Research must be current(within 5 years)and can include journal articles, websites, and textbooks. Includes a description of Lupus, symptoms, prescription meds frequently taken and the systems of the body affected. Discuss oral ramifications of Lupus and include changes to the soft and hard tissues of the mouth and the effect of the Rx medication. Address the effect of the medical condition in the modification of dentalhygiene treatment, any contraindications for using ultrasonics or air powder polishing. Address the modification of oral hygiene home care instruction, including the use of fluorides, mouthrinses, and saliva substitutes.