2013, Number 1
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Rev Mex Periodontol 2013; 4 (1)
Interdisciplinary treatment in a patient with Sjögren's syndrome. Case report
Plaza UML, Soto CAA, Ramírez AMÁ, Ruiz GAC, Uehara N, Huerta CA
Language: Spanish
References: 24
Page: 24-30
PDF size: 416.62 Kb.
ABSTRACT
Sjögren’s syndrome is an autoimmune disease characterized by a chronic inflammation of exocrine glands whose phenotypic manifestation is keratoconjunctivitis sicca and xerostomia, prone to the development of rampant caries, periodontal disease and bacterial and fungal infections. There on, according to its manifestations, can be classified as primary or secondary, and such classification guide the treatment of choice, which in most cases is mainly symptomatic. Primary Sjögren’s syndrome has a population prevalence of 0.5 to 1%, universal geographic distribution and affects all races; however, predominates in women 9:1 in relation to men.
Procedure: In this case report, the target was the point to the diagnosis and progression of interdisciplinary dental treatment of a patient with xerostomia and rampant caries. Based on medical and dental history, besides the anamnesis and clinical inspection, were based the following
Results: In the medical history, the patient was diagnosed with Sjögren’s syndrome at 28 years of age and periodontal level presents localized chronic periodontitis plaque induced gingivitis associated with factors such as rampant decay and loss of tooth substance.
Conclusions: The dental treatment of patients with SS is a difficult task because many elements can alter the course or treatment of the same. Therefore, knowledge of the nature of the relevant pathologies is essential to further various diagnostic and therapeutic strategies.
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