Dental perspective on Sjögren’s syndrome: literature review

Jesús Israel Rodríguez, Gloria Martínez, Norma Idalia Rodríguez, María Gabriela Achapa, Juan Manuel Solis

Abstract


The human releases around 500-600 mL saliva daily, however the values ​​found from 0.1 to 0.2 mL / min of resting saliva a condition called Hyposalivation or hyposialia is presented, which can be expressed by a large number of conditions systemic, including Sjögren's syndrome, which is a chronic autoimmune disease present at between 0.1 and 3% of the world population and is characterized by salivary glands exocrinopathy leading to the glandular hypofunction and thus decreasing the normal salivary flow. Saliva is part of innate immunity, when appearing a decrease in protein secretion, are triggered a numerous oral manifestations, such as dental caries, candidiasis, gingival disease, angular cheilitis, lymphomas of the salivary glands, dysphagia, erythematous and fissured tongue, among others. Currently there is no defined dental treatment, however there are alternative treatments by sialogogues and salivary substitutes, plus non-pharmacological therapies, which seek to maintain the ecology and oral conditions stable, in addition to preventive and restorative dental treatment for injuries already established as a consequence of the disease. The aim of this study is to perform a review of literature on the characteristics, classification, oral manifestations and the dental management of Sjögren’s syndrome.


Keywords


Sjögren’s Syndrome; Hiposalivation; Xerostomia; Hyposialia; dental management.

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