View Full Version : Toothache troubles
12-20-2005, 03:02 PM
Back in August I had a horrible experience with my tooth being abbsess (sp). I was in emergancy because suddenly one day I just was in extreme pain, the Dr's said it was because of the prednisone and my body not fighting infection proper. So they gave me antibiotics and then later that week I had a root canel done etc. etc.
I have been off prednisone now for a couple months but the past few days I've had a little bit of pain near another one of my back molars (the abbsess from August was a molar). I am young to have these problems with my teeth the dentist had said and I'm begining to think its another tooth in need of a root canal. Has anyone else had trouble with their teeth due to lupus?
Also, when I was at the dentist I had told him I was high risk of blood clots and he just shrugged it off- isn't that something that a dentist should be concerned about??
I just really hope this is a earache or something minor because I don't want to have any extra pain over the holidays!!
(One more thing... the sore tooth area(which could be my ear too i suppose?) only comes mainly near dinner/night...and isnt hot or cold sensitive... ahh im confussed!!)
12-20-2005, 04:08 PM
Now, Im not a doctor.. but it sounds like its more of a vascular thing - especially if your teeth checked out OK after your last root canal. I know my gums bleed now (im only on Plaquenil) and from time to time, my tongue swells.. If you dentist thinks your clear, I would try to see a neurologist!
Merry Christmas/Happy Holidays!
12-20-2005, 06:52 PM
I TOO HAVE HAD A TOOTHACHE FOR 2 WEEKS, GOES INTO MY JAW AND I CAN'T CLOSE MY MOUTH PROPERLY. MY DOC SAYS ITS RELATED TO TOOTH GRINDING. I DON'T SLEEP WELL AND I GRIND MY TEETH, I HAVE TO BE FITTED FOR A NIGHT GUARD. I HAVE ALSO HAD TRIGEMINAL NEUROALGIA IN THE PAST...SUICIDE TYPE PAIN CAUSED BY INFLAMATION OF THE FACIAL NERVES. I TAKE TEGRETAL FOR THIS WHEN IT STARTS TO FLARE...READING THIS WEB SITE IT SEEMS THAT ALOT OF LUPIES HAVE THIS MOUTH PAIN....HEAT SEEMS TO HELP EASE THE PAIN. A GRAIN BAG OR HAIR DRYER. I DON'T GET THE TOOTH ABCESSES BUT I DO SUFFER FROM EAR INFECTIONS ALOT..MY EARS ARE ALWAYS ITCHY...ANYONE ELSE FIND THIS???
HOPE YOU FEEL BETTER FOR CHRISTMAS...I THINK I MAY HAVE TO PUREE MY TURKEY!!!
12-21-2005, 08:41 AM
Lupus patients have specific dental problems because of the disease process and the medications needed to control lupus symptoms. Connective tissue diseases, such as Lupus, can directly and indirectly cause problems with the teeth and gums, in the following ways:
--increasing suseptibility of infection
--through lack of saliva, cause increased cavities
--through lack of saliva - which helps wash away bacteria - cause increased suseptibility of gum disease
--the medications used to treat CTDs (most often steroids) can deplete calcium and cause cavities and crumbling teeth, as well as increase risk of infection and cause slow healing.
--vasculitis and neuropathy can damamge the blood supply to the teeth, causing cavities, crumbling teeth and abscesses.
A tooth abscess is formed when there is inflammation and/or infection in the bone and/or the tooth's canals. This generally occurs in a tooth that has a deep cavity, a very deep filling or one that has been injured.
Periodontal diseases cause the greatest amount of tooth loss in Lupus patients and it usually does not cause pain and may not give warning until significant tissue breakdown has occurred. The most common periodontal disorders are gingivitis (inflammation of the gingiva or gums) and periodontitis (inflammation affecting the bone under the gingiva). The presence of any of the following signs and symptoms may indicate the presence of gingivitis.
Bleeding gums: Gingiva which bleeds on eating or brushing teeth, or bleeds without any obvious cause.
Swollen gums: Enlarged gingiva which is not bound tightly around each tooth.
Red Gums: Gingiva which is red in color. Dark colored gingiva due to naturally occurring melanin (the substance which colors the gums) is not an indication of inflammation.
Sensitive gums: Gingiva which is painful to brushing. Untreated gingivitis can progress into the tissues under the gingiva and cause the bone which supports the teeth to become weakened and resorb.
Periodontitis is a form of dental disease which is marked by bone loss and will eventually lead to loosening or loss of teeth. It is usually painless and may have the same signs and symptoms as gingivitis.
I hope that I have answered you question :lol:
Let me know if you need any more information
Peace and Blessings
12-21-2005, 09:03 AM
Thank you so much for all that information!! It's so weird how just suddenly I get these aches in my mouth and it always turns into something horrible!
I actually started this year off with going to college to be a dental assistant and had to drop out of my class because I was in a huge flare and in the middle of changing medications and with my fatigue couldn't keep up to the demands of the course. It was one of the toughest decisions but when someone would say to me "you withdrew from your course :o " I would reply with "what is an education if you don't have your health". My mom says all my dental problems in August was just a warning sign that the dental field wasn't for me! haha Anyways again this is one door that closed for me but I just tried to look on the positive side of things and tried to look at the door that was opening. Now I'm doing online studies (currently working towards an office management diploma) with that I hope to open a homebased bookkeeping business - something that I could control the work loads and be in the presence of my own home which I think just having the ability to lie down when needed makes me feel all that much better anyways. Being so young theirs a ton of possibilities though once I have my diploma so things may change, but I think I just wanted to let you guys hear about this and how there is always alternatives!!
And thanks again Saysusie! You are always full of loads of information!! Have a very Merry and Pain free Christmas!!
12-22-2005, 02:00 PM
Well my toothache continued and I figured I better get a diagnosis before Christmas because I don't want to be in any extra pain. So being I'm living away from home right now and don't have a GP here (I do have a specialist in this town but not a GP) so I went to emerg.. It turns out it is my TMJ joint. I had slipped and fallen on my back last friday (Super icy out because of snow/rain) and I guess I must have done something when I fell and didn't even put two and two together. The Dr. figured thats all it was beccause my teeth didn't show any sign of decay (as well as she could see)...So I guess it is good news that it won't be a 500$ bill at the dentist again, BUT for this TMJ to feel better it could take some time. (About two years ago I had some TMJ problems but they felt different from this :cry:)
Do you guys ever feel like you could almost pull off being a Dr. for a day from all the life experiences you have been through? Geesh!! (I didn't mean that in an offensive way, Dr's are great and very well educated and earn their names but u know what I mean!)
12-29-2005, 08:27 PM
Hey Traccee :lol:
As a fellow TMJ sufferer, I am sorry that I did not mention that as a possibility when you first posted :oops:
Yes, sometimes I feel like I could be a "doc4aday", but not when I miss something like I missed the possibility of TMJ (lol)
Anyway...I wish you the best. Take care of yourself and if you hear of any great ways to deal with TMJ, let me know
12-31-2005, 05:39 AM
TMJ? Been living with THAT for years! I've worn a bite guard at night, every night, for probably 20 years. I chew through one every 2-4 years (the newer plastics - or whatever the material is - are stronger, last better)
I still get occassional TMJ headaches, and once had my jaw lock up. Tight. My dentist didnt' even charge me for that visit - just said "I'm sorry" and suggested warm compresses, aspirin if I could get them into my mouth, and time. Ate milkshakes for a few days, and finally it went away.
With all the gum issues we can experience with lupus, I keep well hydrated - it helps. Also the floss, etc. Traceo, I hope everything gets better quickly!