I am 36 and have had psoriatic arthritis for 12 yrs.  For 8 1/2 yrs I have used methotrexate and used enbrel for 6 yrs.  I did not realize that periodontal disease was linked to arthritis until even with regular brushing & flossing and good dental hygiene, I continue to get cavities.  Darn arthritis!  Just when you think you are dealing with it well, it has to throw something else in the mix.

Has anyone found a way to combat this problem?  My dentist had me using prescription fluoride toothpaste but I still have a couple more cavities starting.  Now he made dental trays to fill with fluoride and I'm supposed to use those every day.  Any other suggestions?

Thanks!