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The symptoms of CRPS are not limited to the extremities. Among the most common symptoms reported by sufferers are dental issues, often serious, including swollen gums and brittle teeth. However, CRPS and dental problems present a huge dilemma. A visit to the dentist will cause anyone with the condition serious apprehension. Indeed, the thought of undergoing any form of dental procedure is likely terrifying – even an injection of local anaesthetic.
A general lack of awareness of CRPS among dentists aggravates the situation. But that’s not surprising when you consider that most dental students still receive no training in pain beyond that directly related to dentistry.
And, of course, that’s assuming you can afford to visit a dentist. The cost of even a standard dental check-up has soared, and many people with CRPS are unable to work.
Medication side effects
As a side-effect, some common pain medications play a contributory role in worsening dental health. In particular, opioids can affect your salivary glands’ ability to produce saliva, causing Xerostomia (dry mouth). Saliva plays a crucial role in protecting teeth and gums.
Flossing and brushing
For many with CRPS, pain, loss of strength, and a lack of manual dexterity in an upper limb can affect their ability to floss and brush effectively. Some sufferers experience extreme head, neck, and facial pain – a serious deterrent to flossing and brushing.
CRPS and dental problems: Poor diet
Sadly, but understandably, many people suffering CRPS and other chronic pain conditions seek comfort in sugary food, with an inevitable impact on their dental health.
What’s the solution?
Believe it or not, there are knowledgeable and sympathetic dentists out there. I recommend raising the problem with your pain medicine specialist. They will inevitably have encountered the problem before and may be able to recommend a dentist. If not, perhaps they can write to your usual dentist explaining your condition, raising some red flags and making recommendations.
This approach worked well for one of my clients facing a dental procedure. Her pain specialist offered the dentist guidance on the anaesthetic procedure. In addition, he suggested limiting session times and doing everything possible to ensure the patient was relaxed – albeit not an easy request!
CRPS and dental problems: Cost
Unfortunately, such recommendations result in more time at the dental surgery with a consequent increase in cost. If you are pursuing a compensation claim for your CRPS, discuss with your solicitor factoring these increased dental costs into your claim.