Rheumatoid arthritis or RA can cause inflammation of joints and tissues and some organs of the body. When the immune system attacks the body tissues mistakenly, autoimmune diseases happen. The immune system has different organizations of antibodies and cells to fight harmful toxins in the body. However, people who suffer from autoimmune illnesses have antibodies in the blood that attack body tissues, which can cause inflammation. Rheumatoid arthritis is also known as rheumatoid disease because it affects several body organs.
Patients may not experience symptoms of rheumatoid arthritis for a long time but the illness is progressive that can result to functional disability and destruction of joints.
Rheumatoid arthritis or RA has different symptoms from mild to serious. Obvious symptoms can be seen in the joints of the wrists, hands, feet and knees. Effects on oral health are less known. The disease may affect different organs such as kidneys, lungs, and tissues around the heart.
Though RA has no cure, people with RA can take different kinds of anti-inflammatory medications to relieve inflammation and pain caused by rheumatoid arthritis. Aspirin is known to be effective as an anti-inflammatory. Other non-steroidal anti-inflammatory drugs include naproxophen and ibuprofen. To control inflammation, prednisone is recommended but it can cause several side effects including increased pressure of fluid around the brain. Other side effects are diabetes and infection. Physicians can inject cortisone and steroids for quick relief of the joints. Anti-rheumatic medications that can modify diseases are also available such as methotrexate, gold and hydroxychloroquine can, which can delay the progress of the illness. However, be aware that using these medications can have serious side effects.
Rheumatoid arthritis can also have effects on your oral health. Patients that suffer from the disease can have gum disease and serious tooth decay because the inflamed and swollen wrist joints and hands perform the oral hygiene, which can be painful and tedious. Patients can use electric toothbrushes that have more comfortable and larger handles for a better grasp. With electric toothbrushes, cleaning the teeth is easier and more effective. In addition, RA patients cannot floss and they are recommended to use interdental cleaning. Interdental cleaners can be purchased at different department stores and pharmacies.
Salivary glands are affected by RA, which causes dryness and inflammation. People with rheumatoid arthritis can experience dry mouth or xerostomia and dry eye or keratoconjunctivitis sicca. Natural treatments can treat this problem such as consuming plenty of water and chewing gums that free from sugar or sucking hard candies that are sugar-free to stimulate salivary glands. Tooth decay will occur if there are no cleansing and antibacterial saliva effects. It is necessary to use products that contain high fluoride. In addition, practice good oral hygiene and lessen the consumption of sugar.
If you are suffering from rheumatoid arthritis, it is necessary to take good care of oral health. Make sure to brush your teeth at least two times everyday and floss after every meal. Make sure to check your mouth for the obvious signs of dry mouth, teeth stains, decay and plaque. In addition, you need to watch for gum disease, bad breath and bleeding. Visiting your dentist at least three times, every year is essential. It is recommended to discuss your RA as well as your oral health issues with your dentist or medical doctor.
Oral Health For Kids
Thymic hypoplasia is also known as DiGeorge syndrome, which is a genetic disorder with conditions depending on the syndromes for each individual. However, common symptoms of thymic hypoplasia include effects on facial forms, underdeveloped parathyroid and thymus glands and certain heart deficiencies.
Dr. Angelo DiGeorge, an endocrinologist discovered that there is a particular set medical features of DiGeorge syndrome, which includes under active parathyroid gland or hypoparathyroidism that can result to low levels of calcium blood or hypocalcemia. Under developed thymus or hypoplastic or even absent thymus can result to different troubles in the immune system. Conotruncal heart defects such as interrupted aortic arch, vascular rings, ventricular septal defects and tetralogy may be experienced with thymic hypoplasia. Cleft palate or cleft lip is also an effect of DiGeorge syndrome.
A genetic condition known as velo-cardio-facial syndrome or VCFS is connected to DiGeorge syndrome that involves the same abnormality of the chromosomes of DiGreorge syndrome.
Similar features of thymic hypoplasia was recognized in the year 1970s such as cleft palate or clef lip, hypocalcemia and heart defects are also present to velo-cardio-facial syndrome.
Ninety percent of people who have features of the syndrome lack small part of chromosome 22 at q11 region. However, about ten percent of the patients suffering from DiGeorge syndrome are affected because of heredity, which can pass the deletion to the children. The gene is known to be autosomal dominant, which means that an individual who has the syndrome has fifty percent chance to pass it to his or her child. With this in mind, when a deletion is detected, both parents must under go blood tests to search for the deletion.
Thymic hypoplasia has common features that appear at an early age. However, these features may not be present to every child and the severity differs from one individual to another. These common features may also include difficulties during feeding, abnormal ear exams or loss of hearing, having small head or microcephaly, forty percent of children may suffer mental retardation, which ranges from borderline to mild and IQ level can range from seventy to ninety. For adults, psychiatric disorders such as bipolar disorder and schizophrenia can be recognized.
Children who have DiGeorge syndrome can have features such as hoped eyelids, small ears that have square upper ear, asymmetric face, cleft lip or cleft palate, small chin, side areas of nose tip and small mouth.
Patients who have thymic hypoplasia are more prone to viral and fungal infections in the mouth area. Thrush or oral candidiasis is one of the most familiar fungal infections of the syndrome. On the other hand, herpes is a common viral infection that can appear through cold sores.
It is necessary to see a doctor or dentist if you have DiGeorge syndrome or thymic hypoplasia. A dentist can give you special medication to treat or lessen the infections cause by the syndrome, which includes antifungal therapy. Cold sores and other infections can be treated by administering antiviral medications. Usually, antibiotics are recommended to be taken during the medication and after the treatment. However, antibiotic administration depends on your health status. It is best to tell your dentist about the medicines that you are taking especially each dosage of the medication. Make sure to notify your dentist about your allergic reactions to different medications.
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