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Medical Forum / General / Dentistry / February 2007

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Periodontal disease and STRESS

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Goldencow - 03 Feb 2007 16:10 GMT
I wonder if someone here might shed some light/give me information? I am a
43 year old female, light smoker, drink a couple of glasses of wine every
night -no binge drinking. I was diagnosed with lupus (SLE) approx 7 years
ago and had treatment (prednisone) and was under the care of a
rheumatologist until 4 years ago when I moved (country) and could not afford
to go, but have occasional flare ups of joint pain which I try to manage
with ibuprofen.Regularly, six monthly until 2 years ago when finances would
no longer allow, visited dentist for check ups and never ever had any
problem with my teeth -brush and floss religiously -last treatment I had was
a filling 15 years ago.

In the last 7 months I have been under extreme stress -marriage and
financial problems, job loss,problems with a troubled child, dog unwell. In
the mean time I have suffered an out of the blue breast abscess which
required surgery, horrific knee pain, but worst of all, my teeth have
suddenly become loose, have had an abscess on my gums twice, one tooth has
cracked, front teeth are wobbly and gum receding, apalling dental pain.I had
never ever even known what toothache was until last summer. My home regime
of dental care has not changed, and I am so depressed as I think I am
definitely going to lose my top teeth. I have been to dentist who said one
of my (very wobbly) back teeth has got to go and suggested root planing and
scaling but I wonder if it is a waste of money as my teeth are so loose,and
I admit I am trying to hang on until the very last moment but I'm devastated
about my front teeth. I realise that it is probably inevitable now, but I
would like to know if this has been exacerbated or even caused  by stress. I
have SO looked after my teeth, I'm just horrified to think I will lose
them,.
Mick - 03 Feb 2007 20:23 GMT
>I wonder if someone here might shed some light/give me information? I am a
>43 year old female, light smoker, drink a couple of glasses of wine every
[quoted text clipped - 23 lines]
> even caused  by stress. I have SO looked after my teeth, I'm just
> horrified to think I will lose them,.

I had some loose teeth due to periodontitis. Root planing and scaling
tightened them up considerably. Doc says a 50% chance of retaining
those teeth for at least another 5 years if regular visits for scaling are
made.
Depression and smoking will both hinder chances of gum re-attachment.
Wine is corrosive on teeth. Rinse with water every other mouthful if
you can't get by without it.
Give your Doctor a chance to save as many teeth as possible with
root planing and scaling. It is not that big of an ordeal if broken up
into a few sittings.

Good Luck. Mick
Newbie - 05 Feb 2007 20:05 GMT
> I have been to dentist who said
>> one of my (very wobbly) back teeth has got to go and suggested root
[quoted text clipped - 4 lines]
>> even caused  by stress. I have SO looked after my teeth, I'm just
>> horrified to think I will lose them,.

Get the Scaling and Root Planing done, it is your best bet.

>I had some loose teeth due to periodontitis. Root planing and scaling
>tightened them up considerably. Doc says a 50% chance of retaining
>those teeth for at least another 5 years if regular visits for scaling are
>made.

A night guard may also be in order.

>Depression and smoking will both hinder chances of gum re-attachment.

Smoking yes, depression ? unlikely.

>Wine is corrosive on teeth. Rinse with water every other mouthful if
>you can't get by without it.

Corrosive ? Nah...

>Give your Doctor a chance to save as many teeth as possible with
>root planing and scaling. It is not that big of an ordeal if broken up
>into a few sittings.
>
>Good Luck. Mick
rwsalter - 04 Feb 2007 21:27 GMT
> I wonder if someone here might shed some light/give me information? I am a
> 43 year old female, light smoker, drink a couple of glasses of wine every
[quoted text clipped - 23 lines]
> have SO looked after my teeth, I'm just horrified to think I will lose
> them,.

Yes stress is a major contributing factor in Periodontal disease. Wehave
always suspected this link, but it has only been "proven " in the last
few years at the University of Adelaide by Robert Hirsch et al.
You sound as though you have been in the wars .....Good luck

Richard
Goldencow - 08 Feb 2007 18:04 GMT
> Yes stress is a major contributing factor in Periodontal disease. Wehave
> always suspected this link, but it has only been "proven " in the last few
> years at the University of Adelaide by Robert Hirsch et al.
> You sound as though you have been in the wars .....Good luck
>
> Richard

Thanks for the response -there is no way I feel better though, I just wanted
confirmation that even though I have tried my hardest to look after my
teeth, the end result (now) was out of my control :-((     It just doesn't
make sense to me.
Jim - 05 Feb 2007 23:39 GMT
Stress is a major contributing factor of NUG (necrotizing ulcerative
gingivitis), which if untreated can lead to generalized chronic
periodontal disease and bone loss.  I would see a periodontist.

>I wonder if someone here might shed some light/give me information? I am a
>43 year old female, light smoker, drink a couple of glasses of wine every
[quoted text clipped - 23 lines]
>have SO looked after my teeth, I'm just horrified to think I will lose
>them,.
 
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