Dental Care

Children with arthritis may have limited jaw movement, which can make brushing and flossing their teeth difficult. Your child's dentist may suggest various toothbrush handles, electric toothbrushes, floss holders, toothpicks and rinses that will help your child maintain healthy teeth and gums.

Medications may also affect your child's oral health and developments. Always inform you dentist about the status of your child's disease and the medications he/she is taking. The dentist will consider these when planning any treatment, general anesthesia, sedation or oral surgery. Older children who have had joint replacements may require an antibiotic before dental treatment.

The joint in front of the ears, where the lower jaw connects to the base of the skull, is called the temporomandibular joint (TMJ). Arthritis may affect this joint in the same way it does others, by causing pain, stiffness and altered growth. Jaw exercises and therapy may be recommended for the pain and stiffness. If the lower jaw does not develop properly, it may create an overbite. Your child's dentist may recommend an early consultation with an orthodontist if this occurs. Surgery is also sometimes necessary for this condition.

A child with active arthritis may not always have the stamina for even routine dental work. If possible, schedule appointments when your child has the most stamina, or schedule shorter appointments.