Contemporary management and full mouth rehabilitation of a patient with Sjögren syndrome

Fisselier, Francois; Çomut, Alper

doi:10.1016/j.prosdent.2017.10.015

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…In this case, osseointegrated dental implants were not considered as the primary treatment option. Instead, the patient opted for fixed partial dentures (FPDs) over teeth-supported prostheses [17,18]. This decision was based on several factors, including the patient's age, the presence of numerous natural teeth, financial considerations, the patient's excellent cooperation, and her commitment to maintaining good oral hygiene.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Kokoti,

Zisis,

Andreadis

et al. 2024

Cureus

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Sjögren's syndrome is a chronic, inflammatory autoimmune disorder characterized by lymphocyte infiltration of the exocrine glands. Notably, the rehabilitation of partially edentulous patients with Sjögren's syndrome is limited by the scarce availability of studies that could inform therapeutic modalities and potential challenges during clinical procedures. This case report aimed to present the oral rehabilitation of a patient with Sjögren's syndrome who received fixed partial dentures (FPDs). A 28-year-old female patient sought treatment to restore her missing teeth. She was diagnosed with Sjögren's syndrome by a rheumatologist adhering to the revised version of the European criteria proposed by the American-European Consensus Group and was on a medication regimen including prednisolone, hydroxychloroquine, pantoprazole, pilocarpine, and tear substitutes to manage her condition. The final treatment plan consisted of extractions, management of gingivitis, post-and-core restorations, and a 2 mm vertical dimension increase with the placement of 15 porcelain-fused-to-metal (PFM) crowns and 4 short-span bridges. The patient underwent regular clinical and radiographic evaluations every 3 months since June 2020. Throughout this period, the fixed prostheses, teeth, and periodontal tissues demonstrated remarkable stability and exhibited no complications. This three-year case study provides evidence that meticulous planning and clinical execution can facilitate successful oral rehabilitation in young edentulous patients with Sjögren's syndrome. Tooth-supported fixed prostheses can effectively restore oral function and aesthetic appeal in these individuals, provided they undergo more frequent dental examinations than the general population and maintain a cooperative attitude throughout the treatment process.

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Section: Discussionmentioning

confidence: 99%

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Kokoti,

Zisis,

Andreadis

et al. 2024

Cureus

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“…Regarding the clinical performance of ultra-translucent zirconias (≥4Y-PSZ), multichromatic, and multilayered systems, to date, clinical data comprise a small number of case reports [60,61] as well as studies with a reduced number of patients and short-term followup periods [62][63][64]. Therefore, well-designed clinical trials are warranted to elucidate the clinical behavior of novel zirconia materials, particularly, regarding the performance of long-span FDPs manufactured with novel multilayered systems.…”

Section: Clinical Performance Of Dental Zirconias For Fdpsmentioning

confidence: 99%

A Narrative Review on Polycrystalline Ceramics for Dental Applications and Proposed Update of a Classification System

Benalcázar-Jalkh,

Bergamo,

Campos

et al. 2023

Materials

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Dental zirconias have been broadly utilized in dentistry due to their high mechanical properties and biocompatibility. Although initially introduced in dentistry as an infrastructure material, the high rate of technical complications related to veneered porcelain has led to significant efforts to improve the optical properties of dental zirconias, allowing for its monolithic indication. Modifications in the composition, processing methods/parameters, and the increase in the yttrium content and cubic phase have been presented as viable options to improve zirconias’ translucency. However, concerns regarding the hydrothermal stability of partially stabilized zirconia and the trade-off observed between optical and mechanical properties resulting from the increased cubic content remain issues of concern. While the significant developments in polycrystalline ceramics have led to a wide diversity of zirconia materials with different compositions, properties, and clinical indications, the implementation of strong, esthetic, and sufficiently stable materials for long-span fixed dental prostheses has not been completely achieved. Alternatives, including advanced polycrystalline composites, functionally graded structures, and nanosized zirconia, have been proposed as promising pathways to obtain high-strength, hydrothermally stable biomaterials. Considering the evolution of zirconia ceramics in dentistry, this manuscript aims to present a critical perspective as well as an update to previous classifications of dental restorative ceramics, focusing on polycrystalline ceramics, their properties, indications, and performance.

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“…However, only a few studies have determined this patient population’s restoration longevity. These studies were either case or clinical reports or case-control studies with limited sample sizes that were insufficient to generate firm conclusions [ 26 – 30 ]. In addition, research on dental treatment outcomes for patients with SD is presented as anecdotal evidence gathered through surveys and interviews [ 23 , 28 , 31 – 33 ].…”

Section: Introductionmentioning

confidence: 99%

Longevity of dental restorations in Sjogren’s disease patients using electronic dental and health record data

Gomez,

Wang,

Siddiqui

et al. 2024

BMC Oral Health

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Background Decreased salivary secretion is not only a risk factor for carious lesions in Sjögren’s disease (SD) but also an indicator of deterioration of teeth with every restorative replacement. This study determined the longevity of direct dental restorations placed in patients with SD using matched electronic dental record (EDR) and electronic health record (EHR) data. Methods We conducted a retrospective cohort study using EDR and EHR data of Indiana University School of Dentistry patients who have a SD diagnosis in their EHR. Treatment history of patients during 15 years with SD (cases) and their matched controls with at least one direct dental restoration were retrieved from the EDR. Descriptive statistics summarized the study population characteristics. Cox regression models with random effects analyzed differences between cases and controls for time to direct restoration failure. Further the model explored the effect of covariates such as age, sex, race, dental insurance, medical insurance, medical diagnosis, medication use, preventive dental visits per year, and the number of tooth surfaces on time to restoration failure. Results At least one completed direct restoration was present for 102 cases and 42 controls resulting in a cohort of 144 patients’ EDR and EHR data. The cases were distributed as 21 positives, 57 negatives, and 24 uncertain cases based on clinical findings. The average age was 56, about 93% were females, 54% were White, 74% had no dental insurance, 61% had public medical insurance, < 1 preventive dental visit per year, 94% used medications and 93% had a medical diagnosis that potentially causes dry mouth within the overall study cohort. About 529 direct dental restorations were present in cases with SD and 140 restorations in corresponding controls. Hazard ratios of 2.99 (1.48–6.03; p = 0.002) and 3.30 (1.49–7.31, p-value: 0.003) showed significantly decreased time to restoration failure among cases and positive for SD cases compared to controls, respectively. Except for the number of tooth surfaces, no other covariates had a significant influence on the survival time. Conclusion Considering the rapid failure of dental restorations, appropriate post-treatment assessment, management, and evaluation should be implemented while planning restorative dental procedures among cases with SD. Since survival time is decreased with an increase in the number of surfaces, guidelines for restorative procedures should be formulated specifically for patients with SD.

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Contemporary management and full mouth rehabilitation of a patient with Sjögren syndrome

Cited by 7 publications

References 9 publications

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

Multidisciplinary Therapeutic Approach of a Patient With Sjogren’s Syndrome: A Three-Year Follow-Up Study

A Narrative Review on Polycrystalline Ceramics for Dental Applications and Proposed Update of a Classification System

Longevity of dental restorations in Sjogren’s disease patients using electronic dental and health record data

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