Rheumatoid arthritis (RA) is a chronic autoimmune condition that causes painful inflammation in the joints, often affecting the hands, wrists, and other areas used for daily activities—like brushing and flossing. Beyond making oral hygiene more difficult, RA and some of its treatments can also affect how the body heals, which can raise questions for patients considering restorative options like dental implants.
If you’re living with rheumatoid arthritis and wondering whether implants are still possible, the answer is: maybe! With the right care and collaboration between your dentist and doctor, you might still be an excellent candidate for this long-term tooth replacement option.
How Rheumatoid Arthritis Can Affect Oral Health
RA doesn’t just impact joints—it can also influence oral health in multiple ways. The condition’s inflammation may extend to the soft tissues of the mouth, increasing the risk of gum disease. Reduced hand dexterity from joint stiffness can make brushing and flossing challenging, which can allow plaque and bacteria to build up more easily.
In addition, some medications used to treat rheumatoid arthritis can cause dry mouth or reduce saliva flow, further raising the risk of cavities and gum infections. These factors can make maintaining oral hygiene and healing after dental procedures more complicated, but not necessarily impossible.
Dental Implants and the Healing Process
Dental implants work by placing a small titanium post into the jawbone, where it fuses with the bone through a process called osseointegration. This creates a strong, stable foundation for a replacement tooth.
However, successful healing depends heavily on your body’s ability to repair and regenerate bone and tissue. Because RA involves inflammation and an overactive immune response, the body may not heal as quickly as usual. Some rheumatoid arthritis medications, particularly those that suppress the immune system, can also increase the risk of infection after surgery.
That said, every patient is different. With careful treatment planning, many people with RA have undergone successful dental implant procedures.
What to Discuss with Your Dentist and Doctor
If you’re considering dental implants, the first step is to have an open conversation with both your dentist and your rheumatologist. Together, they can assess your current health, medication use, and immune function to determine whether implant surgery is a safe option for you.
Your dentist will likely evaluate your jawbone density, gum health, and healing potential before recommending treatment. In some cases, they may suggest additional steps—such as pre-surgical antibiotics, adjustments to medications, or alternative restoration methods like bridges or partial dentures.
The goal is to create a plan that supports both your oral and overall health, minimizing risks and ensuring the best possible outcome.
Living Well with RA and a Healthy Smile
Even if rheumatoid arthritis presents a few extra challenges, maintaining your oral health is absolutely achievable. Prioritize gentle but consistent dental hygiene, use adaptive tools if necessary (like electric toothbrushes or floss holders), and keep regular checkups with your dentist.
With the right care, patients with RA can enjoy the comfort, confidence, and stability that dental implants provide.
About the Practice
At Robison Dental Group, patients receive personalized, high-quality care tailored to their unique health needs. Dr. J. D. Robison and his skilled team specialize in comprehensive restorative dentistry, including dental implants for patients with complex medical conditions like rheumatoid arthritis. We’ll work closely with your healthcare providers to create a treatment plan that ensures safety, comfort, and lasting results.
Call us at (734) 453-6320 or request an appointment online.