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      Manejo estomatológico de pacientes con síndrome de Sjögren Translated title: Sjögren’s syndrome. Patients dentistry`s management

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          Abstract

          El síndrome de Sjögren es una enfermedad autoinmune. Afecta las glándulas que producen secreciones y humedad. Para esta investigación la revisión bibliográfica se realizó en bases de datos de Infomed, SciELO Regional, Clinical Key y PubMed; con el objetivo de actualizar los signos y síntomas orales, y el manejo estomatológico, en pacientes con síndrome de Sjögren. Los principales síntomas orales son: ardor y dolor de origen mucoso, disgeusia, dificultad en la fonación, formación del bolo alimenticio, masticación y deglución. Entre los signos orales se encuentran: pérdida del brillo, palidez y adelgazamiento de las mucosas, inflamación y candidiasis oral. El tratamiento estomatológico se realiza en tres fases: inicial, paliativa y preventiva, restauradora y rehabilitadora, y mantenimiento. Es importante conocer y diagnosticar los signos y síntomas orales del paciente con síndrome de Sjögren, pues estos requieren un manejo estomatológico especial.

          Translated abstract

          Sjögren syndrome is an autoimmune disease. It attacks the secretions and humidity glands. For bibliographical databases reviewing, we used Infomed, SciELO Regional, Clinical Key and PubMed. In order to upgrade knowledge about oral signs and symptoms, dentistry`s management and treatment of Sjögren syndrome patients. Burning mucous and pain, dysgeusia, phonation, alimentary bolus formation, chewing and swallowing difficulties, are the main syntoms. Paleness, mucous membranes brilliance and weight loss, oral inflammation and candidiasis are most common signs. The dentistry`s management of patients with this syndrome, divides in three phases: start-up, palliative and preventive, restoring and rehabilitative, and maintenance. It is important to know and to diagnose signs and symptoms of the patient with a special dentistry`s management.

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          Oral manifestations and their treatment in Sjögren's syndrome.

          Sjögren's syndrome (SS) is a complex, chronic, systemic, autoimmune disease that mainly affects the exocrine glands, especially the salivary and lacrimal glands, leading to dryness of the oral and ocular mucosae. Several factors have been studied that could explain the glandular hypofunction primarily related to water transport. Recent reports have shown alterations in secretory route and trafficking in labial salivary glands, explaining alterations in the saliva quality. The decrease in salivary flow and qualitative alterations in saliva could explain many of the oral manifestations. The exocrine manifestations and systemic involvement significantly impact the patient's perception of health-related quality of life. For this reason and given its systemic nature, the treatment of these patients should be multidisciplinary. This review addresses some particular oral health aspects of SS patients and focuses on relevant topics concerning the treatment and prevention of common oral disorders associated with this disease.
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            Burning Mouth Syndrome

            Burning mouth syndrome (BMS) is a chronic condition that is characterized by burning symptoms of the oral mucosa without obvious clinical examination findings. This syndrome has complex characteristics, but its cause remains largely enigmatic, making treatment and management of patients with BMS difficult. Despite not being accompanied by evident organic changes, BMS can significantly reduce the quality of life for such patients. Therefore, it is incumbent on dental professionals to diagnose and manage patients with BMS as a part of comprehensive care.
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              Recomendações para o tratamento da síndrome de Sjögren

              RESUMOAs recomendações propostas pela Comissão de Síndrome de Sjögren da Sociedade Brasileira de Reumatologia para tratamento da síndrome de Sjögren foram baseadas em uma revisão sistemática da literatura nas bases de dados Medline (PubMed) e Cochrane até outubro de 2014 e opinião de especialistas na ausência de artigos sobre o assunto. Foram incluídos 131 artigos classificados de acordo com Oxford & Grade. Essas recomendações foram elaboradas com o objetivo de orientar o manejo adequado e facilitar o acesso aos tratamentos para aqueles pacientes com adequada indicação de recebê-los, considerando o contexto socioeconômico brasileiro e os medicamentos disponíveis no país.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                ccm
                Correo Científico Médico
                ccm
                Universidad Ciencias Médicas de Holguín (Holguín, , Cuba )
                1560-4381
                June 2018
                : 325-338
                Affiliations
                [01] Holguín orgnameClínica Estomatológica Artemio Mastrapa Cuba
                [02] Holguín orgnameUniversidad de Ciencias Médicas Cuba
                Article
                S1560-43812018000200012
                d5fb4d2d-349b-4ca8-b179-e257db0694f8

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 10 July 2017
                : 24 November 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 14
                Product

                SciELO Cuba


                síndrome de Sjögren,xerostomía,signos orales,síntomas orales,manejo estomatológico,syndrome of Sjögren,xerostomia,oral signs,oral symptoms,dentistry`s management

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