I had periodontal disease before RA & Mtx & was told to stop smoking, which I've done (I've blogged about this before.) But I've had 2 teeth out in the last 3 months and now another one is aching & feels loose - & for me that tends to mean extraction looms. Previously my last tooth extraction was at the age of 14.
I think I have a good dentist (but how to judge? If you get what you pay for she must be a very good dentist!) and the hygienist is happy with my oral hygiene.
As I understand it my jaw, which is quite badly affected by periodontal disease, will not take crowns or whatever without extensive work e.g. bone grafts. And this latest loose tooth is at the front.
My dentist seems to have a working knowledge of the drugs I take but obviously she's not a rheumatologist & so far she hasn't mentioned Mtx affecting teeth & gums. I found a thread on this site from 2011 about Mtx causing gum & tooth problems. I've got a rheumy appointment in a couple of weeks & there may be decisions to make about my treatment. If Mtx is exacerbating my tooth/gum/jaw problems then that would represent quite a serious problem with a drug that's not helping much anyway. (I take 25mg.)
Does anyone else have similar problems or know anything about all this? Luce xx