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Oral Health and Oral Health

Background and Objectives: Oral disorders, frequently observed in patients with primary Sjögren's syndrome, can profoundly affect patients' daily lives and well-being, as oral health represents a fundamental part of general health. Saliva plays an essential part in maintaining and protecting oral health, so the decrease in its quantity and quality leads to chronic oral discomfort alongside a broad spectrum of problems. The objective of the present study was to evaluate the oral health of patients with primary Sjögren's syndrome and establish its effect on the different domains of their oral health-related quality of life (OHRQoL). Materials and Methods: The research was designed as an observational case-control study with prospective data collection. Eighty patients, divided into two groups based on their oral status, participated in the study. All subjects underwent a complete oral examination. The OHRQoL was assessed using the Oral Health Impact Profile-14 (OHIP-14). Results: The most prevalent oral manifestation was exfoliative cheilitis, while 30% of subjects complained of chewing and swallowing difficulties. The OHIP-14 summary score was significantly higher in the patients with oral lesions (26.0 (5.0) vs. 17.0 (4.0), respectively; p < 0.001). Oral manifestations, systemic involvement, medication, and periodontal indexes were significantly associated with OHIP-14 scores. Conclusions: Patients with oral alterations had a substantially decreased OHRQoL. These findings emphasize the importance of oral diseases for patients' well-being. Therefore, it is essential for dentists to be included in the multidisciplinary teams managing primary Sjögren's syndrome, as improving patients' oral status would lead to better oral health and enhanced OHRQoL.

中文翻译:

原发性干燥综合征患者的口腔健康和口腔健康相关生活质量。

背景和目的:在原发性干燥综合征患者中经常观察到的口腔疾病会深刻影响患者的日常生活和健康,因为口腔健康是全身健康的基本组成部分。唾液在维持和保护口腔健康方面起着重要作用,因此其数量和质量的下降会导致慢性口腔不适以及一系列广泛的问题。本研究的目的是评估原发性干燥综合征患者的口腔健康状况,并确定其对口腔健康相关生活质量 (OHRQoL) 不同领域的影响。材料和方法:该研究被设计为具有前瞻性数据收集的观察性病例对照研究。八十名患者,根据口腔状况分为两组,参与了这项研究。所有受试者都接受了完整的口试。使用 Oral Health Impact Profile-14 (OHIP-14) 评估 OHRQoL。结果:最普遍的口腔表现是剥脱性唇炎,而 30% 的受试者抱怨咀嚼和吞咽困难。口腔病变患者的 OHIP-14 总分明显更高(分别为 26.0 (5.0) 和 17.0 (4.0);p < 0.001)。口腔表现、全身受累、药物治疗和牙周指数与 OHIP-14 评分显着相关。结论:口腔改变患者的 OHRQoL 显着降低。这些发现强调了口腔疾病对患者健康的重要性。因此,牙医必须参与管理初级干燥综合征的多学科团队

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