Periodontal (gum) disease and Rheumatoid Arthritis, or RA, are inflammatory disorders. Both diseases prompt the immune system to attack its own tissues. In advanced periodontal disease, the result can be tooth loss; in RA, the effect is painful and swollen joints. Learn about the connection and what you can do to protect your overall health.

Studies show a strong connection between periodontal disease and rheumatoid arthritis. Both involve inflammation, which is a protective immune system response to viruses and bacteria. RA is an autoimmune disease which causes it to mistakenly trigger inflammation even if there are no triggers present. Joint inflammation makes brushing and flossing challenging for some people with RA, in addition to many kinds of movement. 

The connection between gum disease and arthritis, however, goes much deeper. In the journal PLoS Pathogens, researchers found that the bacteria that causes periodontal disease, porphyromonas gingivalis, prompts an earlier onset of rheumatoid arthritis and increases its severity and progression. 

It is important for patients with rheumatoid arthritis to brush and floss twice a day, or as directed, and see the dentist regularly. If you have RA, it is also vital to work with your doctors to find out what treatments work best for you. People who have both gum disease and rheumatoid arthritis should have an informed care team composed of both a physician and a periodontist. 

If you don’t have a periodontist, you should get an evaluation from your general dentist every year to monitor the status of your gums. Research has found that when patients with rheumatoid arthritis successfully treat gum disease, RA pain and other symptoms get better. 

Patients with RA must pay close attention to oral health and schedule regular dental exams. They should also follow a healthy diet and carefully brush and floss. If you have RA and stiff hands or jaw make caring for your oral health difficult, speak to your dentist, hygienist, or occupational therapist about ways to make dental care easier. Here are some tips on how you can make dental care easier to manage:

• Toothbrush: You can add a tennis ball or bicycle grip to your brush for a more secure handle.
• Floss: Experiment with different types of floss, such as waxed, unwaxed, tape style or interdental brushes.
• Toothpaste: Using toothpaste in a pump may be easier for you than a tube you need to squeeze.

If you have any questions or concerns regarding periodontal disease and rheumatoid arthritis, contact our office to schedule a consultation and learn what we can do to help you.

Gingivitis is among the most common oral health issues. It is especially prevalent in adults over 40. If it is left untreated, this early form of periodontal disease can lead to significant oral health issues. However, it can be effectively treated if it is caught soon enough. In many cases, it can be reversed. Here is what you need to know about gingivitis.

Signs and Symptoms of Gingivitis

Gingivitis often leads to swollen gums that appear red or purple, painful or tender. It can also involve bleeding when brushing and flossing. Bad breath (halitosis) is another frequent side-effect of gingivitis. A buildup of plaque or tartar is sometimes visible as well. Many people have gingivitis without knowing it, as symptoms do not always appear in the early stages.

Preventing Gingivitis

Gingivitis can usually be prevented through proper oral hygiene habits. Your best line of defense is brushing twice daily for two minutes each time. It is also essential to clean between your teeth daily by flossing. This helps to prevent the buildup of plaque and harmful bacteria. As plaque builds up near the gum line, gingivitis can develop.

Gingivitis Treatment

Gingivitis is the first of four stages of periodontal disease and the only one that can be completely reversed. If left untreated, it progresses to slight periodontal disease. This occurs when infection has spread and begun to attack the bone beneath. The second stage can be managed but not reversed. Moderate periodontal disease is the third stage. It results in deeper pockets around teeth which invite even more bacteria to attack the jawbones. Finally, advanced periodontal disease causes extreme sensitivity, loosened teeth, and bone loss. 

It is easy to see why it is important to monitor your gum health regularly. Talk to our experienced periodontal team if you have experienced symptoms of gingivitis. If you smoke, have diabetes, are elderly, or take certain medications, you are at a higher risk for developing gingivitis. Be good to your gums by brushing twice each day and flossing daily. 

Keeping your teeth free of plaque is the simplest way to keep your gums healthy. For questions about your periodontal health or to schedule a visit to our office, please contact us.