

okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 4/28/2011 9:39 PM (GMT -6)   
Hi daisy, i agree with the others. Not only for this situation but I think you should have a chat with your rheumy before any type of surgery. High sed tae or not. I guess my thought of the bat would be high sed rate means infection infection you should be on antibiotics clear it up before you have work done. Your rheumy may also suggest something different with your meds. Dentist may know some things but they aren't rheumys.
please check it out beofre you do anything that you can't undo.
hugs
carol
,lisinopril,lortab,azithromyazin,nexium,temazepam,predisone,plaq.,pottasium,xopenex,advair,spirivia,Vitamin D, matolozone.
Dx lupus, scleroderma, high bp COPD, need lung transplant. cancer survivor, osteoporsis,
There are more things in heaven and earth, Horatio,
Than are dreamt of in your philosophy.
"Don't stop fighting" Do not go gently into the night-rage against the dying of the light!
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