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Can you have painful dental procedures

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#1 jrodrigu40



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Posted 28 March 2009 - 01:52 PM

I have never posted before, but have several topics that are making me crazy with worry--to say the least.

I have CREST, diagnosed l5 years ago and am on Prednisone 5mg.

Can a person with CREST go through having an implant or other dental procedure (somewhat painful) without having a major attack such as having your low grade fever increase dramatically because of the pain from the procedure?

I have found in the past that anytime I have something painful done, my symptoms spike up real bad for a period of time--usually from two weeks to a month. Right now I have almost constant low grade fever, and just lost a tooth. It was totally unexpected, and to say I'm upset is putting it mildly.

I have always thought that the body responding in this way is part of Scleroderma (CREST), but haven't found any posts of this nature here.

Am I wrong in this assumption--that any pain to body will trigger a worse attack of the disease?

Thank you and don't know if I posted correctly. Have never posted before.

#2 Jeannie McClelland

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Posted 28 March 2009 - 04:12 PM

Hi 'J',

Welcome to the Forum! You posted just fine. Don't worry - everybody starts out as a 'Newbie.'

Your question is an interesting one. I also haven't seen anything on pain as a trigger for an exacerbation, but that doesn't really mean anything because I'm still reading and learning.

What I have seen is quite a lot on stress as a trigger. (We have a great page on stress here.) Pain is certainly a stressor and anticipated pain (such as a trip to the dentist) is just as bad. There are tips on the stress page about ways to cope with it or lessen it that might be helpful.

Have you spoken to your doctors about this? I think I would be concerned about the fever and bad spike in symptoms.

I hope we hear from you again!

Best wishes,
Jeannie McClelland
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#3 janey


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Posted 28 March 2009 - 04:18 PM

You did a great job posting! Welcome!

After reading your post, I would venture to say that spikes and reoccurances in your symptoms after painful procedure could be due more to stress than the pain. I'm no doctor and have no medical training, but studies have shown that stress can cause many types of health problems including autoimmunity. I know when I get stressed, some of my symptoms worsen. We do have a section you might want to take a look at on Stress and Disease. It also has a section on how to reduce stress.

Since developing scleroderma I have had lots of dental procedures - crowns, fillings and root canals. All somewhat painful, but quite stressful. During each procedure I try to take it easy and take a few days off. That seems to help with the stress.

Again, welcome. Please tell us more about how you are doing.

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#4 janey


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Posted 28 March 2009 - 04:23 PM

Hey again Jrod,
Well it's looks like Jeannie and I agree. :) We were posting the same time with similar responses, so I would definitely look into the stress issue.

Take care,
Janey Willis
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#5 bookworm


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Posted 29 March 2009 - 08:18 PM

Hi Jrod,

I have CREST and I know any sort of stress causes symptoms for me. This definitely includes going to the dentist. Lately, I'm afraid I've had to have a lot of dental work done.

My dentist of many years retired and I was forced to find a new one. Although I like him very much, I miss my old dentist, especially since he used a gas (nitrous oxide, I think) as an anesthetic. Everything was totally painless, yet the gas wore off in time for me to drive home. I wonder why they don't all use it!

Anyway, maybe you could find a dentist who does use gas.

Mary in Texas

#6 Amanda Thorpe

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Posted 30 March 2009 - 09:43 AM

Hello Jrodrigu40

Welcome to the forum and I look forward to hearing more from you.

I am also of the opinion that it's underlying stress causing the problems rather than the pain. I have not been to the dentist in over 10 years and have NO intention of going anytime soon, just the thought of it makes me feel stressed.

Stress most definitely makes me feel worse, not just at the time of the event but for days later.

Hope this helps.

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#7 nan


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Posted 30 March 2009 - 01:10 PM

I have CREST too. Any time my body is treated for anything it does increase symptoms, but I just plan to be a lazy bum and REST when I know I have to have something done.
Take care,

#8 Shelley Ensz

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Posted 30 March 2009 - 02:09 PM

Hi jrod,

I hope you have let your dentist know that you are running a fever? It could be an infection from the tooth you just lost. Scleroderma by itself wouldn't cause a fever (to the best of my knowledge, and please keep in mind I have no medical training at all) so the source of the fever should always be looked for, especially when you are encountering dental problems.

The fever itself can cause widespread aching. Please see the doctor and/or dentist, unless you have already fully recovered from it all. This is especially important since you are on prednisone, and that can lower one's immunity and cause increased susceptibility to infection.

So, I wouldn't chalk this all up to stress, especially because of the fever and your prednisone use. Let us know how things turn out?

Also, please always keep in mind that none of us are doctors, so we can guess at things, but your medical team always needs to be consulted regardless of what we might try to answer. Or as some say, "You can't give a haircut over the phone!" nor by the Internet, either.
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#9 debonair susie

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Posted 02 April 2009 - 07:27 AM

Hi Jrod,

I'm sorry you have had trouble down this road.

Of all the procedures I've been through, the two doctors I care LEAST to go to: Dentists and Gynecologists

Although all who posted on your thread had excellent feedback, I had something else come to mind, as I read their posts.

About the fever and possible infection: Have you been given antibiotics, by chance? If not and you are still having problems and/or pain, it might be prudent to see about taking them.

Please let us know how you are doing?
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