Izzetti Rossana, Cinquini Chiara, Fulvio Giovanni, Nisi Marco, Baldini Chiara, Barone Antonio
Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.
Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
J Clin Med. 2025 Mar 17;14(6):2027. doi: 10.3390/jcm14062027.
: Sjögren's disease (SD) is an autoimmune condition causing progressive salivary and lacrimal glands dysfunction following lymphocytic infiltration in the glandular tissue. SD patients are more prone to oral health impairment due to a reduction in salivary flow. This study evaluated the relationship between oral health, functional tests, and patient reported outcomes in a cohort of SD patients. : Patients diagnosed with SD underwent complete dental examination, with the recording of the decayed-missing-filled teeth index (DMFT), probing pocket depth (PPD), full mouth bleeding score (FMBS), and full mouth plaque score (FMPS). Hyposalivation was assessed using the unstimulated whole saliva flow rate (UWS). Patients were administered the European League Against Rheumatism (EULAR) Sjögren's Syndrome Patient Reported Index, EULAR Sjögren's syndrome disease activity index, Oral Health Impact Profile-14 (OHIP-14), Patient Acceptable Symptom State questionnaires, and a visual analog scale for xerostomia (VASx). : Fifty patients in total were enrolled. Reduced UWS was associated with higher DMFT, FMBS, and FMPS. Significant correlation was observed for UWS with VASx and OHIP-14 ( < 0.05). : Quality of life and oral health appear mildly impaired in SD patients as an effect of reduced salivary flow, with higher DMFT and tendency towards gingival inflammation and plaque accumulation.
干燥综合征(SD)是一种自身免疫性疾病,在腺组织淋巴细胞浸润后导致唾液腺和泪腺进行性功能障碍。由于唾液分泌减少,SD患者更容易出现口腔健康问题。本研究评估了一组SD患者的口腔健康、功能测试与患者报告结局之间的关系。:被诊断为SD的患者接受了全面的牙科检查,记录了龋失补牙指数(DMFT)、探诊深度(PPD)、全口出血评分(FMBS)和全口菌斑评分(FMPS)。使用非刺激性全唾液流速(UWS)评估唾液分泌减少情况。患者接受了欧洲抗风湿病联盟(EULAR)干燥综合征患者报告指数、EULAR干燥综合征疾病活动指数、口腔健康影响程度量表-14(OHIP-14)、患者可接受症状状态问卷以及口干视觉模拟量表(VASx)的评估。:总共招募了50名患者。UWS降低与较高的DMFT、FMBS和FMPS相关。观察到UWS与VASx和OHIP-14之间存在显著相关性(<0.05)。:由于唾液分泌减少,SD患者的生活质量和口腔健康似乎受到轻度损害,DMFT较高,且有牙龈炎症和菌斑堆积的倾向。