Gingival capillary changes and oral motor weakness in juvenile dermatomyositis

Abstract

The unique gingival pattern associated with cutaneous disease activity, distinct from periodontal disease, suggests that gingiva is a possible target tissue for JDM. In addition, muscle weakness may be a relevant factor for mandibular mobility.

Periodontal disease in pediatric rheumatic diseases

“…58 The reduction of mandibular mobility, particularly mouth opening in active JDM patients reinforces the possibility that this fi nding is an additional manifestation of JDM in the masticatory system and a consequence of muscle weakness. 59 One relevant aspect evidenced in JDM patients was a unique gingival pattern, characterized by gingival erythema, capillary dilation and bush-loop formation (similar to periungual capillary changes observed in nailfold capillaroscopy) associated with cutaneous disease activity. This fi nding reported by our group was distinct from PD, suggesting that gingiva is a possible target tissue for JDM.…”

“…58,59 Alterations in the masticatory system have been identifi ed in JDM patients, such as: hyposalivation, mucosal alterations, mainly in the form of telangiectasia, [58][59][60][61][62][63] and weakness of the masticatory muscles. 58 The reduction of mandibular mobility, particularly mouth opening in active JDM patients reinforces the possibility that this fi nding is an additional manifestation of JDM in the masticatory system and a consequence of muscle weakness.…”

Juvenile dermatomyositis: is periodontal disease associated with dyslipidemia?

“…Juvenile dermatomyositis (JDM) is a multisystemic disease of unknown etiology characterized by chronic inflammation of striated muscles and skin [1,2]. The survival rate, outcome and health related quality of life of JDM populations has been improving in the last years and some aspects, such as periodontal diseases [3,4] and dyslipidemia [5][6][7][8][9] are particularly relevant for these patients.…”

“…Periodontal disease comprises gingivitis and periodontitis. It is defined as an immune inflammatory periodontal disorder characterized by chronic localized infections associated with inflammation [3]. Periodontitis is a progressive phenomenon, beginning with gingivitis, followed by the destruction of the periodontal ligaments and bone reabsorption and ending in dental attachment loss [4].…”

Avaliação da sensibilidade mecânica, ansiedade e neuroplasticidade cortical motora em ratos submetidos à doença periodontal experimental

“…A doença periodontal (DP) é frequente na população mundial e embora tenha tratamento conhecido e eficaz nem sempre é reconhecida, uma vez que seus sinais e sintomas são considerados irrelevantes pelos pacientes. Savioli et al, 2004;Savioli et al, 2010;Savioli et al, 2012;Siqueira et al, 2010;Fernandes et al, 2007;Fabri et al, 2009;Fabri et al, 2014a;Fabri et al, 2014b;Fabri et al, 2014c;Rolim et al, 2014 . Em outro estudo brasileiro contendo uma amostra maior de pacientes adultos e idosos foi verificado que a prevalência de dor no segmento orofacial foi de 55,5%.…”