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4 cracked teeth

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I recently had dental work done, and now I have cracks in all the teeth involved, upper and lower molars that had fillings replaced.


I called the rheumatologist to find out if he had any thoughts. He prescribed Salagan since I haven't been able to take Evoxac. The dentist wants me to wear a mouth guard, which holds my mouth open somewhat. So I guess I'll be soaking my pillow if I generate saliva at all. My mouth is dry, but not as bad as some I've heard about.


I've taken such good care of my teeth, and now it looks like I'm going to have to have crowns or implants if possible. Sjogren's is a PAIN!! I'm getting a second opinion on the teeth from a "crown/implant" expert hopefully. I'd rather not mess around with fixes that are not going to work and cause more problems. :(

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Hi Mando,


I'm sorry to hear that you've been having problems with your teeth.


I've included a link to our medical page on Dental Involvement which I hope will give you some more information. Thankfully, I don't suffer with Sjogren's, but I have in the past had several episodes of toothache and because of the medication I take (Alendronic Acid) my dentist is very wary of removing teeth. I've got a number of crowns and a friend of mine has had implants, which were eye wateringly expensive and difficult to fit; however, now they're in place and functioning, she's very pleased with them! 


I think your idea of going to a "crown/implant" expert is a good one; I understand from my dentist that the jawbone has to be of a good quality for the implants to be successful and you do need to consult someone who's aware of the problems you have with Sjogren's. Please do let us know how your dental work goes.


Kind regards,

Jo Frowde

ISN Board Member

ISN Assistant Webmaster

SD World Webmaster

ISN Sclero Forums Manager

ISN News Manager

ISN Hotline Support Specialist

International Scleroderma Network (ISN)

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Hi Mando,


I'm sorry you have Sjogren's and so many dental problems. I have also had a lot of cracked teeth plus many other dental issues. I opted for a partial denture early on (several decades ago), and I am happy with that choice since whenever I lose another tooth, if it can't be crowned, I just have another tooth added to my partial.


Dental implants appear to be a bit less successful in Sjogren's patients, however there is hardly any substantial research on the issue. It is also harder for most Sjogren's patients tolerate the dryness of partials and dentures, so it is a real catch-22 with no ideal solution.


Sometimes gum inflammation and mouth sores makes it very painful to downright impossible for me to wear my partial, or to chew food, but overall I think they are a preferable solution when faced with Sjogren's and microstomia at the same time. I rinse my partial frequently throughout the day and I have even rinsed it in Biotene oral rinse or put a few drops of oral moisturizer on it. I also resort to using denture creams or cushions during some spells, to help soften the blows.


Biotene and similar brands of toothpaste, mouthwash, and mouth moisturizers can be very helpful.  If you have cost issues, ask your dentist for all the free samples of dry mouth products they can spare. Sometimes they are deluged with samples and thus very eager to unload a bundle.


When you get your second opinion, be sure to ask whether the cracks could have been caused by overly aggressive dentistry. I have noticed a big difference in style among dentists. I look for a good family dentist who works with children (this is especially necessary when you need child sized mouth appliances due to microstomia) because they tend to have smaller hands and a gentler approach.  They say the size of the dentist's hands doesn't matter, because they use tools, but if you've ever had a very large handed dentist working in the back of a very small mouth for a spell, you might beg to differ.



Warm Hugs,


Shelley Ensz

Founder and President

International Scleroderma Network (ISN)

Hotline and Donations: 1-800-564-7099


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

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