Dental implants in dentate primary and secondary Sjögren's syndrome patients: A multicenter prospective cohort study

Maarse, Floor; Fennis, W.M.M.; Twisk, Jos W. R.; Korfage, Anke; Santing, Hendrik J.; Hartog, Laurens den; Muradin, M.S.M.; Maningky, Melvin S.; Raghoebar, Gerry M.; Vissink, Arjan; Brand, H.S.; Jager, De

doi:10.1111/clr.13998

Cited by 6 publications

(3 citation statements)

References 62 publications

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“…Several studies have shown promising results for dental implants in patients with Sjögren's syndrome. These studies report high implant survival rates, ranging from 97% [24] to 100% [25], for complete-arch implant-supported restorations. However, it's important to note that the longest follow-up period in these studies was 36-57.6 months [10].…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Kokoti,

Zisis,

Andreadis

et al. 2024

Cureus

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Sjögren's syndrome is a chronic, inflammatory autoimmune disorder characterized by lymphocyte infiltration of the exocrine glands. Notably, the rehabilitation of partially edentulous patients with Sjögren's syndrome is limited by the scarce availability of studies that could inform therapeutic modalities and potential challenges during clinical procedures. This case report aimed to present the oral rehabilitation of a patient with Sjögren's syndrome who received fixed partial dentures (FPDs). A 28-year-old female patient sought treatment to restore her missing teeth. She was diagnosed with Sjögren's syndrome by a rheumatologist adhering to the revised version of the European criteria proposed by the American-European Consensus Group and was on a medication regimen including prednisolone, hydroxychloroquine, pantoprazole, pilocarpine, and tear substitutes to manage her condition. The final treatment plan consisted of extractions, management of gingivitis, post-and-core restorations, and a 2 mm vertical dimension increase with the placement of 15 porcelain-fused-to-metal (PFM) crowns and 4 short-span bridges. The patient underwent regular clinical and radiographic evaluations every 3 months since June 2020. Throughout this period, the fixed prostheses, teeth, and periodontal tissues demonstrated remarkable stability and exhibited no complications. This three-year case study provides evidence that meticulous planning and clinical execution can facilitate successful oral rehabilitation in young edentulous patients with Sjögren's syndrome. Tooth-supported fixed prostheses can effectively restore oral function and aesthetic appeal in these individuals, provided they undergo more frequent dental examinations than the general population and maintain a cooperative attitude throughout the treatment process.

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Section: Discussionmentioning

confidence: 99%

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Kokoti,

Zisis,

Andreadis

et al. 2024

Cureus

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show abstract

“…Primary Sjögren's syndrome (pSS) and secondary SS (sSS) represent a spectrum of autoimmune disorders that primarily affect the salivary and lacrimal glands, culminating in symptoms such as dryness syndrome. 1 In clinical practice, the precise and rapid diagnosis of pSS and sSS holds paramount significance in formulating effective therapeutic strategies. In recent years, salivary gland ultrasonography (SGUS) and shear wave elastography (SWE), among other imaging modalities, have increasingly attracted attention, offering novel perspectives for the diagnosis of SS.…”

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Performance of salivary glands ultrasonography, shear wave elastography and their combined use for the diagnosis of primary and secondary Sjögren's syndrome

Cheng,

Yang,

2024

J Applied Clin Med Phys

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BackgroundSjögren's syndrome (SS) is a common rheumatic disease for which finding the right imaging tool remains a challenge.PurposeThis study aimed to evaluate the performance of salivary gland ultrasonography (SGUS), shear wave elastography (SWE) and their combined use for the diagnosis of primary and secondary SS (pSS and sSS).MethodsThis retrospective study included patients with dry symptoms who underwent routine examinations between May 2019 and December 2023. Patients were categorized into the pSS (n = 41), sSS (n = 26), and control (n = 27) groups based on the American College of Rheumatology/European League Against Rheumatism classification criteria (2016). A comparison of SGUS and shear wave velocity (SWV) results was conducted among the three groups. The diagnostic capabilities of different ultrasound methods for SS were evaluated using receiver operating characteristic (ROC) curves and the area under the curve (AUC) for specificity.ResultsCompared to the control group, both the pSS (1.80 ± 1.03 vs. 0.67 ± 0.48, p < 0.001) and the sSS (1.85 ± 0.88 vs. 0.67 ± 0.48, p < 0.001) groups exhibited significantly elevated SGUS scores. However, there was no statistically significant difference between the pSS and sSS groups (p = 0.849). The SWV values in both the pSS and sSS groups were significantly higher than those in the control group (all p < 0.001). The AUC for diagnosing SS using only SGUS scores was 0.823 (95% confidence interval [CI]: 0.731–0.894). Combining SGUS scores and SWV values resulted in improved diagnostic accuracy (AUC: 0.883, 95% CI: 0.801–0.940).ConclusionsSGUS and SWE are pivotal in the diagnosis of Sjögren's syndrome, with their synergistic application poised to bolster diagnostic precision. This combined approach also furnishes substantial backing for the clinical assessment and management of Sjögren's syndrome.

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Impact of the oral repercussions of Sjogren's Syndrome on patient's quality of life: a systematic review and meta-analysis

Villarinho,

Só,

Schuch

et al. 2024

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Dental implants in dentate primary and secondary Sjögren's syndrome patients: A multicenter prospective cohort study

Cited by 6 publications

References 62 publications

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Performance of salivary glands ultrasonography, shear wave elastography and their combined use for the diagnosis of primary and secondary Sjögren's syndrome

Impact of the oral repercussions of Sjogren's Syndrome on patient's quality of life: a systematic review and meta-analysis

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