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Gum Diseases and Rheumatoid Arthritis

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Rheumatoid arthritis and gum disease are interconnected. Read this article to learn more about gum diseases and their connection with rheumatoid arthritis.

Medically reviewed by

Dr. Bharat Joshi

Published At February 7, 2024
Reviewed AtFebruary 7, 2024

Introduction

Millions worldwide suffer from the chronic autoimmune condition rheumatoid arthritis (RA). While the exact cause of RA remains unknown, researchers have found that poor oral hygiene can increase the risk of developing this condition. That is why it is important to understand the connection between gum disease and RA. Gum diseases are caused by mouth bacteria, leading to inflammation of the gum tissue around the teeth. The risk of developing rheumatoid arthritis (RA) can rise due to this inflammation's potential to spread through the bloodstream. This article will discuss the connection between gum diseases and RA in detail and how to prevent and treat both conditions and explore how good oral hygiene can help reduce symptoms associated with RA and provide advice on keeping the teeth and gums healthy.

What Is Gum Disease?

Periodontal or gum disease generally occurs in soft tissues and bones around the teeth. It is generally caused by accumulated plaque and tartar buildup on the teeth from inadequate brushing and flossing. When left untreated, it can lead to inflammation of the gums, increased tooth sensitivity, receding gums, and eventually, tooth loss.

Gum disease is quite common; it is estimated that over half of adults in the US have some form of gum disease. Halitosis, bad breath, gum swelling and bleeding, receding gums, changes in bite alignment, or loose teeth are typical signs. The best way to treat gum disease is to brush twice daily with fluoride toothpaste and floss twice daily. It is important to understand how gum disease can interact with other medical conditions like rheumatoid arthritis (RA). Having RA increases the risk of developing gum diseases such as gingivitis due to weakened immunity and poor oral hygiene practices.

Gum diseases like gingivitis and periodontitis increase with rheumatoid arthritis (RA). Recent scientific studies suggest a close relationship between the two diseases. Although the precise relationship between RA and gum disease is not yet fully understood, it is speculated that oral bacteria may elicit an inflammatory response in the body, thereby contributing to the onset of RA. This connection also suggests that good oral hygiene practices can reduce the risk of developing RA.

Gum disease has been linked to complications in patients who already have RA. Untreated gum disease can contribute to poor control of RA symptoms and aggravate existing conditions. Poor oral hygiene has been linked to increased disability, fatigue, and pain in RA patients.

Thus, those with RA must maintain good oral health by brushing their teeth twice daily and flossing regularly. It is also suggested that they visit their dental specialist regularly for routine cleanings and exams as a feature of their general well-being plan. Doing so can help prevent or treat gum diseases, which may reduce the risk of developing or aggravating RA-related symptoms.

What Are the Types of Gum Diseases and Their Symptoms?

Gum diseases are caused by bacteria, which can affect the gums, teeth, and jaw tissue. There are three main types of gum diseases - gingivitis, periodontal disease, and periodontitis. Each gum disease type has its own symptoms, so it is important to be aware of what each one is and how to detect it.

  • Gingivitis: Gum disease is the earliest type of gum infection and is set apart by irritation of the gums. When brushing or flossing, people may notice redness and swelling of the gums. Often, gingivitis can be reversed with regular dental checkups and good oral hygiene.

  • Periodontal Disease: Gingivitis can develop into periodontal disease if left untreated. The primary symptoms are scaling or receding gums that may appear darker than normal. In addition to bacteria buildup in the mouth, other causes may include smoking or diabetes. Periodontal disease can result in tooth loss without treatment.

  • Periodontitis: This is the most severe gum disease. The ligaments that connect the teeth's roots to the jawbone beneath them are destroyed at this advanced stage. Symptoms may include increased sensitivity in teeth or persistent bad breath due to a film on the tongue known as bacterial plaque. Treatment for periodontitis typically involves deep cleaning around the affected teeth to remove bacteria buildup beneath them and restore oral health to normal.

How Do Gum Diseases Affect Patients With RA?

If someone has rheumatoid arthritis (RA), they are already familiar with the symptoms, from joint pain and stiffness to fatigue and fevers. But another potential side effect of RA may come as a surprise: gum disease. Studies have shown a direct link between RA and serious gum diseases like periodontitis, gingivitis, and inflammatory and non-inflammatory lesions.

Studies have shown that RA can cause an increase in oral inflammation and inflammation of the soft tissue surrounding the teeth. This, in turn, can lead to gum recession, bleeding gums, and even tooth loss. In addition, inflammation caused by RA can decrease saliva flow - which is important for keeping the teeth healthy - leading to an increased risk of dental decay.

The key to avoiding serious oral health problems is early detection. Regular visits with the dentist can help identify any issues that need attention before they become worse. It is also important to take good care of the teeth; brush twice daily with fluoride toothpaste and floss regularly. And remember to schedule regular checkups with the dentist at least once every six months.

What Are the Treatment Options for Gum Diseases?

Gum diseases and rheumatoid arthritis (RA) can cause pain, inflammation, and disability if left unchecked. Luckily, there are different medicines accessible for the two circumstances that can assist with limiting the side effects and lessen the gamble of intricacies. The most common treatments for gum diseases include:

  • Deep Cleaning: Deep cleaning is done by a dentist or hygienist and involves removing plaque and tartar from below the gum line to reduce inflammation and eliminate bacteria that cause infection.

  • Antibiotics: Antibiotics may treat severe gum infections caused by bacteria.

  • Surgery: Surgery may be needed in more severe cases to remove the infected tissue or to repair damaged tissue.

  • They control diabetes and other medical conditions. Medical conditions such as diabetes, heart disease, and others can increase the risk of gum diseases; thus, managing these conditions can help reduce gum disease risk from occurring or worsening.

What Are the Treatment Options for RA (Rheumatoid Arthritis)?

Treating RA: Treatments for RA aim to control pain, reduce inflammation, protect joints from further damage, and improve mobility. Common treatments for RA include:

  • Nonsteroidal Anti-inflammatory Drugs (NSAIDs): NSAIDs can alleviate RA pain and inflammation without the serious side effects of steroids.

  • Disease-Modifying Antirheumatic Drugs (DMARDs): DMARDs target the immune system to slow down its activity and prevent joint damage caused by RA over time.

  • Immunosuppressants Drugs: Immunosuppressants drugs suppress the immune system's activity, reducing inflammation.

Conclusion

Gum diseases and rheumatoid arthritis are very different, yet they are linked in several ways. Understanding how the two are linked and the impact of gum diseases on RA can be an important step in managing both conditions. Proper dental care and disease management can go a long way in preventing or managing gum disease and protecting the joints from further damage caused by RA. Taking the time to understand both conditions and being proactive can significantly benefit overall health.

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Dr. Bharat Joshi
Dr. Bharat Joshi

Dentistry

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