Condição oral dos pacientes com síndrome de Sjögren: uma revisão sistemática
Abstract
Introdução: A Síndrome de Sjögren é uma doença auto-imune crônica, na qual o sistema imune do paciente ataca as glândulas salivares e lacrimais. No meio ambiente oral, ela provoca uma série de alterações dentre as quais se sobressai a xerostomia. Objetivo: Este estudo teve por objetivo investigar as manifestações orais da Síndrome de Sjögren e suas conseqüências na estrutura dentária. Materiais e métodos: Foram utilizados como fonte de pesquisa consultas manuais em periódicos especializados da área, sites e nas bases de dados eletrônicas MEDLINE, LILACS e BBO. Foram incluídos estudos transversais, caso-controle e coorte com avaliação clínica realizada através dos índices de cárie dentária e de doença periodontal. Os idiomas selecionados foram português, inglês e espanhol, considerando o período de 1990 a 2003. As estratégias de busca foram realizadas utilizando-se as seguintes palavras: sjögren, dmf, carie, decay, periodontal, plaque, gingivite. Resultados: No total, 78 estudos foram encontrados, sendo que destes, apenas 10 foram selecionados (todos da MEDLINE) por estarem de acordo com aos critérios de inclusão. Conclusões: Os estudos analisados demonstram que o principal sintoma da síndrome de Sjögren é a xerostomia e que existe uma fraca relação entre os pacientes sindrômicos e os índices de cárie e nenhuma relação com a doença periodontal.
UNITERMOS: Sjögren; CPO-D; cárie; cariado; periodontal; placa; gengivite.
SUMMARY
Introduction: Sjögren’s syndrome is an auto-immune disease that attack salivaries glands. It causes several alterations at oral environment like xerosis. Objective: The aim of this study was to investigate oral conditions in Sjögren’s syndrome patients and their consequences on dental structure. Materials and method: The sources utilized in this were specific newsletter’s manual searches, sites and eletronic bases such MEDLINE, LILACS and BBO. Case-controll, Cohorte and sectional studies were included, besides clinical avalition using dental caries and periodontal index. Portuguese, english and spanish idioms were selected ; and the time period was since 1990 untill 2003. Searching strategies used included the following words: sjögren, dmf, carie, decay, periodontal, plaque and gengivite. Results: Seventy-eight studies were finded, but only ten (all of them from MEDLINE) were really used in this systematic review, because they were according to inclussion criterion. Conclusion: The articles analyzed demostrated the principal symptoms of Sjögren’s syndrome was xerosis. They also showed a weak relation between the sindromic and assindromic patients and dental caries index and any relation to periodontal index.
UNITERMS: Sjögren; dmf; carie; decay; periodontal; plaque; gingivite.
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
