Oral Medicine Unit, Departamento de Clínica e Odontologia Preventiva, Universidade Federal de Pernambuco, Recife, Brazil.
UCL Eastman Dental Institute, London, UK.
Oral Dis. 2019 Nov;25(8):1995-2002. doi: 10.1111/odi.13174. Epub 2019 Sep 13.
The aim of this study was to evaluate the orofacial parameters of systemic sclerosis (SSc) and its related systemic features.
A descriptive case-control study was performed from November 2015 to October 2016. Ninety-three individuals were included and divided into SSc group (n = 50) and healthy controls (C, n = 43).
Systemic sclerosis individuals were mostly women (43/50, 86%), with a mean age of 46 years (±11.6 years). Telangiectasia (42/50, 84%) and reduced mouth opening (35/50, 70%) were the most frequent orofacial findings. The periodontitis frequency was much higher in SSc individuals than in healthy controls (90.7% × 48.83%; p < .001). In addition, SSc individuals presented a distinctive pattern of periodontitis, with low probing pocket depth (2 ± 0.65 mm × 2 ± 0.24; p < .001), higher gingival recession (4 ± 2.13 × 0.14 ± 0,22; p < .001), higher periodontal attachment loss (6 ± 1.34 mm × 2 ± 0.43, p < .001), and lower gingival bleeding index values (7.05 ± 7.25 × 21.57 ± 15.66; p < .001).
Orofacial manifestations were common in SSc and included a unique pattern of periodontal manifestation, characterized by lower gingival bleeding index, higher periodontal attachment loss, and low probing depth.
本研究旨在评估系统性硬化症（SSc）的口面参数及其相关系统特征。
这是一项 2015 年 11 月至 2016 年 10 月进行的描述性病例对照研究。共纳入 93 名参与者，分为 SSc 组（n=50）和健康对照组（C 组，n=43）。
SSc 患者多为女性（43/50，86%），平均年龄为 46 岁（±11.6 岁）。最常见的口面表现为毛细血管扩张（42/50，84%）和张口受限（35/50，70%）。SSc 患者的牙周炎发生率明显高于健康对照组（90.7%×48.83%；p<0.001）。此外，SSc 患者表现出一种独特的牙周炎模式，其探诊深度较浅（2±0.65mm×2±0.24mm；p<0.001），牙龈退缩程度较高（4±2.13mm×0.14±0.22mm；p<0.001），牙周附着丧失较多（6±1.34mm×2±0.43mm；p<0.001），牙龈出血指数值较低（7.05±7.25mm×21.57±15.66mm；p<0.001）。
口面表现常见于 SSc，包括牙周表现的独特模式，其特点是牙龈出血指数较低、牙周附着丧失较多、探诊深度较浅。
