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Arthritis
Comparison Osteoarthritis and Rheumatoid Arthritis
Risks to the dental patient
Management During Treatment
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Various degrees of pain during treatment
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Various degrees of mobility
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Difficulty with oral health care procedures
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Drug-related complications - bleeding, immune suppression with some medications
Questions to Ask
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Evaluate the patient's use of toothbrush and floss. Suggest or provide modifications when needed.
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Consider the patient's dexterity when planning treatment
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Carefully evaluate temporomandibular joint. 75% of patients with rheumatoid arthritis have involvement.
Clinical Findings
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Short appointments
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Allow patient to make frequent position changes if needed
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Provide physical supports such as pillows or rolled towels to provide suppport for deformed limbs, joints or neck
References
Dental Management of the Medically Compromised Patient. Little, Falace, Miller and Rhodus. 8th Edition
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What type of arthritis do you have?
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Which joints are affected?
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Will you have difficulty sitting in the dental chair?
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What types of activities do you have difficulty with due to arthritis?
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Do you have difficulty with brushing your teeth or flossing?
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What medications are you taking? Do you take them every day?
