Protocolised odontological assessment of patients with primary Sjögren’s syndrome

Castro, M. Fernández; López‐Pintor, Rosa María; Serrano, Julia; Ramı́rez, Lucı́a; Sanz, Mariano; Andreu, José Luís; Fernández, Santiago Muñoz

doi:10.1016/j.reumae.2018.12.013

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…We demonstrated that patients who developed systemic complications during the course of the disease tended to have poorer OHRQoL. Our findings differ from the results of the only research that explored this relationship in which no correlation was found between extraglandular manifestations and OHIP-14 [ 14 ]. The type of medication used also affected participants’ OHRQoL.…”

Section: Discussioncontrasting

confidence: 99%

“…Another research study also reported a poor OHRQoL in 39 pSS subjects [ 5 ]. In a multicentric descriptive study, participants with pathological oral signs recorded significantly higher OHIP-14 results than those without them, which is in line with our findings [ 14 ]. Research conducted in Japan monitored changes in OHRQoL of pSS patients over a three-year period.…”

Section: Discussionsupporting

confidence: 91%

“…The sample size was calculated using G*Power software (v3.1.9.7; Faculty of Mathematics and Natural Sciences, Dusseldorf, Germany) based on the data on mean values of OHIP-14 in pSS patients from a recent study by Fernández Castro et al [ 14 ]. In order to detect a difference in proportions of at least 30% between the two groups at a statistical significance level of 0.05 and power of 80%, a sample size of 40 subjects in each group was needed to meet the study requirements.…”

Section: Methodsmentioning

confidence: 99%

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Oral Health and Oral Health-Related Quality of Life in Patients with Primary Sjögren’s Syndrome

et al. 2023

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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.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

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Oral Health and Oral Health-Related Quality of Life in Patients with Primary Sjögren’s Syndrome

et al. 2023

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Usefulness of implementing the OHIP‐14 questionnaire to assess the impact of xerostomia and hyposalivation on quality of life in patients with primary Sjögren's syndrome

Valle

López‐Pintor

Fernández‐Castro

et al. 2022

J Oral Pathology Medicine

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Background: The aim of this study is to analyze if the results of the Oral Health Impact Profile-14 questionnaire (OHIP-14) in patients with primary Sjögren's syndrome (pSS) are correlated with salivary flow and level of xerostomia.Methods: This observational cross-sectional study was conducted in 61 patients (60 women, one man, mean age 57.64 [13.52]) diagnosed of pSS according to the American-European Criteria (2002). After recording demographic, medical and dental data (decayed-missing-filled teeth index [DMFT]), unstimulated (UWS) and stimulated (SWS) salivary flows were collected. Subsequently, UWS flow was categorized into two groups (<0.1 ml/min and ≥0.1 ml/min) and SWS into three groups (<0.1 ml/min, 0.1-0.7 ml/min and >0.7 ml/min). Patients also filled out a visual analog scale (VAS) for xerostomia and OHIP-14 for self-reported quality of life (QoL).Results: Data showed positive and significant correlation between OHIP-14 and xerostomia, based on VAS results (r = 0.52; p = 0.001). Furthermore, there was a negative correlation between UWS and OHIP-14 scores (r = À0.34; p = 0.006) and VAS for xerostomia (r = À0.22; p = 0.09). No significant correlation was found between SWS and OHIP-14 or VAS neither between DMFT and OHIP-14. When assessing the level of QoL by the UWS and SWS flow categories a significant association was found for UWS (p = 0.001) but not for SWS (p = 0.11). The OHIP-14 values were higher in the groups with lower salivary flow. The multiple linear regression to predict OHIP-14 only selected VAS for xerostomia as a statistically significant predictor.Conclusions: Increased level of xerostomia and reduced UWS flow decrease oral health-related QoL in patients with pSS.

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Illness Experience and Quality of Life in Sjögren Syndrome Patients

Alcayaga

Herrera

Espinoza

et al. 2022

IJERPH

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Sjögren’s syndrome (SS) is a disease with autoimmune features that affects mainly women and compromises the health-related quality of Life (HRQoL); it is important to evaluate illness experience for a better understanding of the life situation of the patient. The aim of the study was to summarize the individual life experiences and determine the impact of HRQoL and oral health-related quality of life (OHRQoL) and their correlation with health self-assessment in women with SS. The life experiences evaluation employed a concept mapping design to structure qualitative content obtained from semi-structured interviews. Hierarchical cluster analysis was used to analyze the patient’s experiences. EQ-5D-5L and OHIP-14Sp were used. The correlation between appreciation of the general health status and OHIP-14 was evaluated. The experience classification by patients were analyzed and a dendrogram was obtained, identifying 10 clusters of disease experiences of SS, being limitations, pain and difficulties, coping and attitudes towards treatment the most common. Pain/discomfort in EQ-5D-5L and physical pain and psychological discomfort in OHIP-14 were the most affected dimensions in the patients. The results support the theoretical perspective that the experience of illness is relevant to describing the main difficulties of patients with SS and how it affects their quality of life.

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Protocolised odontological assessment of patients with primary Sjögren’s syndrome

Cited by 6 publications

References 26 publications

Oral Health and Oral Health-Related Quality of Life in Patients with Primary Sjögren’s Syndrome

Oral Health and Oral Health-Related Quality of Life in Patients with Primary Sjögren’s Syndrome

Usefulness of implementing the OHIP‐14 questionnaire to assess the impact of xerostomia and hyposalivation on quality of life in patients with primary Sjögren's syndrome

Illness Experience and Quality of Life in Sjögren Syndrome Patients

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