Oral microbial flora in Sjögren's syndrome.

A Almståhl, U Kroneld, A Tarkowski… - The Journal of …, 1999 - europepmc.org
A Almståhl, U Kroneld, A Tarkowski, M Wikström
The Journal of rheumatology, 1999europepmc.org
Objective To study presence of microorganisms associated with caries, gingivitis, oral
opportunistic infections, and extent of hyposalivation in dentate patients with primary and
secondary Sjögren's syndrome (SS). Methods An oral clinical examination was performed.
The salivary flow was measured and a rinsing sample analyzed for presence of specific
microorganisms. The results were compared to those of healthy controls matched for sex,
age, and number of teeth. Results In patients with undetectable salivary flow at rest, mean …
Objective
To study presence of microorganisms associated with caries, gingivitis, oral opportunistic infections, and extent of hyposalivation in dentate patients with primary and secondary Sjögren's syndrome (SS).
Methods
An oral clinical examination was performed. The salivary flow was measured and a rinsing sample analyzed for presence of specific microorganisms. The results were compared to those of healthy controls matched for sex, age, and number of teeth.
Results
In patients with undetectable salivary flow at rest, mean number and proportion of mutans streptococci and lactobacilli showed a tendency to be increased, as well as the frequency of Candida. They also displayed an increased proportion of filled surfaces. In contrast, gingivitis and the numbers of microorganisms associated with gingivitis were comparable to those found in the healthy controls.
Conclusion
Patients with SS and severe hyposalivation harbor oral flora associated with the development of caries and frequent presence of retention sites, indicating a need for efficient preventive dental care.
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