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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 690
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I've lost a filling and have read in the buff supplied with the drug that you should inform your dentist that you are taking Humira. Does anyone have an idea why, and have they been OK after receiving a local anesthetic? I'm guessing it has something to do with the risk of infections?
Really appreciate some advice from those who are taking Humira or have taken it in the past.
Love,
Barbara
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 3,006 Location: Timperley
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Sorry Barbara, can't help with this one. I'm pretty sure Doreen has been for a dental appt. recently and she's on Humira.
Love Jxxx
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Rank: Advanced Member
Groups: Registered
Joined: 12/5/2009
Posts: 103
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Hi Barbara,I can't be of any help to you regarding this drug but at my dentist I had to fill in a medical form stating the drugs I'm taking and if my meds change I have to inform them.It's probably incase the drugs interact badly with any treatment you are having such as a local anesthetic or if they need to give you antibiotics etc.Also some drugs can affect the gums so the dentist would need to know what you are taking.I expect others on here will be able to advise you more. Brenda 
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 3,157 Location: Huddersfield
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Hi Barbara,
I think it's because of the risk of infection but I have had a tooth out ( a few months ago) while on Humira and didn't need antibiotics.
My dentist had never heard of Humira but she did look it up and decided only to prescribe antibiotics if I got an infection, which I didn't.
I've also had fillings while I've been on humira with no problems but it's best to let your dentist know you are on it.
Love, Doreen xx
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 690
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Thank you Jean & Doreen, I doubt whether my Hungarian dentist will have heard of it.
love,
Barbara
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 690
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Rank: Advanced Member  Groups: Registered
Joined: 1/5/2010 Posts: 89 Location: Mereworth, Kent
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How funny Barbara - our lives are a parallel universe! I also lost a filling last week and was at the dentist today. As I think you all know by now, I start Humira tomorrow  and was updating my dentist on my new drugs etc. She was very interested in Humira, but didn't have a clue what it was. Anyway it was all duly noted. She said RA can make you tend to have a dry mouth which can cause probs, and long term steriods can, but otherwise there shouldn't be too many extra problems. Basically they like to know EVERYTHING, just in case. By the way, my teeth have fallen apart since starting this RA lark, whatever she says - but I suppose it could be my age and therefore a coincidence!  Enjoy the dentist!! take care Alison ps I've got to have a crown! 
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Rank: Advanced Member  Groups: Registered
Joined: 1/7/2010 Posts: 441 Location: Bristol
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Hi Barbara,
I had to have a tooth extracted under local anaesthetic whilst on Humira. I mentioned it to the dentist and he didn't seem to be terribly concerned. Either he didn't deem it to be a problem or (more likely) he hadn't a clue what I was on about.
Nevertheless, the procedure was uneventful and I had no trouble afterwards. I will agree with the previous posts, it's to do with the increased risk of infection due to our surpressed immune systems.
Good luck with it!
Joanna
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 3,157 Location: Huddersfield
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I think the main thing Barbara is just to be extra vigilant after you've had dental treatment and if you think you've got any signs of infection, don't "wait and see" like you probably would have done before, contact the dentist straightaway and ask for antibiotics.
Good luck with it.
Doreen xx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,740
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aww all best with dental work barbara when told my dentist about mtx said he would have be extra careful when does any work on teeth re hygiene and that i must just keep up good oral health care. for a root cancl or deep work for me jabs me with antibioctics as prevenetr not all do this my hyper cosicous having eben a doctor in past tense. especially since i had so many abscesses! 1 thing he did say since i been on ra treatment may not workd brilliantly but it has done enoguh stop me getting so many infections that i found good to know. hence i staying with him hes not english from israel. worth the trip mind take care melly cuddly cats make my world seem so much more fun
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Rank: Advanced Member  Groups: Registered
Joined: 12/4/2009 Posts: 1,524 Location: W. Yorkshire
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I'm on Humra and my dentist knows but it doesn't seem to make any difference for minor work. had loads of local anaesthetics while on it. YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 690
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Thank you to everyone who responded, I now feel reassured that it's OK to go to the dentist.
Love,
Barbara
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 3,157 Location: Huddersfield
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Good luck! 
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 312 Location: Surrey
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Alison-CD wrote:By the way, my teeth have fallen apart since starting this RA lark, whatever she says - but I suppose it could be my age and therefore a coincidence! No it's not. It's well known by experienced dentists that RA affects your teeth. Not only that but most of the drugs affect your gums as well, especially Cyclosporin! A friend is someone who knows all about you but loves you anyway!
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Rank: Advanced Member  Groups: Registered
Joined: 12/10/2009 Posts: 653 Location: Notts
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I'm not on humira but enbrel. I had a filling with anaesthetic a couple of weeks ago. The dentist looked at my list of drugs and said "I'll give you an anaesthetic without adrenaline as you have high blood pressure" No mention of enbrel. I've been fine since, no probs.
Lyn
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Rank: Advanced Member
Groups: Registered
Joined: 1/14/2010
Posts: 118
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Hi Bab I have had quite a lot of dentistry whilst taking humira and every thing has been fine. so please dont worry Love Melanie
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Rank: Advanced Member
Groups: Registered
Joined: 1/7/2010
Posts: 44
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Hi every one, Ive had awful trouble with a tooth since being on leflunomide for the last year, also been on steroids for 4 yrs.I had saw gums & then it cocentrated in one tooth about 8mths ago & got treated for an absces with anti biotics & just before xmas I had root canal work. the dentist said the nerve was dead.Now Ihave a return of the symptoms & will have to have it out , but I am wondering if I stopped lef. if my symptoms would go & I would,t lose the tooth.Any one tried this.
I hav,nt posted for awhile as my computer hasn,t worked with the new forum. good luck with your teeth every one!
Rose
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,689 Location: Durham
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My consultant insists I get a 5 -day course of anti-biotics after any dental treatment while on humira, as a preventative measure, and I always do this. Kathleen x
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 690
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Thank you for the replies. I have my filing done and so far no problems encountered.
Kathleen thank you for the tip. Unfortunately I have become resistant to a number of antibiotics and basically because I'm allergic to penicillan and have had a number of infections I can now only take 2 types of antibiotics.
Love,
Barbara
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