Can patients with ankylosing spondylitis have their wisdom teeth extracted?

Jan 04, 2024 Source: Cainiu Health

Dr. Jiang Chenggang

Introduction

Ankylosing spondylitis is a chronic inflammatory joint disease. If the condition is mild, wisdom tooth extraction is usually possible; however, if the disease is severe, wisdom tooth removal is not recommended. It is advisable to seek medical attention promptly and receive treatment under a doctor's guidance. After wisdom tooth extraction, proper oral hygiene should be maintained, a light diet should be followed, and foods such as millet porridge and vegetable porridge are recommended to promote better oral health.

　　Ankylosing spondylitis is a chronic inflammatory joint disease. If the condition is mild, wisdom tooth extraction is usually possible; however, if the disease is severe, wisdom tooth removal is not recommended. It is advised to seek timely medical attention and receive treatment under a doctor's guidance. Detailed analysis is as follows:

　　Ankylosing spondylitis is a chronic inflammatory joint disorder primarily affecting the joints of the spine and pelvis. In mild cases, it generally has little connection or impact on the oral cavity or teeth, making wisdom tooth extraction feasible. Local anesthesia can be used during the extraction procedure to help reduce pain.

　　If ankylosing spondylitis is severe, it may also affect the temporomandibular joint. Additionally, significant systemic inflammation may be present, and extracting a wisdom tooth could place extra strain on the joints and increase discomfort. Patients should follow their doctor’s instructions to take medications such as diclofenac sodium sustained-release tablets, methylprednisolone tablets, or indomethacin tablets to reduce inflammation before proceeding with wisdom tooth extraction under medical supervision.

　　After wisdom tooth extraction, proper oral hygiene and care are essential. A light diet is recommended, including easily digestible foods such as millet porridge and vegetable porridge, which promote better oral health.

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