Health conditions · Oral–systemic health Dental care planned around your health.
Diabetes. A heart condition. An autoimmune diagnosis. Pregnancy. A reaction to a material, or a question about an old filling. Each one changes what we look for, what we ask and how we plan your care.
Below, condition by condition: what is known, what we do — and where the evidence stops.
Connected biology. Individual care.
Understand · Assess · Plan
The mouth–body connection
The relationship works both ways.
Your mouth is part of your body. Your care should reflect that.
Your mouth can matter beyond your mouth.
Gum disease is linked with several wider health conditions. Knowing that helps us decide what to assess and when to involve your doctor.
Your health changes what we see in your mouth.
Diabetes can affect gum health and healing. Sjögren’s can reduce saliva. Reflux can wear away enamel. Your diagnosis and medicines help us read what we find.
Where the evidence is strong, we say so. Where it is an association or a hypothesis, we say that too.
Your health, in context
What your health history means for your dental care.
Choose a condition or concern to understand the connection, what we would assess and how it may influence your treatment plan.
Explore a condition or concern
Understanding your care
Diabetes & blood sugar
Gum health, glucose control and healing
The connection
Diabetes and gum disease can influence each other. Higher blood glucose increases the risk of periodontal problems; gum disease can make glucose control more difficult.
What we would assess
Your gum health and diabetes history.
What this means for your care
We consider healing when planning treatment. Dental and medical care work alongside each other.
Understanding your care
Cardiovascular health
Periodontal health within your wider care
The connection
Periodontitis is associated with cardiovascular disease. That association does not establish that treating your gums will prevent a heart attack or stroke.
What we would assess
Your gum health, cardiac history and medicines.
What this means for your care
We coordinate with your doctor where needed before treatment.
Understanding your care
Autoimmune conditions
Including rheumatoid arthritis and Sjögren’s
The connection
Different autoimmune conditions have different oral implications. Sjögren’s can cause persistent dry mouth and increase decay risk; rheumatoid arthritis is associated with periodontal disease.
What we would assess
Your diagnosis, medication history, saliva, gums and daily comfort.
What this means for your care
These findings guide the assessment. A dental finding alone does not explain an autoimmune illness.
Understanding your care
Thyroid conditions
Your diagnosis belongs in the treatment plan
Your health context
Your thyroid diagnosis is part of the health history we consider alongside your oral findings.
What we would assess
Your current treatment, any concerns your doctor has raised and the dental problems themselves.
What this means for your care
We clarify medical considerations before care. Having a thyroid condition is not, by itself, a reason to remove a filling or tooth.
Understanding your care
Pregnancy & planning a family
Gum changes and dental care at a changing time
The connection
Hormonal changes during pregnancy can make gums more responsive to plaque. Necessary dental care can be provided during pregnancy.
What we would assess
Your dental needs and whether you are pregnant, planning pregnancy or undergoing fertility treatment.
What this means for your care
We coordinate where appropriate. Dental treatment is not an established fertility treatment.
Understanding your care
Digestive health & reflux
When the explanation for tooth wear starts elsewhere
The connection
Reflux can expose teeth to stomach acid and contribute to enamel loss.
What we would assess
The pattern of tooth wear, relevant symptoms and your medical care.
What this means for your care
Understanding acid exposure matters when planning how to protect or restore your teeth. Wider questions about the oral and gut microbiomes need their own careful explanation.
Understanding your care
Neurological conditions
Comfort, daily care and individual support
The connection
A neurological condition may affect how comfortably you receive treatment or manage daily oral care.
What we would assess
What is difficult for you and what support helps.
What this means for your care
We adapt planning to your situation. Research into periodontal disease and dementia does not establish dental treatment as a way to prevent or treat dementia.
Understanding your care
Persistent fatigue & fibromyalgia
A careful dental review within a broader picture
Your health context
Living with persistent fatigue or widespread pain can make another appointment feel demanding.
What we would assess
Your symptoms, existing diagnoses, what you can comfortably manage and any dental disease.
What this means for your care
We plan around your needs. These symptoms do not establish a hidden dental cause, and dental treatment is not a proven treatment for ME/CFS or fibromyalgia.
Understanding your care
Lyme disease & ongoing symptoms
Dental care alongside your medical care
Your health context
Your medical diagnosis, treatment history and current concerns help us understand the context for dental care.
What we would assess
Oral problems where indicated and your ability to tolerate treatment.
What this means for your care
Dental care sits alongside your medical care. Removing teeth or treating jawbone findings is not an established treatment for Lyme disease or persistent symptoms after treatment.
Understanding your care
Allergies, sensitivities & MCAS
Past reactions deserve a specific plan
Your health context
A known material allergy, a previous reaction and diagnosed MCAS are different situations.
What we would assess
What happened, what was involved, the materials and medicines concerned, and your treating specialist’s recommendations.
What this means for your care
We seek specialist input when needed. Testing is selected for a specific question; it cannot guarantee that every material will be tolerated.
Understanding your care
Mercury & existing dental work
Start with what is in your mouth — and why it matters to you.
Your health context
Mercury exposure, material allergy and a systemic diagnosis are different questions.
What we would assess
The condition of the restoration, your symptoms and any documented reaction.
What this means for your care
We discuss options based on these findings. Intact amalgam fillings should not be removed simply to prevent disease. The clinical decision, SMART removal process and replacement options are explained in BIO Treatments.
Diabetes & blood sugar
The connection
Diabetes and gum disease can influence each other. Higher blood glucose increases the risk of periodontal problems; gum disease can make glucose control more difficult.
What we would assess
Your gum health and diabetes history.
What this means for your care
We consider healing when planning treatment. Dental and medical care work alongside each other.
Cardiovascular health
The connection
Periodontitis is associated with cardiovascular disease. That association does not establish that treating your gums will prevent a heart attack or stroke.
What we would assess
Your gum health, cardiac history and medicines.
What this means for your care
We coordinate with your doctor where needed before treatment.
Autoimmune conditions
The connection
Different autoimmune conditions have different oral implications. Sjögren’s can cause persistent dry mouth and increase decay risk; rheumatoid arthritis is associated with periodontal disease.
What we would assess
Your diagnosis, medication history, saliva, gums and daily comfort.
What this means for your care
These findings guide the assessment. A dental finding alone does not explain an autoimmune illness.
Thyroid conditions
Your health context
Your thyroid diagnosis is part of the health history we consider alongside your oral findings.
What we would assess
Your current treatment, any concerns your doctor has raised and the dental problems themselves.
What this means for your care
We clarify medical considerations before care. Having a thyroid condition is not, by itself, a reason to remove a filling or tooth.
Pregnancy & planning a family
The connection
Hormonal changes during pregnancy can make gums more responsive to plaque. Necessary dental care can be provided during pregnancy.
What we would assess
Your dental needs and whether you are pregnant, planning pregnancy or undergoing fertility treatment.
What this means for your care
We coordinate where appropriate. Dental treatment is not an established fertility treatment.
Digestive health & reflux
The connection
Reflux can expose teeth to stomach acid and contribute to enamel loss.
What we would assess
The pattern of tooth wear, relevant symptoms and your medical care.
What this means for your care
Understanding acid exposure matters when planning how to protect or restore your teeth. Wider questions about the oral and gut microbiomes need their own careful explanation.
Neurological conditions
The connection
A neurological condition may affect how comfortably you receive treatment or manage daily oral care.
What we would assess
What is difficult for you and what support helps.
What this means for your care
We adapt planning to your situation. Research into periodontal disease and dementia does not establish dental treatment as a way to prevent or treat dementia.
Persistent fatigue & fibromyalgia
Your health context
Living with persistent fatigue or widespread pain can make another appointment feel demanding.
What we would assess
Your symptoms, existing diagnoses, what you can comfortably manage and any dental disease.
What this means for your care
We plan around your needs. These symptoms do not establish a hidden dental cause, and dental treatment is not a proven treatment for ME/CFS or fibromyalgia.
Lyme disease & ongoing symptoms
Your health context
Your medical diagnosis, treatment history and current concerns help us understand the context for dental care.
What we would assess
Oral problems where indicated and your ability to tolerate treatment.
What this means for your care
Dental care sits alongside your medical care. Removing teeth or treating jawbone findings is not an established treatment for Lyme disease or persistent symptoms after treatment.
Allergies, sensitivities & MCAS
Your health context
A known material allergy, a previous reaction and diagnosed MCAS are different situations.
What we would assess
What happened, what was involved, the materials and medicines concerned, and your treating specialist’s recommendations.
What this means for your care
We seek specialist input when needed. Testing is selected for a specific question; it cannot guarantee that every material will be tolerated.
Mercury & existing dental work
Your health context
Mercury exposure, material allergy and a systemic diagnosis are different questions.
What we would assess
The condition of the restoration, your symptoms and any documented reaction.
What this means for your care
We discuss options based on these findings. Intact amalgam fillings should not be removed simply to prevent disease. The clinical decision, SMART removal process and replacement options are explained in BIO Treatments.
Managing more than one condition? Tell us about the whole picture.
When the picture is complex
Each patient deserves a careful investigation.
You may already be seeing several clinicians. You may have been asked to check for a dental source of infection. Or you may simply want your dental history considered as part of your wider care.
Our role is to identify what is happening in your mouth, explain what we find and help you decide what deserves attention.
What about “hidden infections”, jawbone findings and RANTES/CCL5?
Dental infections and persistent symptoms deserve assessment. Proposed relationships between certain jawbone findings and systemic illness remain uncertain. An imaging finding or inflammatory marker does not, by itself, show that a dental site is causing illness elsewhere.
Any recommendation for an invasive procedure needs a clear clinical rationale, discussion of alternatives and a realistic account of the expected benefit.
From questions to a plan
From your health history to a clear dental plan.
The starting point is your story and a clinical examination. Further investigations should answer a specific question in your case.
A clear picture. A considered plan. Care built around you.
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We listen first.
Your concerns, diagnoses, medicines, previous reactions, dental history and any reports you bring.
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We examine.
Teeth, gums, bite, existing restorations and any area of concern. Imaging or further tests only where clinically justified.
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We explain.
What needs treatment, what can be monitored, what remains uncertain, and when your doctor’s input would help.
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We agree a sequence.
Priorities, options and follow-up, with time to understand the plan before you decide.
Dr. Johanna leads diagnosis and treatment planning. Our dentists, hygienists and patient care team work together around your plan. Where coordination is needed, relevant findings can be shared with your treating doctor with your permission.
How this connects with our care
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bio-Approach
How clinical findings, biological principles and your priorities shape a treatment decision.
Our approach -
bio-Treatments
What care for gum disease, infections, existing dental work and material concerns can involve.
Explore treatments -
bio-Implants
Ceramic tooth replacement, when a tooth is missing or cannot be predictably retained.
Ceramic implants
Questions you may have
Space for your questions.
Clarity before you make a decision.
Can dental treatment improve my medical condition?
That depends on the condition and the dental findings. We explain the likely benefit for your oral health and any wider evidence relevant to your case. Dental care complements your medical care; it does not replace it.
Will I need my root canals or metal fillings removed?
Not automatically. Existing work needs an individual assessment. Keeping, monitoring, repairing, retreating or replacing it should each have a clear clinical reason.
Does everyone need a CBCT scan or laboratory testing?
No. We choose investigations when they can answer a relevant clinical question and help guide your care.
Can I contact you without an X-ray or a referral?
Yes. Tell our team about your situation. Existing imaging or a doctor’s referral can be useful, but neither is required to make an initial enquiry.
Your next step
Bring your health story. We’ll tell you where dental care fits.
Tell us what you are managing, what concerns you about your oral health and what you would like to understand. Our patient care team will help arrange the appropriate next step.
Already have an X-ray, CBCT report or referral? You can attach it to your enquiry. An initial review helps plan your visit; diagnosis requires a clinical assessment.
What should I include?
What health conditions are you managing? What concerns you about your teeth or gums? What would you like the assessment to clarify? Mention and attach any existing imaging or referral. Our team can guide you on sharing relevant records.