Oral Health / Dentistry

Q&A with Dr. Richard Lee Kin (Aug 11, 2014)


Q&A between LGI member’s and Dr. Richard Lee Kin

Please note as each case is unique each individual should seek professional advice . Many of these cases require a multi-disciplinary approach and I  have been involved for many years in a number of these . Sadly some treatment is  palliative only eg, xerostomic patients are often rendered edentulous due to the terrible effects of loss of saliva.


Question:

My back teeth especially the ones with fillings have been crumbling and breaking for maybe the last 10 years, I put this down to my Lupus and just something else to deal with. If this is the case and lupus is the culprit  what would the Dentist recommend to try and prevent further damage before I end up COMPLETELY TOOTHLESS.

Response:

Hi, sorry to hear of your problems, your dental problems are a result of a combination of things. Decay is usually due to poor oral hygiene & diet , you may also have a reduction or lack of saliva . In this case you may experience a rapid deterioration in your dental condition .

But don’t lose hope, they have been number or recent developments in management of cases like your and your dentist will be able to address these or refer you to a specialist in that area.


Question:

My gums get very inflamed?? I put it down to lupus

Response:

yes – this is likely as a number of lupus patients are susceptible to gum or periodontal disease. I strongly recommend that you seek urgent advice on its management

As a periodontist – early intervention is crucial and can be treated very successfully


Question:

I try mind my teeth coz im vain..but i get extra clean each year...teeth crumble away though...dentist agrees with my theory its fibro breakdown from fibres holding teethe in and grinding teeth from fibromyalgia but...won't officially say

Response:

Hi, sorry to hear of your problems, your dental problems are a result of a combination of things. Decay is usually due to poor oral hygiene & diet , you may also have a reduction or lack of saliva. In this case you may experience a rapid deterioration in your dental condition .

But don’t lose hope, they have been number or recent developments in management of cases like your and your dentist will be able to address these or refer you to a specialist in that area. 


Question:

Wondering about dentist advice for very dry mouth with Sjögren's ? Thanks

Response:

Hi, in my opinion I would recommend specialist advice & treatment.