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SJÖGREN SENDROMUNDA ORAL BULGULAR

Year 2022, Volume: 32 Issue: 3, 250 - 252, 14.07.2022

Abstract

Sjögren sendromu (SS) toplumda birçok bireyde ve özellikle kadınlarda daha sık görülen, tükürük ve gözyaşı bezleri gibi ekzokrin salgı bezlerinde lenfositik infiltrason ve fibrosis oluşumu ile karakterize otoimmun romatizmal bir hastalıktır. Primer ve sekonder olmak üzere iki formu vardır. Hastalığın etiyolojisi ve patogenezi tam olarak açıklanamamıştır. Göz ve ağız kuruluğu ile birlikte yorgunluk ve halsizlik en sık rastlanan şikâyetler arasındadır. Hastalarda tükürük salgısının azalmasına bağlı olarak ağızda kuruluk, dudaklarda kuruluk, çatlama ve desguamasyon, oral mukozada ve dilde eritem, dilde yanma hissi, filiform papillalarının atrofisi, fissürler ve tat kaybı görülür. Genel popülasyonla karşılaştırıldığında, SS’li hastalarda diş çürüğü ve erken diş kaybı prevalansı yaklaşık iki kat daha yüksektir ve ağız sağlığı ile ilgili yaşam kaliteleri önemli ölçüde azalmıştır. Candida albicans ile tekrarlayan oral enfeksiyonlar genel popülasyona göre 10 kat daha sık görülür.
Anahtar kelimeler: Sjögren sendromu, oral bulgular, kserostomi

ABSTRACT
Sjögren's syndrome (SS) is an autoimmune rheumatic disease characterized by lymphocytic infiltration and fibrosis in exocrine glands such as salivary and lacrimal glands, which is more common in many individuals and especially women in the society. It has two forms, primary and secondary. The etiology and pathogenesis of the disease have not been fully explained. Along with dry eyes and mouth, fatigue and weakness are among the most common complaints. Dryness in the mouth, dryness of the lips, cracking and desguamation, erythema in the oral mucosa and tongue, burning sensation in the tongue, atrophy of the filiform papillae, fissures and loss of taste are observed in patients due to the decrease in saliva secretion. Compared to the general population, the prevalence of tooth decay and early tooth loss is nearly twice as high in patients with SS, and their oral health-related quality of life has decreased significantly. Recurrent oral infections with Candida albicans are 10 times more common than the general population.
Keywords: Sjögren's syndrome, oral findings, xerostomia

References

  • 1. Hsieh R. The role of dentist in the diagnosis of primary sjögren synd- rome. Adv Dent. 2020;1(1):1-2. [Crossref]
  • 2. Riega-Torres JCL, Villarreal-Gonzalez AJ, Ceceñas-Falcon LÁ, Sa- las-Alanis JC. Síndrome de Sjögren (SS), revisión del tema y saliva como método diagnóstic. Gac Med Mex. 2016;152(3):371-380.
  • 3. Bayetto K, Logan RM. Sjögren’s syndrome: a review of aetiology, pathogenesis, diagnosis and management. Australian Dent J. 2010;55(1):1:39-47. [Crossref]
  • 4. Fisselier F, Comut AA. Contemporary management and full mouth rehabilitation of a patient with Sjögren syndrome. J Prosthetic Dent. 2018;120(1):5-8. [Crossref]
  • 5. Mathews SA, Kurien BT, Scofield RH. Oral Manifestations of Sjögren’s Syndrom. J Dent Res. 2008;87(4):308-318. [Crossref] 6. Brito-Zerón P, Baldini C, Bootsma H, et al. Sjögren Syndrome. Nature Reviews Disease Primers. 2016;2:16047:1-20. [Crossref] 7. Both T, Dalm VA, Martin va Hagen P, LA va Daele P. Reviewing primary Sjögren’s syndrome: beyond the dryness - From pathophysiology to diagnosis and treatment. Int J Med Sci. 2017; 14(3):191–200. [Crossref]
  • 8. Harorlı A, Çağlayan F. Sjögren Sendromu teşhisinde ultrasonografi. Türkiye klinikleri. J Oral Maxillofac Radiol-Special Topics. 2016;2(3):31- 35.
  • 9. Soto-Rojas AE, Kraus A. The oral side of Sjögren Ssyndrome. Di- agnosis and treatment. A review. Arch Med Res. 2002;3(2):95-106. [Crossref]
  • 10. Limon M, Tezcan D, Gülcemal S, Yılmaz S, Akdam N. Primer Sjögren sendromunda serolojik tetkiklerin tükrük bezi biyopsi derecesi ve kli- nik ilişkisinin değerlendirilmesi. J Contemp Med. 2019;9(4):391-394. [Crossref]
  • 11. Bolstad AI, Skarstein K. Epidemiology of Sjögren’s Syndro- me-from an oral perspective. Curr Oral Health Rep. 2016;3:328- 336. [Crossref]
  • 12. Turner MD. Hyposalivation and xerostomia: etiology complications and medical management. Dent ClinN Am. 2016;60(2):435-443. [Crossref]
  • 13. Ramos-Casalas M, Tzioufas AG, Stone JH, et al. Treatment of primary Sjögren syndrome: a systematic review. JAMA. 2010;304(4):452- 460. [Crossref]
  • 14. Gil-Montoya JA Francisco-Javier S, Rocío B, Silvestre-Rangil J. Treat- ment of xerostomia and hyposalivation in the elderly. Med Oral Patol Oral Cir Buc. 2016;21(3):355-366. [Crossref]
  • 15. Isidor F, Brondum K, Hansen HJ, Jensen J, Sindet-Pedersen S. Outcome of treatment with implant-retained dental prostheses in patientswith Sjögren syndrome. Int J Oral Maxillofac Implants. 1999;14(5):736–743.
  • 16. Payne AG, Lownie JF, Van Der Linden WJ. Implant-supported prost- heses in patients withSjögren’s syndrome: a clinical report on three patients. Int J Oral Maxillofac Implants. 1997;12(5):679–685.
  • 17. Korfage A, Raghohebar GM, Arends S, Meiners PM, Visser A, Kroese FMG. Dental implants in patients with Sjögren’s Syndrome. Clin Imp- lant Dent Related Res. 2016;18(5):937-945. [Crossref]
  • 18. Gall LM, Correc D, Pers JO, et al. A prospective evaluation of dental and periodontal status in patients with suspected Sjögren’s syndro- me. Joint Bone Spin. 2016;3(2):35-36. [Crossref]
  • 19. Cartee Dl, Maker S, Dalonges D, Manski MC. Sjögren Syndrome: oral manifestations and Treatment, a dental perspective. J Dent Hyg. 2015;9(6):365-371.
  • 20. Yeşiltepe S, Miloğlu Ö, Sarıca İ, Törenek K. Romatizmal hastalıklar ve diş hekimi yaklaşımı. Atatürk Üni Diş Hek Fak Derg. 2018;28(4): 574–582. [Crossref]

Sjögren sendromunda oral bulgular

Year 2022, Volume: 32 Issue: 3, 250 - 252, 14.07.2022

Abstract

ÖZ
Sjögren sendromu (SS) toplumda birçok bireyde ve özellikle kadınlarda daha sık görülen, tükürük ve gözyaşı bezleri gibi ekzokrin salgı bezlerinde lenfositik infiltrason ve fibrosis oluşumu ile karakterize otoimmun romatizmal bir hastalıktır. Primer ve sekonder olmak üzere iki formu vardır. Hastalığın etiyolojisi ve patogenezi tam olarak açıklanamamıştır. Göz ve ağız kuruluğu ile birlikte yorgunluk ve halsizlik en sık rastlanan şikâyetler arasındadır. Hastalarda tükürük salgısının azalmasına bağlı olarak ağızda kuruluk, dudaklarda kuruluk, çatlama ve desguamasyon, oral mukozada ve dilde eritem, dilde yanma hissi, filiform papillalarının atrofisi, fissürler ve tat kaybı görülür. Genel popülasyonla karşılaştırıldığında, SS’li hastalarda diş çürüğü ve erken diş kaybı prevalansı yaklaşık iki kat daha yüksektir ve ağız sağlığı ile ilgili yaşam kaliteleri önemli ölçüde azalmıştır. Candida albicans ile tekrarlayan oral enfeksiyonlar genel popülasyona göre 10 kat daha sık görülür.
Anahtar kelimeler: Sjögren sendromu, oral bulgular, kserostomi

ABSTRACT
Sjögren's syndrome (SS) is an autoimmune rheumatic disease characterized by lymphocytic infiltration and fibrosis in exocrine glands such as salivary and lacrimal glands, which is more common in many individuals and especially women in the society. It has two forms, primary and secondary. The etiology and pathogenesis of the disease have not been fully explained. Along with dry eyes and mouth, fatigue and weakness are among the most common complaints. Dryness in the mouth, dryness of the lips, cracking and desguamation, erythema in the oral mucosa and tongue, burning sensation in the tongue, atrophy of the filiform papillae, fissures and loss of taste are observed in patients due to the decrease in saliva secretion. Compared to the general population, the prevalence of tooth decay and early tooth loss is nearly twice as high in patients with SS, and their oral health-related quality of life has decreased significantly. Recurrent oral infections with Candida albicans are 10 times more common than the general population.
Keywords: Sjögren's syndrome, oral findings, xerostomia

References

  • 1. Hsieh R. The role of dentist in the diagnosis of primary sjögren synd- rome. Adv Dent. 2020;1(1):1-2. [Crossref]
  • 2. Riega-Torres JCL, Villarreal-Gonzalez AJ, Ceceñas-Falcon LÁ, Sa- las-Alanis JC. Síndrome de Sjögren (SS), revisión del tema y saliva como método diagnóstic. Gac Med Mex. 2016;152(3):371-380.
  • 3. Bayetto K, Logan RM. Sjögren’s syndrome: a review of aetiology, pathogenesis, diagnosis and management. Australian Dent J. 2010;55(1):1:39-47. [Crossref]
  • 4. Fisselier F, Comut AA. Contemporary management and full mouth rehabilitation of a patient with Sjögren syndrome. J Prosthetic Dent. 2018;120(1):5-8. [Crossref]
  • 5. Mathews SA, Kurien BT, Scofield RH. Oral Manifestations of Sjögren’s Syndrom. J Dent Res. 2008;87(4):308-318. [Crossref] 6. Brito-Zerón P, Baldini C, Bootsma H, et al. Sjögren Syndrome. Nature Reviews Disease Primers. 2016;2:16047:1-20. [Crossref] 7. Both T, Dalm VA, Martin va Hagen P, LA va Daele P. Reviewing primary Sjögren’s syndrome: beyond the dryness - From pathophysiology to diagnosis and treatment. Int J Med Sci. 2017; 14(3):191–200. [Crossref]
  • 8. Harorlı A, Çağlayan F. Sjögren Sendromu teşhisinde ultrasonografi. Türkiye klinikleri. J Oral Maxillofac Radiol-Special Topics. 2016;2(3):31- 35.
  • 9. Soto-Rojas AE, Kraus A. The oral side of Sjögren Ssyndrome. Di- agnosis and treatment. A review. Arch Med Res. 2002;3(2):95-106. [Crossref]
  • 10. Limon M, Tezcan D, Gülcemal S, Yılmaz S, Akdam N. Primer Sjögren sendromunda serolojik tetkiklerin tükrük bezi biyopsi derecesi ve kli- nik ilişkisinin değerlendirilmesi. J Contemp Med. 2019;9(4):391-394. [Crossref]
  • 11. Bolstad AI, Skarstein K. Epidemiology of Sjögren’s Syndro- me-from an oral perspective. Curr Oral Health Rep. 2016;3:328- 336. [Crossref]
  • 12. Turner MD. Hyposalivation and xerostomia: etiology complications and medical management. Dent ClinN Am. 2016;60(2):435-443. [Crossref]
  • 13. Ramos-Casalas M, Tzioufas AG, Stone JH, et al. Treatment of primary Sjögren syndrome: a systematic review. JAMA. 2010;304(4):452- 460. [Crossref]
  • 14. Gil-Montoya JA Francisco-Javier S, Rocío B, Silvestre-Rangil J. Treat- ment of xerostomia and hyposalivation in the elderly. Med Oral Patol Oral Cir Buc. 2016;21(3):355-366. [Crossref]
  • 15. Isidor F, Brondum K, Hansen HJ, Jensen J, Sindet-Pedersen S. Outcome of treatment with implant-retained dental prostheses in patientswith Sjögren syndrome. Int J Oral Maxillofac Implants. 1999;14(5):736–743.
  • 16. Payne AG, Lownie JF, Van Der Linden WJ. Implant-supported prost- heses in patients withSjögren’s syndrome: a clinical report on three patients. Int J Oral Maxillofac Implants. 1997;12(5):679–685.
  • 17. Korfage A, Raghohebar GM, Arends S, Meiners PM, Visser A, Kroese FMG. Dental implants in patients with Sjögren’s Syndrome. Clin Imp- lant Dent Related Res. 2016;18(5):937-945. [Crossref]
  • 18. Gall LM, Correc D, Pers JO, et al. A prospective evaluation of dental and periodontal status in patients with suspected Sjögren’s syndro- me. Joint Bone Spin. 2016;3(2):35-36. [Crossref]
  • 19. Cartee Dl, Maker S, Dalonges D, Manski MC. Sjögren Syndrome: oral manifestations and Treatment, a dental perspective. J Dent Hyg. 2015;9(6):365-371.
  • 20. Yeşiltepe S, Miloğlu Ö, Sarıca İ, Törenek K. Romatizmal hastalıklar ve diş hekimi yaklaşımı. Atatürk Üni Diş Hek Fak Derg. 2018;28(4): 574–582. [Crossref]
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Case Reports
Authors

Saadettin Dağıstan This is me

Esra Aydemir Kadan This is me

Talat Ezmeci This is me

Publication Date July 14, 2022
Submission Date November 24, 2020
Published in Issue Year 2022 Volume: 32 Issue: 3

Cite

AMA Dağıstan S, Aydemir Kadan E, Ezmeci T. SJÖGREN SENDROMUNDA ORAL BULGULAR. Curr Res Dent Sci. July 2022;32(3):250-252.

Current Research in Dental Sciences is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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