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Management of Sjogren's Syndrome Patient: A Case Report of Prosthetic Rehabilitation with 6-Year Follow-Up.

de Mendonça Invernici M, Finger Stadler A, Vale Nicolau G, Naval Machado MÂ, Soares de Lima AA, Compagnoni Martins M - Case Rep Dent (2014)

Bottom Line: This clinical paper describes the management, treatment, and 6-year follow-up of a patient diagnosed with SS type II, who uses corticosteroids and antihyperglycemic drugs.Radiographic evaluation and probing depth showed gingival health and no bone loss after 6 years.Treatment with implant-retained dental prosthesis greatly increased comfort and function, offering an alternative to patients with SS.

View Article: PubMed Central - PubMed

Affiliation: School of Dentistry, Department of Oral Surgery and Periodontics, São Paulo University, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, Brazil.

ABSTRACT
Completely and partially edentulous patients with Sjogren's syndrome (SS) experience severe hyposalivation, xerostomia, and considerable difficulty in using tissue-supported prosthesis. This clinical paper describes the management, treatment, and 6-year follow-up of a patient diagnosed with SS type II, who uses corticosteroids and antihyperglycemic drugs. The patient received restorative, periodontal, and surgical treatments followed by implant-supported fixed prosthesis. Radiographic evaluation and probing depth showed gingival health and no bone loss after 6 years. Treatment with implant-retained dental prosthesis greatly increased comfort and function, offering an alternative to patients with SS.

No MeSH data available.


Related in: MedlinePlus

Initial clinical view of the patient with Sjogren's syndrome (August 2008).
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fig1: Initial clinical view of the patient with Sjogren's syndrome (August 2008).

Mentions: The main complaint of the patient was lack of adaptation in using a partially removable dental prosthesis. During the intraoral examination it was observed that an implant replaced the central right incisive tooth, and several decayed teeth were noted (first quadrant: canine, first premolar, and third molar; second quadrant: canine and second molar; third quadrant: first premolar; and fourth quadrant: canine and first premolar) as well as missing teeth (first quadrant: first and second molar; second quadrant: first and second premolar and first and third molar; and third and fourth quadrants: from second premolar to third molar). Indication for endodontic treatment was observed for the lateral left upper incisive tooth and first left lower premolar tooth. The second right upper premolar had a ceramic crown with a metal core (Figure 1). The patient was also diagnosed with generalized chronic periodontitis. An initial panoramic radiograph was taken (Figure 2). Salivary flow rate was performed and the result was 0.1 mL/minute. The patient agreed to participate in the study by signing an informed consent form.


Management of Sjogren's Syndrome Patient: A Case Report of Prosthetic Rehabilitation with 6-Year Follow-Up.

de Mendonça Invernici M, Finger Stadler A, Vale Nicolau G, Naval Machado MÂ, Soares de Lima AA, Compagnoni Martins M - Case Rep Dent (2014)

Initial clinical view of the patient with Sjogren's syndrome (August 2008).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4247972&req=5

fig1: Initial clinical view of the patient with Sjogren's syndrome (August 2008).
Mentions: The main complaint of the patient was lack of adaptation in using a partially removable dental prosthesis. During the intraoral examination it was observed that an implant replaced the central right incisive tooth, and several decayed teeth were noted (first quadrant: canine, first premolar, and third molar; second quadrant: canine and second molar; third quadrant: first premolar; and fourth quadrant: canine and first premolar) as well as missing teeth (first quadrant: first and second molar; second quadrant: first and second premolar and first and third molar; and third and fourth quadrants: from second premolar to third molar). Indication for endodontic treatment was observed for the lateral left upper incisive tooth and first left lower premolar tooth. The second right upper premolar had a ceramic crown with a metal core (Figure 1). The patient was also diagnosed with generalized chronic periodontitis. An initial panoramic radiograph was taken (Figure 2). Salivary flow rate was performed and the result was 0.1 mL/minute. The patient agreed to participate in the study by signing an informed consent form.

Bottom Line: This clinical paper describes the management, treatment, and 6-year follow-up of a patient diagnosed with SS type II, who uses corticosteroids and antihyperglycemic drugs.Radiographic evaluation and probing depth showed gingival health and no bone loss after 6 years.Treatment with implant-retained dental prosthesis greatly increased comfort and function, offering an alternative to patients with SS.

View Article: PubMed Central - PubMed

Affiliation: School of Dentistry, Department of Oral Surgery and Periodontics, São Paulo University, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, Brazil.

ABSTRACT
Completely and partially edentulous patients with Sjogren's syndrome (SS) experience severe hyposalivation, xerostomia, and considerable difficulty in using tissue-supported prosthesis. This clinical paper describes the management, treatment, and 6-year follow-up of a patient diagnosed with SS type II, who uses corticosteroids and antihyperglycemic drugs. The patient received restorative, periodontal, and surgical treatments followed by implant-supported fixed prosthesis. Radiographic evaluation and probing depth showed gingival health and no bone loss after 6 years. Treatment with implant-retained dental prosthesis greatly increased comfort and function, offering an alternative to patients with SS.

No MeSH data available.


Related in: MedlinePlus