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Crumbling tooth


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#1 summer

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Posted 13 November 2010 - 04:25 PM

Hi all, I was just wondering, whether scleroderma can cause your teeth to crumble?. I was very naughty last night and ate a piece of chocolate, one of my back teeth crumbled, the front of the back tooth is there, and the top of the tooth, has a filling on top of it. It has caved in right to the gum.

With this being a weekend I cannot call my dentist until tomorrow.

Many thanks
Summer

#2 Margaret

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Posted 14 November 2010 - 01:18 AM

Hi Summer ,

Last Jan, my son came to me because his bottom teeth were *sharp*. I ran my fingers over the bottom, front 4 and, needless to say, they were jagged like a saw. The dentist ground them down smooth and said it was from his dry mouth/UCTD. It really surprised me.

Take care, Everyone.
Margaret

#3 Shelley Ensz

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Posted 14 November 2010 - 03:17 AM

Hi Summer,

I'm sorry you had a tooth crumble. I wish I could wave my magic wand and make it all better! :fairy:

Crumbling teeth are not a symptom of scleroderma, per se. However, as I understand it, they can be caused by dry mouth and heartburn (and heartburn can also cause dry mouth.) Dry mouth can also be caused by things like medication side effects, and diabetes. Crumbling teeth can also be caused by bulimia, since the teeth are exposed to more stomach acid that way.

Regardless the cause, the effect is that your teeth need repair. If you are in massive pain over it, you can call an emergency room to see what to do; and if not, bide your time being ultra careful about eating, until you can get in to see the dentist.

You might also want to browse, Scleroderma Dental Involvement.

Obviously, you'll want to stay away from sticky foods or anything that is hard to chew, in the meantime. This is the perfect time to enjoy Liquid Meals (meals in a blender, or shakes).
Warm Hugs,

Shelley Ensz
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#4 Amanda Thorpe

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Posted 14 November 2010 - 03:43 AM

Hello Summer

I hope you get to the dentist soon. I am supposed to have a crown fitted for a tooth that was mainly filling and gave way when I tried to open a bottle with it...oops! My sister's just been told she has gum disease...ha ha...so does her husband so it's obviously a family affair. I didn't go to the dentist for some 10 years and guess what...not even a filling required when I did! Of course I'm completely discounting the stump of a tooth that needs attention...maybe after the next ten years.

Are you in pain with the tooth?

Take care.
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#5 Jeannie McClelland

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Posted 14 November 2010 - 04:01 AM

Hi Summer,

My dentist told me much the same as what Shelley said. He also talked about how all sorts of different medications (a huge list) can dry out the mouth and cause problems. He had me switch to the Biotene products, get a water pick because flossing is difficult for me, and suggested using one of those anticavity fluoride rinses that help to remineralize the tooth enamel.

If I understood it all correctly, another problem dry mouth causes is that there are enzymes in saliva that start the digestive process in food, but they also provide a sort of antibacterial effect. So we have to be really scrupulous about dental hygiene and replace those enzymes artificially. Biotene does that and I think there might be others as well.

I love my dentist. He's great: funny, interesting, caring, and willing to educate people who show an interest. He's also got a wonderful line of jokes, many suited to a 10-year old's sense of humor. But having said all that, I don't want to make his boat payments or buy him a new house, so I am following all his suggestions! :D
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#6 lizzie

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Posted 14 November 2010 - 05:37 AM

Hi Summer, what a coincidence-last night I was just flossing my teeth, when an upper back tooth just fell apart (it had a crown but the whole of the tooth stump has broken off too. I'm just left with a few fragments in the tooth socket. Here in the UK the NHS (national health service) run an out of hours emergency dental service, so I rang first thing this morning (Sunday) as I was concerned about getting an infection when on immunosupression. A dental nurse did an over the phone assessment and decided that I didn't need to be seen urgently and advised that I should see my own dentist within the next 2 days. Hoping I can get an appointment tomorrow or Tuesday. Not looking forward to it as it looks like I will have to have a surgical extraction. Good luck with your tooth.

Lizzie

#7 Joelf

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Posted 14 November 2010 - 07:19 AM

Hi Summer

Sorry to hear about the problems you've been having with your teeth.

My teeth have never been wonderful; personally I think they were probably overfilled when I was a child and once filled, of course, there is the potential for problems! ;) Last week I bit on a delicious, but hard, piece of pork crackling and broke a piece of the porcelain covering on one of my crowns, which will necessitate a visit to my dentist. She did blanch a bit at first when I listed the medications I was on (apparently some of them can be a problem with dental work.)

I do hope that you're not in too much discomfort; toothache can be real misery and when I suffered it myself I would have considered amputation at the neck to relieve the pain!! :lol:

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#8 debonair susie

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Posted 14 November 2010 - 10:18 AM

Hi Everyone!

With the dry mouth issues (Sjogrens), as well as GERD (gastro-esophageal reflux disease), I've also had more than enough problems, with regard to my teeth.

Up until the above illnesses, I considered myself pretty fortunate. However, my teeth became quite fragile, breaking easily, resulting in a total of 5 tooth extractions, much to my dismay.
As a matter of fact, there is a part of a tooth that broke away, along with a bit of filling. I need to get it repaired, which will likely mean filling to make up for the tooth loss. :(
Special Hugs,

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#9 Margaret

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Posted 14 November 2010 - 11:42 AM

Hi Everyone,

This is interesting since Gareth has the GERD, esophageal dismotility, and the dry mouth, but I don't know what meds would dry out his mouth. <_< Is there a listing anywhere? Is Plaquenil or Prilosec on that list? That may be why the doctor said his UCTD was also to blame....due to the meds.

Take care, Everyone.
Margaret

#10 CraigR

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Posted 14 November 2010 - 04:18 PM

This is very timely. Last week a front tooth broke. I've always had excellent teeth (age 55 and never had a cavity).

My dentist told me that he sees more brittle and cracked teeth with Sjogren's - and I'm now in the process of getting six root canals!

Craig

#11 miocean

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Posted 15 November 2010 - 04:59 PM

My mother-in-law had scleroderma and a very dry mouth which was attributed to radiation for cancer, but I think it was sclero related. Little by little her teeth started falling out. We tried to get dental care for her but no dentist would touch it, said the risk of infection was so great they wouldn't do it. She was in her mid to late 80's when this happened. She ended up with 4 teeth!

I didn't think of using my water pick for my teeth. I have trouble flossing because of my hands. I have one because I had sinus surgery years ago and the doctor had me get a nasal attachment and run salt water through my nostrils. (Great for those of you with sinus problems) I haven't been to the dentist since February and can't go until March because of my kidney transplant and have worried about my teeth so I'll dig it out and use it.

I, too, think my teeth were overfilled as a child. And, likewise, I am in the position now where they crack and I have to get crowns. $$$ But I think it's very important to keep your teeth if you can.

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#12 summer

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Posted 15 November 2010 - 05:40 PM

Thanks for all of the responses, I have been messed around with dentists today, and still don't have it fixed. I have now made another appointment tomorrow morning, so fingers crossed, it will be fixed.

Best wishes,

Summer

#13 Joelf

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Posted 16 November 2010 - 09:01 AM

Hi Summer

Were you able to get your broken tooth sorted out today?

I do hope you've been able to get it fixed.

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#14 summer

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Posted 16 November 2010 - 12:24 PM

Hi Joelf,
It is morning here in Australia, I hope to go to the dentist in one more hour. That is if I can get there. I know I am going to have bowel problems today as well, so I am hoping I don't need to go to the toilet :temper-tantrum: .

Also, I need to see my Gastro doctor today, in the afternoon, and have to take my son with me. It is no fun for him, with me stuck in the toilet :emoticon-bang-head: .

I'll let you know how I get on.

Many thanks

Summer

#15 Shelley Ensz

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Posted 17 November 2010 - 02:41 AM

Hi Summer,

Good luck on your medical adventures today. I hope that everything comes out okay!

No that isn't the start of a poem, or even a limerick. :blink:
Warm Hugs,

Shelley Ensz
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The most important thing in the world to know about scleroderma is sclero.org.

#16 summer

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Posted 17 November 2010 - 12:00 PM

Finally made it to the dentist, I had an xray taken, decay in the centre of the tooth right down to the roots :temper-tantrum: . I was asked whether I was in any pain, so I said no, only slightly if I eat on that side of the mouth. So, I had it filled, the dentist put a child's block into my mouth, so I could relax my jaw, and even that block was too big :( .

The dentist mentioned that I hardly had any saliva in my mouth, which I suspected anyway, so It looks like I have Sjrogren's, I also have dry itchy eyes. Later on in the day, my tooth started to really throb, so I called the dentist, and she mentioned that there was a lot of trauma, with the filling and all to the tooth, and to give it some time to heal. If the tooth was still throbbing in the next 24 hours, I may have to have it pulled out. So I zonked myself out with pain medication,and slept all night, and woke up this morning, with no pain. So, hopefully things have started to settle down.

Best wishes

Summer

#17 Joelf

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Posted 17 November 2010 - 08:10 PM

Hi Summer

That's good news that you're not in pain now and the tooth seems to have settled down.

Hopefully you won't get any more trouble with that particular tooth; like you, I've found that all my teeth seem to ache for a while, after a heavy session at the dentists.

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