Oral manifestations of patients with systemic sclerosis
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Systemic sclerosis (SSc) is a multisystem rheumatic disease. Orofacial manifestations are commonly in SSc but maybe usually ignored and overshadowed by other systemic complications. The oral manifestations include periodontitis, limited mouth opening, and decayed teeth.

The present study aimed to investigate the oral health status in patients with SSc. The study was published in the BMC Oral Health.

Pubmed, Embase, Web of Science, and Scopus were searched. Following outcomes were evaluated: Probing depth (PD), Attachment loss (AL), Bleeding on probing (BOP), Number or percentage of Sites with PD???4 mm, Prevalence of periodontitis, Number of teeth, Decayed Teeth, Missing teeth, Filled teeth, DMFT index, and the interincisal distance. Newcastle-Ottawa Scale (NOS) was applied for quality assessment. The statistical analysis was processed using the software STATA. 11 eligible studies were included.

--The maximum inter incisor distance was significantly restricted in SSc patients.

--The prevalence of Periodontitis, PD, AL, sites with PD???4mm and the number of decayed teeth were increased significantly in the SSc population in comparison with the controls.

In particular, SSc patients have limited mouth opening, higher periodontitis prevalence, and worse periodontal status, as well as an increased number of decayed teeth. Routine oral hygiene instruction and initial periodontal treatment is recommended for SSc patients.

Source: https://doi.org/10.1186/s12903-021-01603-2
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