Connection between Ankylosing Spondylitis and Dental Problems: Essential Information
In dealing with Ankylosing Spondylitis (AS), a common autoimmune condition, managing the associated oral health issues is an essential part of overall care. This article outlines the key approaches to maintaining good oral health for people with AS.
AS and Oral Health
AS is an inflammatory autoimmune condition that can affect peripheral joints, including the temporomandibular joint (TMJ), leading to pain, reduced mobility, and sometimes changes in occlusion (bite). Additionally, the disease may increase the risk of oral mucosal inflammation or secondary effects related to medications used for treatment.
Treating TMJ Involvement
Physical therapy and exercises targeting the TMJ are crucial for maintaining mobility and reducing stiffness. Pain management may involve the use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) or corticosteroid injections if localized inflammation is significant.
Controlling Systemic Inflammation
Disease-specific medications, such as NSAIDs, TNF blockers, IL-17 inhibitors, or DMARDs, are used to reduce overall inflammation and potentially alleviate oral joint symptoms.
Dental and Oral Hygiene Support
Regular dental check-ups are essential for monitoring for medication side effects or secondary infections. Management of xerostomia (dry mouth), a common side effect of certain medications, can be done to reduce the risk of dental caries and mucosal discomfort.
Lifestyle Measures
Maintaining good posture and mobility can indirectly help with TMJ functioning. Avoiding smoking is also advised to reduce systemic inflammation and improve treatment outcomes.
Oral Ulcers
Oral ulcers, while not typically requiring treatment, can take several weeks to heal. In severe cases, over-the-counter gels or mouthwashes containing anti-inflammatory and pain-relieving components may be recommended.
Treatment for Tooth Decay
Treatment for tooth decay depends on its severity. Options may include fluoride treatments, fillings, root canal treatment, or tooth extraction.
It's important to note that people with AS should practice good dental hygiene and seek advice from their doctor or dentist regularly. While the search results did not explicitly mention oral health concerns with AS, the above issues and treatments are well-supported by rheumatology literature and clinical practice.
In severe cases of AS, advanced treatments such as surgical replacement of joints or joint repairs may be necessary. People with AS may also take nonsteroidal anti-inflammatory medication, biologic medicines, corticosteroids, Janus kinase inhibitors, and practice physical therapy as part of their treatment plan.
In conclusion, managing oral health in individuals with AS is an integral part of overall care. By understanding the potential issues and adopting appropriate treatment approaches, people with AS can maintain good oral health and improve their quality of life.
Managing chronic diseases like AS may increase the risk of oral health issues such as toothache and oral mucosal inflammation. The science behind medical conditions like AS highlights the importance of oral health in the context of health and wellness, especially for those with conditions like TMJ involvement. Regular dental check-ups can help detect side effects from medications or secondary infections, enhancing the overall treatment and care for people with AS.
