But it gets worse. With a diagnosis of Sjogren's Syndrome you suddenly find that your teeth require a lot more attention. Sjogren's causes dryness of the eyes and mouth - those are the two most famous and obvious symptoms. That lack of saliva in the mouth is very bad for your teeth. I have at least one acquaintance who just gave up and had all of her remaining teeth removed and got dentures.
You would have thought that was a good solution but it turns out you need saliva to keep your dentures in place and to make them feel comfortable.
The next possible solution for the teeth problem is implants. I heard a very enthusiastic dentist say implants are great and will solve all of our problems. So far losing has not been an issue, but as I have been mulling this over, all the RA bone quality issues came into my mind. Now I am wondering if the quality of the bone in the jaw with RA is good enough to sustain implants. It probably varies from person to person.
This is a story from Julie in an online group where we are both members
"I just saw my dentist a few weeks ago and he again suggested a dental implant. On further examination of the X-rays - he changed his mind. He is also concerned about the RA and my age. Like Polly has said before - "I scare doctors".
I really don't know whether to try one or not. I don't want to get in a bigger mess - if you know what I mean. The Oral Surgeon that had a good look at the bone structure when he was extracting the tooth and the cyst was the person that said I didn't have enough bone. He said I would need a bone graft and that didn't sound pleasant at all. He didn't know if it would even work, plus it would take a year to heal."