ORAL MANIFESTATIONS IN PATIENTS WITH SJOGRENS-SYNDROME

Objective. To investigate oral signs and symptoms in patients with Sjo gren's syndrome (SS), and to compare results with a group of healthy i ndividuals. Methods. Each individual completed a questionnaire designe d to investigate his/her perception of oral health and dryness, as wel l as a list of signs and symptoms associated with xerostomia. An oral clinical evaluation was performed. Results. A total of 81 subjects wer e studied. 21 with primary SS, 29 with secondary SS, and 31 healthy in dividuals. Patients with SS considered that their oral health was poor . Oral dryness was perceived as intense. Symptoms most commonly expres sed were: sensitivity to acids (68%), difficulty eating dry foods (66% ), and sensitivity to spicy foods (58%). Dryness of the lips (76%) and the tongue (68%) were also among the most frequent complaints. Oral f indings of patients with SS included cervical or atypical caries in 83 %, fissured erythematous tongue in 70%, and oral candidiasis in 74%. S ignificant differences were found when results obtained from patients with SS were compared with the healthy group. Conclusion. The oral hea lth of this group of patients with SS was deficient, Adequate manageme nt of dry mouth was not achieved, mainly for the modifiable components such as dental decay and oral candidiasis. Therefore, treatment and p revention plans are mandatory. These measures might help to reduce the discomfort associated with oral dryness and to reduce dental loss.