- September 9, 2025
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Rheumatology & Dental Care — Working Together at Nirjara
At Nirjara Multispeciality Clinic, our rheumatologists and dentists work closely to give complete care for patients who have joint and autoimmune problems.
Why? Because many rheumatology problems also affect the mouth, teeth, and gums — and vice versa.
👩⚕️ Common Issues We See Together:
Sjogren’s Syndrome
- It causes dry eyes and dry mouth.
- Can lead to tooth decay, gum infections, and mouth ulcers.
- Moisturizing eye and mouth drops
- Medicines to control dryness
- Fluoride toothpaste and regular dental checks
Gum Disease in Arthritis Patients
- Patients with RA, Lupus, Psoriasis arthritis can have more gum problems.
- Gum infections may increase joint pain or swelling.
- That’s why dental checkups are important in arthritis care.

Dry Mouth from Medicines
- Some medicines used in rheumatology (like methotrexate, steroids) can make your mouth dry.
- This increases risk of dental caries (tooth decay).
- Sugar-free chewing gum
- Extra water intake
- Regular dental cleaning
Heart Disease Link
- Gum infections may increase risk of heart problems, especially in arthritis patients.
- Dental health = better heart and joint health.

💊 Some Rheumatology Drugs Need Dental Attention
Rheumatology Medicines and Dental Effects
Drug | Dental Effect | Our Advice |
Steroids | More gum infections | Maintain oral hygiene |
Methotrexate | Mouth ulcers, sore gums | Use folic acid & mouth gels |
Bisphosphonates | Risk of jaw bone damage post dental surgery | Inform your dentist before any extraction |

Osteoporosis & Dental Work
- Medicines used to treat weak bones (osteoporosis), like bisphosphonates or denosumab, may cause problems if dental surgery is done.
- So our doctors and dentists always discuss your treatment plan together.
What Makes Nirjara Special?
- Joint care by rheumatologist & dentist together
- Regular checks for mouth dryness, gum disease, cavities
- Safe planning before any dental or bone treatments
- Personalized care for patients with RA, Lupus, Sjogren’s, Osteoporosis
Simple Tips for Patients
- Brush twice a day
- Use fluoride toothpaste
- Visit dentist every 6 months
- Drink enough water
- Share your medical history with your dentist
