Dental Concerns

General

1. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis.

2. A semisupine position for the dental chair may be necessary to help minimize or avoid GI adverse effects or be tolerable for patients with rheumatoid arthritis.

3. The patient should avoid prescription and over-the-counter aspirin-containing drug products. Consultation with Primary Care Provider

1. Consultation may be required in order to assess extent of disease control. Client/Family Teaching

1. Take with a full glass of water or milk, with meals, or with a prescribed antacid and remain upright 30 min following administration to reduce gastric irritation or ulcer formation.

2. Avoid alcohol or aspirin because of increased risk for GI bleeding.

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3. Daily home fluoride treatments for persistent dry mouth.

4. Avoid alcohol-containing mouth rinses or beverages.

5. Avoid caffeine-containing beverages.

6. Dry mouth can be treated with tart, sugarless gum or candy, water, sugarless beverages, or with saliva substitutes if dry mouth persists.

Arthritis Relief and Prevention

Arthritis Relief and Prevention

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