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A myRAteam Member asked a question 💭
Orlando, FL

I started feeling some sensitive and discomfort in one of my tooth. My dentists believes is due to RA, since I have no cavities in that tooth

February 16
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Can rheumatoid arthritis cause gum and tooth sensitivity?

Yes, RA can contribute to tooth sensitivity and gum issues, though often indirectly. One major factor is dry mouth, which affects many people with RA.

When you have dry mouth, saliva production decreases. Normally, saliva protects your teeth from bacteria and Show Full Answer

Can rheumatoid arthritis cause gum and tooth sensitivity?

Yes, RA can contribute to tooth sensitivity and gum issues, though often indirectly. One major factor is dry mouth, which affects many people with RA.

When you have dry mouth, saliva production decreases. Normally, saliva protects your teeth from bacteria and sugary particles. Without enough saliva, you become more prone to:

- Gum disease
- Tooth decay
- Tooth sensitivity
- Mouth sores

Dry mouth can happen for two main reasons with RA:

1. Medications: Many RA medications affect salivary glands, including NSAIDs, leflunomide (Arava), etanercept (Enbrel), and adalimumab (Humira)

2. Sjögren's disease: This is a comorbid autoimmune condition that affects 14-39% of people with RA. It causes the body to attack moisture-producing tissues, leading to dry mouth and dry eyes as signature symptoms.

A myRAteam member shared: "I've had Sjögren's for about 25 years, and my good teeth just started falling out."

If you're experiencing tooth sensitivity without cavities, talk with your rheumatologist about whether dry mouth or Sjögren's could be contributing factors. They can help identify the cause and recommend appropriate treatments.

February 16

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