Tooth Loss in Sjögren's Syndrome Patients Compared to Age and Gender Matched Controls

Overview

Journal Med Oral Patol Oral Cir Bucal

Specialty Dentistry

Date 2018 Aug 28

PMID 30148469

Citations 10

Authors

F Maarse

D-H-J Jager

T Forouzanfar

J Wolff

H-S Brand

Affiliations

Soon will be listed here.

Abstract

Background: To analyze the prevalence and location of tooth loss in Sjögren's syndrome (SS) patients and compare them with an age- and gender-matched control group.

Material And Methods: Dental charts and x-rays of 108 (SS) patients were retrieved from an academic dental center and special care dentistry department. For each SS patient, an age- and gender-matched non-SS patient was randomly selected. Medication, number of extractions and date and location of extractions were assessed. Differences between SS and non-SS patients were analyzed using Mann-Whitney U tests, Chi-square tests and Fisher's exact tests.

Results: Significantly more SS patients were edentulous compared to the non-SS group (14.8% versus 1.9%, p = 0.001). SS patients had a 61% higher risk to have experienced one or more extractions than control patients. In the SS group, there was a non-significant tendency for more maxillary teeth to have been extracted than mandibular teeth (42:34). In the control group, the number of extractions in the maxilla and mandible were comparable (21:20). When divided into sextants, the number of SS patients with one or more extractions was significantly higher than for non-SS patients for each sextant (p = 0.001 to p = 0.032). The largest difference in the proportion of patients with one or more extractions between the SS and non-SS patients occurred in the upper anterior sextant (3.4 times more frequent).

Conclusions: SS patients are more prone to experience dental extractions compared to patients without SS. It could be speculated that this is related to a decreased salivary secretion.

Citing Articles

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Letter to the Editor, "Sjögren's Disease Is Not a Clinical Risk Factor for Periodontitis".

Vissink A, Jager D, Maarse F, Brand H J Dent Res. 2024; 103(11):1153.

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Felix Gomez G, Wang M, Siddiqui Z, Gonzalez T, Capin O, Willis L BMC Oral Health. 2024; 24(1):203.

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[Clinical features of oral management to oral complications of Sjögren's syndrome].

Xing H, Wang L, Qiao D, Liu C, Pan J Beijing Da Xue Xue Bao Yi Xue Ban. 2023; 55(5):929-933.

PMID: 37807750 PMC: 10560903.

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