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Rank: Advanced Member
Groups: Registered
Joined: 3/4/2010
Posts: 576
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I know mine are not in a good way. I have a missing bottom left (and half next to it) following a hideous abcess/extraction/dry socket 2 years ago. Tonight I was suddenly aware of something hard and half of a tooth on the opposite side was loose in my mouth. Ewww. Luckily the dentist is round the corner so I ran round just as they were logging off the computers. I can go in the morning for an emergency appointment.
I'm so embarrassed to have to ask for time off as soon as I've gone back to work, even though it will only be an hour and a half. Am i ok to have my Enbrel tomorrow night if I have treatment? I thought I read somewhere about having to stop anti-TNF. If I end up losing this tooth, will I have to stop? Really don't want a setback now I've made a good start on it.
Any advice appreciated - thankyou xx Ailsa
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Rank: Advanced Member  Groups: Registered
Joined: 6/18/2010 Posts: 351 Location: Herne Bay Kent
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Hi Ailsa
If your dental treatment is invasive, then you have to stop the Enbrel. Normal fillings don't count as invasive but root fillings and extractions do. Hope they manage to sort you out quickly. I sympathise having spent the last 4 months having dental treatment.
Best wishes
Sue
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Rank: Advanced Member
Groups: Registered
Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
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Hi Ailsa Good luck at the dentists  Hope something can be sorted out quickly and easily for you. Bad news it happening at all but especially when you're still in the early stages of Enbrel and having returned to work too. Missing a week or so shouldn't upset things but I was advised that I should have restarted Enbrel 2 weeks after my knee op to avoid having to start the 'take up' process all over again. If only I'd known at the time! Fingers crossed for you Ailsa. Lyn x
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Rank: Advanced Member  Groups: Registered
Joined: 8/30/2010 Posts: 507 Location: Gravesend
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eek . Good luck Ailsa .. can't help you with the question .. and as someone who has limited teeth remaining at 46 yrs of age can sympathise. What i can say is that , having a young dentist, has opened my eyes to their knowledge , as she knew more about the drugs i am on than i did myself. It is part of the profession ,whether it is due to increased professionalism , or a fear of litigation remains to be seen ..either way i applaud it :) Best of luck:) Rich X "The difference between 'involvement' and 'commitment' is like an eggs-and-ham breakfast: the chicken was 'involved' - the pig was 'committed'."
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Rank: Advanced Member
Groups: Registered
Joined: 3/4/2010
Posts: 576
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Well, I thought I would just be getting a temporary dressing but I had a filling and had to ask to come back to do the work on the other side of my mouth too as I had to go back to school. The Dentist was all for doing it all there and then! It was a very long filling, but not at all painful after the injections, for which I was very grateful. It caused great mirth at school when I returned to my lessons!
You're right Rich - the Dentist knew everything about all my meds and said there was nothing in my treatment today that would be a problem with the Enbrel. However, she was concerned about my 32 year old crowns. She X rayed them and will tell me when I go back next month. I feel like I should start saving now ...
Thanks for the advice - I love the fact that at least one of us always knows! xx Ailsa
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,689 Location: Durham
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Ailsa, whenever I have dental treatment - even a scale and polish - I am given a five-day course of anti-biotics, because of being on anti-TNF treatment ( humira). This is on the instructions of my rheumy consultant. Kathleen C x
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Rank: Advanced Member
Groups: Registered
Joined: 3/4/2010
Posts: 576
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That's interesting Kathleen. I seem to be ok but for the first time I have come up in an angry raised red patch at the injection site and a less angry one from last week. Don't know if there is a connection but I can't think of anything different I have done. XX Ailsa
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Rank: Advanced Member
Groups: Registered
Joined: 5/19/2010
Posts: 384
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Kathleen,
Thanks for this tip, since MTX my teeth and mouth seem to have suffered, but as a smoker I go every three months for a clean, but they do seem extra sore after and I am prone to mouth ulcers at the moment, I will definately enquire about antibiotics next time I attend.
Ailsa
Dread to think what the price will be, I would get a quote if I was you and start looking for evening work.
Anne x
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Rank: Advanced Member Groups: Registered
Joined: 12/3/2009 Posts: 1,689 Location: Durham
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My rheumy reckons it`s so easy to pick up a mouth infection - so she prefers her patients to take the anti-biotic as a preventative. My dentist prescribes it automatically now. Kathleen x
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Rank: Advanced Member  Groups: Registered
Joined: 11/20/2010 Posts: 244 Location: Cornwall
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Oh, to have enlightened dentists! I have just done a 2 hour round trip for a filling, when I had my check up I told the dentist my list of drugs and she said she would check out injections etc. Went today, she hadn't done her homework and refused me the filling until she had something in writing from my GP or Rheumy that it was OK to give me the injections. I was so cross and upset mainly about the waste of time but hey nothing I could do about it so more homework for me to do. I think they were worried that having an ambulance outside would be bad for business! Rich, can I come to see your dentist please?
On the plus side I treated myself to a big bunch of daffs on the way home to bring Spring into the sitting room!
Sara
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Rank: Advanced Member  Groups: Registered
Joined: 8/25/2010 Posts: 1,289 Location: Buckinghamshire
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hi Ailsa,
have to say my Dentist was very clued up on about Drugs ... he also referred to a book to double check when i was going away last Summer and i had a tooth that was hurting but hadn't shown itself as to what was happening,
he gave me a course on Anti-Biotics to take with me in case it played up.
it settled down while i was away, he thought the nerve was on it's way out ... touching wood i won't need any work done on it.
i also have a crown that is " pending " and hope it doesn't cause problems just yet as don't think i could cope with anything else ... but agree it's best to start saving the pennies when crown work is involved.
Suzanne x
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Rank: Advanced Member  Groups: Registered
Joined: 2/14/2011 Posts: 301 Location: South Hampshire
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I asked a friend of mine, who is a dental assistant, about having antibiotics for a scale and polish when you are on Humira. It was really interesting, as she said that a scale and polish loosens all the bacteria in your mouth, and this can then go straight into your blood stream and start affecting your heart! So her dentist where she works would always put people on antibiotics first. Apparently it doesn't matter for just a 'normal' filling. I'm learning something new every day!! Was pleased to find this out in advance, from this forum, as I would be annoyed to be turned away by my dentist too! So thanks everyone. Anne
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