Dental work, while on steroids: I am a year into - PMRGCAuk

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Dental cleaning and prednisone

  Well, I've saved that and the dental work still would have been on top. Also to go to a dental hospital where they will be all geared up for anything that might happen and can lay their hands on drugs, which a local dentist may not be able to do. ❿  

Dental cleaning and prednisone.Dental work, while on steroids: I am a year into... - PMRGCAuk

 

I am a year into GCA and after one flare am back to reducing from 10 mg. Yesterday I thought I had lost a filling but it turns out I have lost the entire back of one of my top incisors and there doesn't seem to be much tooth left.

I hope to see a dentist tomorrow but want to be prepared. I am assuming it is okay to have the tooth reinforced externally if that is possible. My concern is what if I need drilling into the bone, or if the tooth needs to come out.

Should I even consider a tooth implant if it is one of the options. I am probably jumping the gun but my own GP is on compassionate leave so can't even talk it over with him. I'm sure your dentist will go through all the options with you, most understand the problems that Pred and AA can cause.

I had a similar problem a few months ago, i. Fortunately the front of the tooth was intact and it was stable enough to fill and shape so that I have no rough edges, and it looks no different than usual.

Thanks Sue, I am really hoping the dentist can just build it up again even if it only lasts for a while. Can't face anything more major than that just now. I am on low dose steroids and had to have tooth extraction while on holiday in Spain! I checked back home with doc and he suggested I double dose on the day. So far so good even with antibiotics that I am usually very bad with I think it is far less the steroids you have to worry about than the AA but as DL says - you may also find your dentist is far more aware of any constraints than a GP.

Before starting AA it is advised that any major dental work should be anticipated and completed - so I wouldn't think an implant or whatever is advisable. I wouldn't have one done, I have to say! I'm seeing my dentist tomorrow too - there I was, eating my lunch on Friday and there was this rather hard bit in my salad! Part of a lower molar that really is a filling with a bit of tooth and has been for about 40 years - hope he is gentle!

I don't like to think about the cost - no state funded dentistry here and the last time I saw him about a similar event in the top he suggested a part crown. I declined and it is no worse 3 years on Thanks for that. I am a real wimp when it comes to dentists and and an implant seems a step too far so fingers crossed a patch job may do the trick!

As we are talking about teeth, I have been on steroids since June 15, AA then Risonodrate, my teeth have become more sensitive, being sensitive to cold, I now use a toothpaste specific for this.

I have a dental appointment for check up this week and have routine hygienist. My hygienist generally causes a fair amount of discomfort and bleeding should this bbe avoided?

Certainly with most bisphosphonates you need to indulge yourself in VERY good dental hygiene on a daily basis. I'd be very reticent about a hygienist who made my gums bleed and it is something I would ask the dentist about.

I comfort myself it would cost as much in the UK even with state supported dentistry. Well, I've saved that and the dental work still would have been on top. Under the circumstances a good decision - because he told me a load of lies about that wisdom tooth being too complicated to remove read as, I'm not going to earn enough Thanks I doubt I willenjot it! I brush and floss regularly but bottom teeth close and those are the ones that she generally tries to squeeze impossibly large brushes and tape through!

Not pleasant when normal but don't want to causes a problem etc. I was lucky at the time, there was a very good dentist about 8 miles away in an area where, as he said, he'd go bust if he expected private patients so was quite happy to take on NHS work. He was good himself but one of his part-time staff was actually a lecturer at the local dental hospital who liked to keep his hand in. Win-win - I was sorry to lose that practice when we moved here. Hi Allykat.

I have had a few dental problems while on Pred for PMR. The general advice is from a dentist who teaches dentistry and a rheumy is to get to 6mg and below before going for an extraction if possible. Also to go to a dental hospital where they will be all geared up for anything that might happen and can lay their hands on drugs, which a local dentist may not be able to do. Hygienists are necessary to keep the teeth and gums as good as possible to avoid more major work.

Floss floss and more floss I am told. I have got a tooth that will have to come out -- root canal years ago has now failed and cannot be patched up. So the plan is get to 6mg. Have tooth out in hospital and then wait 4 months for it to heal up and then consider what options I have -- I will probably go for a bridge. No problems at all and it healed quickly. I was also on anti-coagulants - also not regarded as a problem here. I'd investigated having it done in hospital - and was greeted with total incomprehension.

In fact, if you think about it, having an extraction at above 6mg pred is probably safer than at 6mg where you are hoping that your adrenal glands are functioning. They don't really need to at 10mg. In fact the practice is across the road from the hospital - and that was my comfort blanket for the first time.

Now I really don't feel any concerns. And when it comes to AA - one would have to wait a very long time to "get it out of your system".

It has only been in widespread use for about 15 years or so. The most recent assessment, done a few years ago, is that it is still to be found in the bones after 10 years. The next one will very likely find it is still present after 15 years - it is a fixed component of the bone and not very likely to get removed in any way. I have been plagued with tooth problems and I have lost three teeth over that period. My dentist was concerned about the extractions but they all went well each time and he monitored my healing.

I wanted implants too but he will not consider them until I have been off the AA for several years as it stays in the system for a long time and affects the bones in the mouth. I have had a small plate made for the two on the top but the gap on the bottom is half way to the back and mostly can't be seen. I do believe that the medication has contributed to all this. Could the PMR? I had a failed root canal treatment rear tooth which resulted in the tooth being extracted.

I was extremely fortunate as an Oral and Maxillofacial Surgeon does a weekly clinic at my dental practice, so I didn't need to go to my local hospital. It is a private dental practice. The only problem I had was it took a little longer to heal. Hope this helps. Thanks everyone for your help. I visited the dentist today armed with "the knowledge" and thankfully there is enough tooth left to support a crown so nothing invasive required. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. About Log in Join. Join Write. Home About Posts Members. Besides taking prednisolone, I am on AA, lansoprazole, Adcal and low dose aspirin. Any advice would be much appreciated. To view profiles and participate in discussions please join or log in.

Reply Like 0 Save post Report. Reply 0 Report. Reply 1 Report. PMRpro Ambassador 7 years ago. PMRpro Ambassador in reply to allykat 7 years ago. Reply 4 Report. PMRpro Ambassador in reply to lesley 7 years ago. Judigardener 7 years ago. PMRpro Ambassador in reply to Judigardener 7 years ago.

Reply 2 Report. PMRpro Ambassador in reply to susanspurs 7 years ago. Mgt 7 years ago. Not what you're looking for? Needed opinions on dental work while on Prednisone a question about the effect of Prednisone on a tooth extraction and if you had the experience with Dental work on prednisone possible GCA with negative biopsy. Dental work or not on Prednisolone. Dental work at hospital? I would prefer the Dentist to do the extraction, if needed, as would cause Dental Work I have arranged with dentist to have 6 old veneers replaced.

Has anyone had this type of work done

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Corticosteroid (Dental Route) Side Effects - Mayo Clinic.

    The next one will very likely find it is still present after 15 years - it is a fixed component of the bone and not very likely to get removed in any way. Part of a lower molar that really is a filling with a bit of tooth and has been for about 40 years - hope he is gentle! Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. There is a problem with information submitted for this request. This medicine might cause thinning of the bones osteoporosis or slow growth in children if used for a long time. Patients who have undergone therapy with glucocorticoids present unique problems for the dentist. Advertising Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission.

I'd investigated having it done in hospital - and was greeted with total incomprehension. In fact, if you think about it, having an extraction at above 6mg pred is probably safer than at 6mg where you are hoping that your adrenal glands are functioning. They don't really need to at 10mg. In fact the practice is across the road from the hospital - and that was my comfort blanket for the first time.

Now I really don't feel any concerns. And when it comes to AA - one would have to wait a very long time to "get it out of your system". It has only been in widespread use for about 15 years or so. The most recent assessment, done a few years ago, is that it is still to be found in the bones after 10 years. The next one will very likely find it is still present after 15 years - it is a fixed component of the bone and not very likely to get removed in any way. I have been plagued with tooth problems and I have lost three teeth over that period.

My dentist was concerned about the extractions but they all went well each time and he monitored my healing. I wanted implants too but he will not consider them until I have been off the AA for several years as it stays in the system for a long time and affects the bones in the mouth. I have had a small plate made for the two on the top but the gap on the bottom is half way to the back and mostly can't be seen.

I do believe that the medication has contributed to all this. Could the PMR? I had a failed root canal treatment rear tooth which resulted in the tooth being extracted. I was extremely fortunate as an Oral and Maxillofacial Surgeon does a weekly clinic at my dental practice, so I didn't need to go to my local hospital. It is a private dental practice. The only problem I had was it took a little longer to heal.

Hope this helps. Thanks everyone for your help. I visited the dentist today armed with "the knowledge" and thankfully there is enough tooth left to support a crown so nothing invasive required. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.

About Log in Join. Join Write. Home About Posts Members. Besides taking prednisolone, I am on AA, lansoprazole, Adcal and low dose aspirin. Any advice would be much appreciated. To view profiles and participate in discussions please join or log in. Reply Like 0 Save post Report. Reply 0 Report. Reply 1 Report. PMRpro Ambassador 7 years ago.

PMRpro Ambassador in reply to allykat 7 years ago. Reply 4 Report. PMRpro Ambassador in reply to lesley 7 years ago. Judigardener 7 years ago. PMRpro Ambassador in reply to Judigardener 7 years ago. Reply 2 Report. PMRpro Ambassador in reply to susanspurs 7 years ago.

Mgt 7 years ago. Not what you're looking for? Needed opinions on dental work while on Prednisone a question about the effect of Prednisone on a tooth extraction and if you had the experience with Dental work on prednisone possible GCA with negative biopsy.

Dental work or not on Prednisolone. Dental work at hospital? I would prefer the Dentist to do the extraction, if needed, as would cause Dental Work I have arranged with dentist to have 6 old veneers replaced.

Has anyone had this type of work done View more posts. Related Posts. Dental corticosteroids may be absorbed through the lining of the mouth and, if used too often or for too long a time, may interfere with growth in children. Before using this medicine in children, you should discuss its use with your child's medical doctor or dentist.

Although there is no specific information comparing use of dental corticosteroids in the elderly with use in other age groups, these medicines are not expected to cause different side effects or problems in older people than they do in younger adults. When used properly, these medicines have not been shown to cause problems in humans.

Studies on birth defects with dental corticosteroids have not been done in humans. However, studies in animals have shown that topical corticosteroids, such as the hydrocortisone or triamcinolone in this medicine, when applied to the skin in large amounts or used for a long time, could cause birth defects. Studies with dental paste have not been done in animals.

When used properly, dental corticosteroids have not been reported to cause problems in nursing babies. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.

In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription over-the-counter [OTC] medicine. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur.

Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:. Do not use corticosteroids more often or for a longer time than your medical doctor or dentist ordered.

To do so may increase the chance of absorption through the lining of the mouth and the chance of side effects. Do not use this medicine for other mouth problems without first checking with your medical doctor or dentist. This medicine should not be used on many kinds of bacterial, viral, or fungal infections. The dose medicines in this class will be different for different patients.

Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Drug information provided by: IBM Micromedex. If you will be taking this medicine for a long time, it is very important that your doctor check you at regular visits for any unwanted effects that may be caused by this medicine. Blood or urine tests may be needed to check for unwanted effects. Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using this medicine, tell your doctor right away.

If you are using this medicine for a long time, tell your doctor about any extra stress or anxiety in your life, including other health concerns and emotional stress. Your dose of this medicine might need to be changed for a short time while you have extra stress. Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness.

This medicine may cause you to get more infections than usual. Avoid people who are sick or have infections and wash your hands often. If you are exposed to chickenpox or measles, tell your doctor right away. If you start to have a fever, chills, sore throat, or any other sign of an infection, call your doctor right away. Check with your doctor right away if blurred vision, difficulty in reading, eye pain, or any other change in vision occurs during or after treatment.

Your doctor may want you to have your eyes checked by an ophthalmologist eye doctor. While you are being treated with prednisone, do not have any immunizations vaccines without your doctor's approval.

Prednisone may lower your body's resistance and the vaccine may not work as well or you might get the infection the vaccine is meant to prevent. In addition, you should not be around other persons living in your household who receive live virus vaccines because there is a chance they could pass the virus on to you. Some examples of live vaccines include measles, mumps, influenza nasal flu vaccinepoliovirus oral formrotavirus, and rubella. Do not get close to them and do not stay in the same room with them for very long.

If you have questions about this, talk to your doctor. This medicine may cause changes in mood or behavior for some patients.

Tell your doctor right away if you have depression, mood swings, a false or unusual sense of well-being, trouble with sleeping, or personality changes while taking this medicine.

This medicine might cause thinning of the bones osteoporosis or slow growth in children if used for a long time.

Tell your doctor if you have any bone pain or if you have an increased risk for osteoporosis. If your child is using this medicine, tell the doctor if you think your child is not growing properly. Make sure any doctor or dentist who treats you knows that you are using this medicine.

This medicine may affect the results of certain skin tests. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription over-the-counter [OTC] medicines and herbal or vitamin supplements.

There is a problem with information submitted for this request. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID, plus expertise on managing health. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you.

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Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. This site complies with the HONcode standard for trustworthy health information: verify here. This content does not have an English version. This content does not have an Arabic version. See more conditions. Drugs and Supplements Prednisone Oral Route. Products and services. Precautions Drug information provided by: IBM Micromedex If you will be taking this medicine for a long time, it is very important that your doctor check you at regular visits for any unwanted effects that may be caused by this medicine.

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Steroids and prophy: Prednisone(taken orally) should not interfere with the dental cleaning. Infact, there is some depression of the immune. Patients who have undergone therapy with glucocorticoids present unique problems for the dentist. Persons currently receiving steroid therapy have altered. Whether you are going in for a crown, root canal, or simply to have your teeth cleaned, you may be given a prescription to an oral steroid. Why is it advised to notify one's dentist of daily prednisone use of 20 mgs or more for at least two weeks? Any dental procedure that. This Medicines Q&A gives guidance on dental procedures for which steroid e.g. caused by long-term use of high doses of steroids. Should I even consider a tooth implant if it is one of the options. Have tooth out in hospital and then wait 4 months for it to heal up and then consider what options I have -- I will probably go for a bridge. The dose medicines in this class will be different for different patients. Although not all of these side effects may occur, if they do occur they may need medical attention. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals.

Based to a great extent upon mainly anecdotal case reports and theory, there is a general acceptance that patients on long-term systemic steroid medication should receive supplementary glucocorticoids or "steroid cover" when undergoing certain types of stressful treatment including dentistry.

The theoretical basis to this practice is that exogenous steroids suppress adrenal function to an extent that insufficient levels of cortisol can be produced in response to stress, posing the risk of acute adrenal crisis with hypotension and collapse. The purpose of this paper is to review relevant literature and propose clinical guidelines for dental practitioners.

Of numerous reported cases of adrenal crisis following procedural interventions, few stand up to critical evaluation.

Other reviewers have reached similar conclusions. A number of studies confirm the low likelihood of significant adrenal insufficiency even following major surgical procedures. Various authors have suggested modified guidelines for management of patients on steroid medications. Patients on long-term steroid medication do not require supplementary "steroid cover" for routine dentistry, including minor surgical procedures, under local anaesthesia. Patients undergoing general anaesthesia for surgical procedures may require supplementary steroids dependent upon the dose of steroid and duration of treatment.

Abstract Based to a great extent upon mainly anecdotal case reports and theory, there is a general acceptance that patients on long-term systemic steroid medication should receive supplementary glucocorticoids or "steroid cover" when undergoing certain types of stressful treatment including dentistry.

Publication types Review. Substances Glucocorticoids.

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