The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population.
OBJECTIVE
The aim of this study was to compare oral abnormalities and oral health-related quality of life (HRQoL) of patients with SSc with the general population.


METHODS
SSc patients and healthy controls were enrolled in a multisite cross-sectional study. A standardized oral examination was performed. Oral HRQoL was measured with the Oral Health Impact Profile (OHIP). Multivariate regression analyses were performed to identify associations between SSc, oral abnormalities and oral HRQoL.


RESULTS
We assessed 163 SSc patients and 231 controls. SSc patients had more decayed teeth (SSc 0.88, controls 0.59, P = 0.0465) and periodontal disease [number of teeth with pocket depth (PD) >3 mm or clinical attachment level (CAL) ≥5.5 mm; SSc 5.23, controls 2.94, P < 0.0001]. SSc patients produced less saliva (SSc 147.52 mg/min, controls 163.19 mg/min, P = 0.0259) and their interincisal distance was smaller (SSc 37.68 mm, controls 44.30 mm, P < 0.0001). SSc patients had significantly reduced oral HRQoL compared with controls (mean OHIP score: SSc 41.58, controls 26.67, P < 0.0001). Multivariate regression analyses confirmed that SSc was a significant independent predictor of missing teeth, periodontal disease, interincisal distance, saliva production and OHIP scores.


CONCLUSIONS
Subjects with SSc have impaired oral health and oral HRQoL compared with the general population. These data can be used to develop targeted interventions to improve oral health and HRQoL in SSc.
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Sask
Murray
M
Baron
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Sask
Marie
M
Hudson
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Solène
S
Tatibouet
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Sask
Russell
R
Steele
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Ernest
E
Lo
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Sabrina
S
Gravel
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Sask
Geneviève
G
Gyger
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Tarek
T
El Sayegh
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Janet
J
Pope
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Audrey
A
Fontaine
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Ariel
A
Masseto
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Debora
D
Matthews
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Evelyn
E
Sutton
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Norman
N
Thie
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Niall
N
Jones
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Maria
M
Copete
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Dean
D
Kolbinson
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Janet
J
Markland
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Getulio
G
Nogueira-Filho
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
David
D
Robinson
Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Saskatchewan, Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Department of Periodontology, Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba and Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital, Division of Rheumatology, Faculty of Medicine, McGill University, Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital, Department of Mathematics and Statistics, McGill University, Montreal, Quebec, School of Dentistry, University of Western Ontario, Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec, Department of Periodontology, Faculty of Dentistry, Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Division of Oro-facial Pain, School of Dentistry, Department of Medicine, University of Alberta, Edmonton, Alberta, Department of Pathology, College of Dentistry, University of Sask
Mervyn
M
Gornitsky
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000453:epidemiology* / Q000503:physiopathology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010510:Periodontal Diseases / Q000453:epidemiology* / Q000503:physiopathology; D015995:Prevalence; D011788:Quality of Life; D012595:Scleroderma, Systemic / Q000453:epidemiology* / Q000503:physiopathology; D012720:Severity of Illness Index; D055815:Young Adult
Sjögren’s syndrome; dental caries; oral health; periodontal disease; quality of life; systemic sclerosis; tooth loss