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DENTAL TREATMENT APPROACH IN A PATIENT WITH SJÖGREN'S SYNDROME: A CASE REPORT

Year 2024, Volume: 3 Issue: 2, 1 - 7, 18.07.2024

Abstract

Sjögren's syndrome (SS) is a systemic autoimmune disease characterized by dry eyes and decreased salivary secretion as a result of the destruction of the exocrine glands due to lymphocytic infiltration. There are primary and secondary forms. In this case report, it is aimed to describe the oral symptoms in a patient with Secondary Sjögren's Syndrome (SS) seen together with Rheumatoid Arthritis (RA) and the rehabilitation of this patient's extensive dental caries with direct composite resin.

References

  • Amaro, I, Saraiva, J, Gomes, AC, Araújo, A, Marto, CM, Coelho, A, et al. (2021) “Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two CaseReports”. Symmetry, 13, 1848.
  • André, F, Böckle, BC (2022). ”Sjögren’s syndrome”. JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 20(7), 980-1002.
  • Ay, ZY, Bozkurt, FY, Akkuş, S. (2007). “Romatoid artrit hastalarının periodontal sağlık durumunun değerlendirilmesi”. SDÜ Tıp Fakültesi Dergisi, 14(3), 26-29.
  • Both T, Dalm VA, Martin va Hagen P, LA va Daele P (2017). “Reviewing primary Sjögren’s syndrome: beyond the dryness - From pathophysiology to diagnosis and treatment”. Int J Med Sci, 14(3):191–200.
  • Brown LE, Frits ML, Iannaccone CK, Weinblatt, ME, Shadick, NA, Liao, KP (2015). “Clinical characteristics of RA patients with secondary SS and association with joint damage”. Rheumatology, 54(5): 816–20.
  • Castelnuovo, J, Tjan, AH, Phillips, K, Nicholls, JI, Kois JC (2000). “Fracture load and mode of failure of ceramic veneers with different preparations”. J Prosthet Dent, 83(2):171-180.
  • Ergun, S, Çekici, A, Topcuoğlu, N, Migliari, DA, Külekçi, G, Tanyeri, H, Isık, G (2010). “Oral status and Candidia colonization in patients with sjögren’s syndrome”. Med Oral Patol Oral Cir Bucal, 15(2): 310-315.
  • Fejerskov, O, Nyvad, B, & Kidd, E. (Ed.). (2008). “Dental caries: the disease and its clinical management. John Wiley & Sons.
  • Hashımı, IA (2001). “The management of Sjögren’s syndrome in dental practice”. JADA; 132:1409- 1417.
  • He, J, Ding, Y, Feng, M et al (2013). “Characteristics of Sjogren’s syndrome in rheumatoid arthritis.” Rheumatology, 52(6): 1084 9.
  • Hwang, SK, Ha, JH, Jin, MU, Kim, SK, Kim, YK (2012). “Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report”. Restor Dent Endod, 37(3):165-169.
  • Gil-Montoya JA Francisco-Javier S, Rocío B, Silvestre-Rangil J (2016). Treatment of xerostomia and hyposalivation in the elderly”. Med Oral Patol Oral Cir Buc, 21(3):355-366
  • Ji, J, Sundquist, J, Sundquist, K (2016). “Gender-specific incidence of autoimmune diseases from national registers”. J Autoimmun; 69: 102 6.
  • Kavrık, F, Savaş,S, Küçükyılmaz, E, Uzer Çelik, E (2016). “Yüksek Çürük Riskli Adolesanlarda Farklı Tedavi Yaklaşımları”, Turkiye Klinikleri J Dental Sci Cases, 2(1):35-43.
  • Kılavuz, DK, Yıldırım, Ö, Şimşek MB (2022). "Gazi Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahi Kliniğine Başvuran Hastaların Ağız Kuruluğu Prevalansının Araştırılması." ADO Klinik Bilimler Dergisi 11.1 18-24.
  • Laegreid, T., Gjerdet, N. R., Johansson, A., & Johansson, A. K. (2014). “Clinical decision making on extensive molar restorations". Operative dentistry, 39(6), E231-E240.
  • Kois, DE, Isvilanonda, V, Chaiyabutr, Y, & Kois, JC (2013). “Evaluation of fracture resistance and failure risks of posterior partial coverage restorations". Journal of esthetic and restorative dentistry, 25(2), 110-122.
  • Lynch, CD, Opdam, NJ, Hickel, R, Brunton, PA, Gurgan, S, Kakaboura, A, et al. (2014). “Guidance on posterior resin composites: Academy of operative dentistry-European section". Journal of dentistry, 42(4), 377-383.
  • Nakagawa, (2011). “Management of drymouth in Sjogren’s syndrome". Jpn Dent Sci Rev, 47(115-23).
  • Patel, R, Shahane. A (2014). “The epidemiology of Sjogren’s syndrome. Clin Epidemiol, 6: 247–55.
  • Ramos-Casals, M, Brito-Zero,n P, Font J (2007). “The overlap of Sjogren’s syndrome with other systemic autoimmune diseases". Semin Arthritis Rheum, 36(4): 246–55.
  • Ramos-Casalas M, Tzioufas AG, Stone JH, et al. (2010). “Treatment of primary Sjögren syndrome: a systematic review". JAMA, 304(4):452-460.
  • Regezi, JA SJ, Jordan, RJK. (2008). “Oral pathology clinical pathologic correlations". Elsevier science;92-98.
  • Swarn, A, Swift, EJ Jr (2012). “Management of high caries risk patients: part I-risk assessment". J Esthet Restor Dent, 24(4):233-5.
  • Sunnegardh-Grönberg, K, van Dijken, JW, Funegard, U, Lindberg, A, Nilsson, M (2009). “Selection of dental materials and longevity of replaced restorations in public dental health clinics in Northern Sweden". J Dent, 37(9):673-8.
  • Widya Nugrohowati, C, Hadriyanto, W, Nugraheni, T (2020). “Direct Composite Resin Restoration of Anterior Maxillary Teeth and Esthetic Smile Design: A Case Report". J Dent Indones. 27(2): 103-108
  • Yurttaş, M, Bozdemir E, Karagöz B (2022). "Oral bulgu veren otoimmun hastalıklar." Dental and Medical Journal-Review 4.2: 103-115.

SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU

Year 2024, Volume: 3 Issue: 2, 1 - 7, 18.07.2024

Abstract

Sjögren sendromu (SS) ekzokrin salgı bezlerinde, lenfositik infiltrasyona bağlı yıkım sonucunda özellikle göz kuruluğu ve tükürük salgısının azalmasıyla karakterize, sistemik otoimmün bir hastalıktır. Primer ve sekonder formları vardır. Bu olgu sunumunda Romatoid Artrit(RA) ile birlkte görülen Sekonder Sjögren Sendromu (SS) olan bir hastada oral bulguların ve yaygın diş çürüklerinin direkt kompozit rezin ile rehabilitasyonunun anlatılması amaçlanmıştır.

References

  • Amaro, I, Saraiva, J, Gomes, AC, Araújo, A, Marto, CM, Coelho, A, et al. (2021) “Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two CaseReports”. Symmetry, 13, 1848.
  • André, F, Böckle, BC (2022). ”Sjögren’s syndrome”. JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 20(7), 980-1002.
  • Ay, ZY, Bozkurt, FY, Akkuş, S. (2007). “Romatoid artrit hastalarının periodontal sağlık durumunun değerlendirilmesi”. SDÜ Tıp Fakültesi Dergisi, 14(3), 26-29.
  • Both T, Dalm VA, Martin va Hagen P, LA va Daele P (2017). “Reviewing primary Sjögren’s syndrome: beyond the dryness - From pathophysiology to diagnosis and treatment”. Int J Med Sci, 14(3):191–200.
  • Brown LE, Frits ML, Iannaccone CK, Weinblatt, ME, Shadick, NA, Liao, KP (2015). “Clinical characteristics of RA patients with secondary SS and association with joint damage”. Rheumatology, 54(5): 816–20.
  • Castelnuovo, J, Tjan, AH, Phillips, K, Nicholls, JI, Kois JC (2000). “Fracture load and mode of failure of ceramic veneers with different preparations”. J Prosthet Dent, 83(2):171-180.
  • Ergun, S, Çekici, A, Topcuoğlu, N, Migliari, DA, Külekçi, G, Tanyeri, H, Isık, G (2010). “Oral status and Candidia colonization in patients with sjögren’s syndrome”. Med Oral Patol Oral Cir Bucal, 15(2): 310-315.
  • Fejerskov, O, Nyvad, B, & Kidd, E. (Ed.). (2008). “Dental caries: the disease and its clinical management. John Wiley & Sons.
  • Hashımı, IA (2001). “The management of Sjögren’s syndrome in dental practice”. JADA; 132:1409- 1417.
  • He, J, Ding, Y, Feng, M et al (2013). “Characteristics of Sjogren’s syndrome in rheumatoid arthritis.” Rheumatology, 52(6): 1084 9.
  • Hwang, SK, Ha, JH, Jin, MU, Kim, SK, Kim, YK (2012). “Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report”. Restor Dent Endod, 37(3):165-169.
  • Gil-Montoya JA Francisco-Javier S, Rocío B, Silvestre-Rangil J (2016). Treatment of xerostomia and hyposalivation in the elderly”. Med Oral Patol Oral Cir Buc, 21(3):355-366
  • Ji, J, Sundquist, J, Sundquist, K (2016). “Gender-specific incidence of autoimmune diseases from national registers”. J Autoimmun; 69: 102 6.
  • Kavrık, F, Savaş,S, Küçükyılmaz, E, Uzer Çelik, E (2016). “Yüksek Çürük Riskli Adolesanlarda Farklı Tedavi Yaklaşımları”, Turkiye Klinikleri J Dental Sci Cases, 2(1):35-43.
  • Kılavuz, DK, Yıldırım, Ö, Şimşek MB (2022). "Gazi Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahi Kliniğine Başvuran Hastaların Ağız Kuruluğu Prevalansının Araştırılması." ADO Klinik Bilimler Dergisi 11.1 18-24.
  • Laegreid, T., Gjerdet, N. R., Johansson, A., & Johansson, A. K. (2014). “Clinical decision making on extensive molar restorations". Operative dentistry, 39(6), E231-E240.
  • Kois, DE, Isvilanonda, V, Chaiyabutr, Y, & Kois, JC (2013). “Evaluation of fracture resistance and failure risks of posterior partial coverage restorations". Journal of esthetic and restorative dentistry, 25(2), 110-122.
  • Lynch, CD, Opdam, NJ, Hickel, R, Brunton, PA, Gurgan, S, Kakaboura, A, et al. (2014). “Guidance on posterior resin composites: Academy of operative dentistry-European section". Journal of dentistry, 42(4), 377-383.
  • Nakagawa, (2011). “Management of drymouth in Sjogren’s syndrome". Jpn Dent Sci Rev, 47(115-23).
  • Patel, R, Shahane. A (2014). “The epidemiology of Sjogren’s syndrome. Clin Epidemiol, 6: 247–55.
  • Ramos-Casals, M, Brito-Zero,n P, Font J (2007). “The overlap of Sjogren’s syndrome with other systemic autoimmune diseases". Semin Arthritis Rheum, 36(4): 246–55.
  • Ramos-Casalas M, Tzioufas AG, Stone JH, et al. (2010). “Treatment of primary Sjögren syndrome: a systematic review". JAMA, 304(4):452-460.
  • Regezi, JA SJ, Jordan, RJK. (2008). “Oral pathology clinical pathologic correlations". Elsevier science;92-98.
  • Swarn, A, Swift, EJ Jr (2012). “Management of high caries risk patients: part I-risk assessment". J Esthet Restor Dent, 24(4):233-5.
  • Sunnegardh-Grönberg, K, van Dijken, JW, Funegard, U, Lindberg, A, Nilsson, M (2009). “Selection of dental materials and longevity of replaced restorations in public dental health clinics in Northern Sweden". J Dent, 37(9):673-8.
  • Widya Nugrohowati, C, Hadriyanto, W, Nugraheni, T (2020). “Direct Composite Resin Restoration of Anterior Maxillary Teeth and Esthetic Smile Design: A Case Report". J Dent Indones. 27(2): 103-108
  • Yurttaş, M, Bozdemir E, Karagöz B (2022). "Oral bulgu veren otoimmun hastalıklar." Dental and Medical Journal-Review 4.2: 103-115.
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Health Services and Systems (Other)
Journal Section Case Reports
Authors

Fehime Alkan Aygör 0000-0001-8493-6380

Publication Date July 18, 2024
Submission Date February 7, 2024
Acceptance Date March 29, 2024
Published in Issue Year 2024 Volume: 3 Issue: 2

Cite

APA Alkan Aygör, F. (2024). SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU. Istanbul Kent University Journal of Health Sciences, 3(2), 1-7.
AMA Alkan Aygör F. SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU. IKUJHS. July 2024;3(2):1-7.
Chicago Alkan Aygör, Fehime. “SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU”. Istanbul Kent University Journal of Health Sciences 3, no. 2 (July 2024): 1-7.
EndNote Alkan Aygör F (July 1, 2024) SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU. Istanbul Kent University Journal of Health Sciences 3 2 1–7.
IEEE F. Alkan Aygör, “SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU”, IKUJHS, vol. 3, no. 2, pp. 1–7, 2024.
ISNAD Alkan Aygör, Fehime. “SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU”. Istanbul Kent University Journal of Health Sciences 3/2 (July 2024), 1-7.
JAMA Alkan Aygör F. SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU. IKUJHS. 2024;3:1–7.
MLA Alkan Aygör, Fehime. “SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU”. Istanbul Kent University Journal of Health Sciences, vol. 3, no. 2, 2024, pp. 1-7.
Vancouver Alkan Aygör F. SJÖGREN SENDROMLU HASTADA DENTAL TEDAVİ YAKLAŞIMI: OLGU SUNUMU. IKUJHS. 2024;3(2):1-7.