Dr. Jimmy C. Wu, DDS, is a San Diego native with a bachelor’s degree in biology and extensive background in cosmetics, orthodontics, TMJ, computerized dentistry, and CEREC ceramic fillings. He runs Sutra Dental Spa in La Mesa, California, and talks here about how he helps patients with Sjogren’s syndrome, an autoimmune disease characterized by low fluid production in the body.
Sjogren’s syndrome is an autoimmune disease that affects the body’s ability to secrete fluids since it causes inflammation in certain glands in the body. This occurs throughout the whole body, so a person with the syndrome will likely have no sweat, their tear ducts will be dry, and in turn, their mouth will also be dry. In effect, the whole body is dried out.
While there is no exact cause for Sjogren’s syndrome, research has shown that it is probably hereditary, and more common with people who have a family history of other autoimmune diseases such as lupus. A saliva-gland biopsy can correctly diagnosis it.
Sjogren’s patients will have skin problems such as rashes and fungal infections. They will also have problems with their eyes because the glands that produce tears decrease the production of water and lead to eye dryness, making them much more susceptible to nearsightedness.
As far as oral health is concerned, this syndrome greatly affects patients’ overall oral health. The inflammation of the glands that produce saliva lead to a lack of saliva production, which increases the chances of cavities and decay. Also the chances of periodontal disease increases as does the chances for infection increases.
Managing the Syndrome
That is why the management of Sjogren’s syndrome is difficult but important. Usually, we prescribe a Sjogren’s syndrome patient with Salagen, a medication that helps promote the production of fluids throughout the body. It promotes salivary flow and sweat gland function, which both are necessary to help Sjogren’s patients.
The other thing we can give a patient is a biopene rinse, which promotes saliva function and has xylitol, a naturally occurring sugar substitute, which can be found in sugarless chewing gums. So, chewing gum can also help promote the production of saliva. Drinking plenty of fluids, using an air humidifier at home and practicing good dental care can also help.
The information in the article is not intended to substitute for the medical expertise and advice of your healthcare provider. We encourage you to discuss any decisions about treatment or care with an appropriate healthcare provider.
