I have just found out at my latest visit to my dentist, that I need 3 fillings! I haven't had one for years so a bit of a shock for me and the wallet.
I have the first one booked for a couple of week's time . Will I need to adjust my pred dose at all..I'm just thinking of the stress factor....Saying that, I do seem to recall that the last time I had an injection at the dentist it was virtually free.
Answers on a postcard please.....
I can't see why - I didn't when having ceramic inlays and root canal treatment. Unless you are someone who goes into a flat panic at the dentist?
Is that a private dentist or are you one of the lucky NHS patients? I have to confess to having been a bit relieved the other week when he announced the root of the tooth bothering me was fractured and unsalvageable so would have to come out.112 euros for an x-ray and extraction did compare favourably with the ceramic inlay I was expecting - over 600 euros last time if I remember rightly! As far as I know there is no equivalent of NHS dentistry here - I have asked what poor people do!
Thanks for your prompt reply. Private I'm afraid , has been for years and years . I'm not sure there are any NHS dentists around, possibly for children, I'm not sure!
I think my daughter managed to find one in Scotland! During Covid she needed something and was going to have to wait ages for her dentist to see her - and she was directed to a practice round the corner who saw her immediately and were far better! The girl is Chinese I think - and very good.
not so many NHS dentists anymore. Mine WAS NHS but has no appointments for NHS patients anymore. £320 for a filling !!!!!!!!
Wow, I thought my dentist was pricey but not as expensive as that
BUPA . Looking for an NHS One. Paying a monthly contract on top of that of £18. Ouch
A tip for finding an NHS dentist: look in poorer areas. When the whole thing started with registering with an NHS dentist years ago, my Durham dentist made us an offer I had no difficulty in turning down! OH was all set to pay it. Had the guy been good it would have been a different matter, he wasn't. I contacted the CCG who told me the nearest NHS dentist in their area was in Sedgefield, not too bad really but I knew of one closer who I'd been told was taking patients. I rang the practice in Annfield Plain - drove up there, filled in the forms and paid £5 to register with them. Amazing service - one worked part time as he wanted to keep his hand in at practical stuff alongside his lectureship at the dental hospital. I asked why they were sticking with NHS - did I really think they could make money doing just private work in this area they said. Same for my daughter in Scotland - the practice wouldn't get enough work without NHS. But most people won't travel far. It is always worth the try,
That’s a very good point…as you can imagine there are certain places locally that are only private….
Yes - the guy in Durham was slap bang in the middle of the Uni/cathedral, well-heeled students and staff galore. Mean creature - in the same practice he'd started in with his original dentist's chair as the chair for an antiquated x-ray machine. Place looked as if he'd not decorated it either!! Also managed to half an hour late for his first appointment of the day - on a regular basis! The one in the poor area was immaculate and up to date equipment.
we have dentists galore here in Sleaford and surrounding. Mostly private. My friend pays for hers and her dentist said her crown if 20 years were becoming loose. He said he would replace for £1200. Her reply . I’ve had them 20 years. I may not be around in another 20 . So leave well alone. She is 75 years
Crowns here at private dentists are £1000-1200, Poor people don't do anything. Poor mouth hygiene can lead to lots of trouble. Keep flossing.
I invested in a water jet recently - quite like the effect. It's a rechargeable battery one and pretty good - not as good as the electric one I had years ago. I was fed up with fighting the floss for the varying width gaps!
My ceramic inlays were less than that thank goodness. I did laugh when there was some caries under a gold filling - obviously had to be a ceramic replacement and the dental nurse said "It will last much longer ..." That gold was put in nearly 50 years ago!!!!!! She didn't get my point 
I see my hygienist every 3 months atm
I hope you don’t take alendronic acid. If you do the dentist needs to know.
Hope the procedures aren’t too expensive!
I’m on 40mg for my GCA and had a filling two days ago..told him my tablet situation, no problem, job done, easy !!!!
Steroids demineralizes bones. Teeth are bones. Have you had a bone density scan recently?
Hi yes a couple of months ago. My rheumy said my bones are in great shape 👍
If pred has an effect on your teeth it is if it has an effect on the jaw, loosening teeth, and it is a relatively rare effect. The way calcium and other minerals are removed from teeth is externally by drinking acid juices and other drinks, for example, orange juice which can dissolve the enamel which is where calcium has a function making it hard. Once the calcium is removed from the enamel it cannot be replaced - but pred doesn't remove calcium from teeth,
Teeth and bones are NOT the same thing - the only real link is that they both contain calcium. Bones are living tissue, teeth are only partly living tissue.
I have quite a few issues over the last 3-4 years primarily TMJ pain, crowns and tooth fractures. Clenching while sleeping seems to be an issue for me ( stress and pain?). Use a mouthguard which another things for me to "embrace" and use.
Hi
I had a filling a few weeks ago and the first I'd had in years (about 6 tobe precise as it was same tooth 😢). To say it was bit stressful was an understatement but think that was because dentist had to try to rebuild some of it because I didn't want a crown (too much money) and it was mainly on inside near my tongue. Had quite few injections too. But it did not affect me in any other way and I was absolutely fine with no issues with my PMR etc. And just had a numb mouth amfir a while and bruised feeling around my jaw. So I'm sure you'll be OK too 😁😁
That is a coincidence as I had to go to the Dentist ( Private 
) last Monday and have to have two fillings to be replaced, also, a tooth has fallen out and another next to it is decidedly wobbly . I am very lucky as I have known my Dentist for many years and trust her judgement, but she is undecided what to do about the wobby tooth, she says, there is a risk - and stressed a very small risk - to extract teeth whilst taking long term Preds as could lead to necrosis of the jaw! . Just ten mins in the chair was £65 !!! dread to think what the treatment is going to cost ! I also start in a couple of weeks, ( we could hold hands LOL _ ) in the meantime I am just carrying on with the Preds - at the moment 7.5mg reducing to 7mg all best wishes
I have had 2 teeth out in the last few years, I've been on pred for over 13 years, a lot of it at above 10mg. The first was a wisdom tooth that was growing squint and cutting the inside of my cheek because it kept erupting as it was unopposed. The second was just a couple of months ago - a broken root that was unsalvageable. No problems with either. They took seconds to remove and despite being on blood thinners they barely bled and healed very quickly.
thank you PMR pro, that puts my mind at rest Preds have so much to answer for but we could not do without it 😀
It is a bit like how long PMR lasts - accepted quite happily that patients need a low dose long term here and other non-English-speaking countries. I was terrified with that first extraction and asked about a hospital dentist - I was looked at as if I was totally nuts. One of the reasons I go to the one outside the front door of the hospital is a reckon I'll get medical care quickly if i need it! There is another closer to the ED - but I think she is an orthodontist only. My dentist dismissed my fears - and he was right. He is the best dentist I have ever had - even if he costs a small fortune!
Extreme reaction to injection at dentist
Taking Alendronic Acid & Dentists won't touch me!
Visit to Dentist Required! 
