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interesting , thanks.
upon reading the articles , I notice that periodontal problems might be source of inflammation. Also notice that excess nickel in blood possible candidate.
so , could a person with a hip replacement (metal is partial nickel) & undiagnosed gum problems be the causes? am beating the bushes trying to find my inflammation source.
would it be prudent to have a complete periodontal deep clean on the chance that might catch the source?
I have had hip replaced & wonder what tests might tell me if I have high nickel in blood.
find it hard to just accept fact that source of inflammation unknown.

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Replies to "interesting , thanks. upon reading the articles , I notice that periodontal problems might be source..."

Yes, periodontal problems can be a source for inflammation in the body. Whether it’s the culprit for your PMR or not would be hard to pinpoint unless the symptoms disappeared after you had a root planing.
But again, unless you have serious periodontal disease, there is no reason for a root planing procedure. If your oral bone and tissue are healthy there would be nothing to deep scale.

You know that fuzzy feeling on your teeth when you haven’t brushed? That is called plaque. If not removed daily it can turn into a cement-like buildup, calculus, on the teeth often between the teeth and around the gum tissue. If left to accumulate, it can, over time, go below the gum tissue. As it continues to build, it pushes away healthy tissue and can destroy the bone support around the tooth.

I’m posting some pictures below of healthy gum/bone and then a tooth that has periodontal issues and requires root planing. You can see the difference between scaling a tooth at a routine dental cleaning to remove tartar, and how far down the tooth root the instruments have to go to thoroughly clean the surface to remove the calculus.

If you’re having routine cleanings then your dentist or hygienist would have told you that you have periodontal disease and advised maybe quarterly or 6 month prophys for a while to see if your gum/bone health improved. You’d most likely know it as well. Gums that are puffy, bleed easily, cause bad breath or have loose teeth…those are signs of periodontal disease. Do you have any of those symptoms? Have you had a routine cleaning lately?

Shifting gears, here are some links to information about the possibilities of reaction to your hip replacement. This isn’t an area where I have any experience so I have nothing to share. I do have a strong dental background however so I’m on more comfortable ground discussion that topic.


There is a current discussion in the forum with members who have experienced inflammation with replacement joints. This from @jenniferhunter
The entire discussion is in this link:
~~Need TKR and had positive allergy testing / Bone Cement and Metals


I know it’s really frustrating when you’re trying to find the source of something so nebulous. Inflammation can come from so many sources. Medications, environment, foods, allergens, etc.. Do you recall when your PMR started? Was it following your hip replacement?