Having both PBC and Sjögren's is quite a combination, and it's understandable to want to know how they might affect your bones and teeth. Both conditions can work against you in this area, so it's worth knowing what to watch for.
On your teeth and mouth:
Sjögren's reduces saliva production, which is your mouth's natural Show Full Answer
Having both PBC and Sjögren's is quite a combination, and it's understandable to want to know how they might affect your bones and teeth. Both conditions can work against you in this area, so it's worth knowing what to watch for.
On your teeth and mouth:
Sjögren's reduces saliva production, which is your mouth's natural defence against tooth decay. Less saliva means a higher risk of:
- Cavities and tooth decay
- Mouth sores
- Sore throat
- Bad breath
- Difficulty eating, swallowing, and tasting
To help, try sugarless citrus-flavoured gum or hard candies to stimulate saliva. Over-the-counter saliva substitutes containing xylitol or hydroxyethyl cellulose (like Biotene) can also help. Note that xylitol may cause stomach cramping in some people. On your bones:
PBC makes it harder for your body to absorb fat-soluble vitamins like vitamins A and D, which are essential for bone strength. This raises the risk of osteoporosis, which can cause:
- Reduced bone density
- Muscle and bone pain, especially in the back
- Fractures from minimal impact
Gentle exercises like yoga or Pilates can help strengthen muscles around the spine. Vitamin D, calcium supplements, and appropriate pain relief may also be recommended — but always check with your doctor before starting anything new.
Regular dental check-ups and bone density monitoring are really important with this combination of conditions.
July 2
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