<s>[INST] hello doctor,For years I have goone through test for lupus but it comes back negative,I have had fibromyalia.for 15 years, but, now my healthy mouth has gone to ruin,I loosing a tooth every 6 month or so.I wonder does this have to do with my immune system [/INST] Hello, Your health of the gum and bone is a very important factor for maintaining your teeth. There is more tooth loss, commonly, due to lack of supporting bone than decay. Have you been to a periodontist? Periodontal disease is a progressive disease and preventive measures are important for keeping your teeth. I need more information on your dental health history. Have you kept up with routine cleanings and exams? Have you had a history of a high rate of decay, abscesses or gum treatments? Overall health changes affect the oral environment. Medications have side effects.  Chat Doctor.  Your dentist can help ad </s>