title: Oral involvement in patients with primary Sjögren's syndrome. Multidisciplinary care by dentists and rheumatologists.
abstract: Primary Sjögren's syndrome is a chronic systemic autoimmune disease that causes destruction of lacrimal and salivary glands. The most common and earliest symptoms are oral and ocular dryness. Dry mouth makes talking difficult, tasting and chewing properly, impairing quality of life of these patients. The most common oral signs and symptoms are hyposialia with or without xerostomia, tooth decay, fungal infections, traumatic oral lesions, dysphagia, dysgeusia, and inflammation of salivary glands. There are different therapeutic strategies, depending on the severity of each case, and the increase in the amount of saliva, to reduce the number of cavities and oral infections. It is particularly important to establish a close relationship between the dentist and the rheumatologist in order to make an early and correct diagnosis, promoting appropriate dietary and hygiene measures, as well as to treat and prevent potential oral complications.
authors.affiliation: Departamento de Medicina y Cirugía Bucofacial, Facultad de Odontología, Universidad Complutense de Madrid, Madrid, España.
authors.forename: Rosa María
authors.initials: RM
authors.lastname: López-Pintor
authors.affiliation: Servicio de Reumatología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España. Electronic address: monfercas@yahoo.es.
authors.forename: Mónica
authors.initials: M
authors.lastname: Fernández Castro
authors.affiliation: Departamento de Medicina y Cirugía Bucofacial, Facultad de Odontología, Universidad Complutense de Madrid, Madrid, España.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Hernández
mesh_terms: D003131:Combined Modality Therapy; D003815:Dentists; D006801:Humans; D007400:Interprofessional Relations; D010348:Patient Care Team; D000072140:Rheumatologists; D012859:Sjogren's Syndrome / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*
keywords: Candidiasis oral; Caries; Cavities; Dry mouth; Flujo salival; Oral Candida infection; Saliva flow; Sequedad oral; Sjogren syndrome; Síndrome de Sjogen; Xerostomia; Xerostomía