Clinical Periodontology and Implant Dentistry by Lindhe Jan Karring Thorkild Lang Niklaus P. & Niklaus P. Lang & Thorkild Karring
Author:Lindhe, Jan, Karring, Thorkild, Lang, Niklaus P. & Niklaus P. Lang & Thorkild Karring
Language: eng
Format: epub
Publisher: Wiley
Published: 2013-03-13T16:00:00+00:00
Xerostomia
Xerostomia or dry mouth can be caused by a wide range of factors, including certain medications, aging, and damage to salivary glands (Beikler & Flemmig 2003). Sjögren syndrome (SS) is a group of autoimmune diseases that may be limited to lacrimal and salivary glands leading to xerostomia and keratoconjunctivitis (primary SS). In secondary SS the xerostomia and keratoconjunctivitis occur along with a number of connective tissue disorders such as rheumatoid arthritis and scleroderma. One of the main oral problems associated with SS is severe xerostomia that often leads to severe dental caries, burning sensations of the oral mucosa, oral candidiasis, and difficulty in swallowing. In many cases all of the teeth are lost because of rampant root and coronal caries. Patients with severe xerostomia find wearing artificial dentures to be a difficult and very unpleasant experience because of the lack of lubrication ordinarily supplied by saliva. Based on a few case reports it appears that dental implants can be successfully used in patients with SS (Payne et al. 1997; Isidor et al. 1999; Binon 2005). However, since SS often accompanies other conditions that increase the risk of implant failure (e.g. scleroderma, lupus erythematosus), it is important that implant candidates with SS be carefully evaluated for numerous other risk factors that might be present.
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