enbloc and Wovel Lady, thank you for your suggestions and advise.
Yes, I do use Biotene a lot, different products of it. I brush 3 times daily at least, and floss regularly, actually twice daily. I am so scared getting an infection, and have so far done well, except this problem with receeding gums. With immunosupressive meds, we have to be so careful, but my rhumy said I could hold MTX for 2 weeks for dental surgery.

Enbloc, I will absolutely go and get a copy of the actual lab report of the lip bx. I only have the ENT doctors's notes stating it was negative for Sjoegrens.
I know that perhaps the Rheumy can look at the spesific, if any.
She now has asked for a skin bx, will be going Friday
Enbloc and Wovel Lady, have any of you had problems with chest tightness?
Does any of you also have peripheral neuropathy? Can chest tightness be caused eighter by autonomic neuropathy or Sjoegrens ?
Take care , and do not over do this holiday rush. I think it can tire you out.
But, DO HAVE A GOOD HOLIDAY SEASON.
Synnove