Impact of oral lesions on the quality of life of psoriatic individuals: A case–control study

Costa, Amanda Almeida; Cota, Luís Otávio Miranda; Mendes, Victor Silva; Oliveira, Alcione Maria Soares Dutra; Cyrino, Renata Magalhães; Costa, Fernando Oliveira

doi:10.1111/odi.13695

Cited by 8 publications

(17 citation statements)

References 41 publications

(72 reference statements)

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“…Costa et al . also revealed a significantly higher incidence of angular cheilitis in psoriatic patients 28 . In our study, a candida ‐induced lesion was found in three patients and denture‐related stomatitis in 11 subjects.…”

Section: Discussionsupporting

confidence: 70%

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Oral health status and dental treatment needs of psoriatic patients with different therapy regimes

Olejnik

Adamski

Osmola‐Mańkowska

et al. 2021

Australian Dental Journal

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The aim of the study was to investigate the dental treatment requirements and oral health status of psoriatic patients with different severities of the disease, managed by different methods, including biological therapies. Methods One hundred and twenty‐seven patients diagnosed with psoriasis were enrolled in this study. All subjects completed a general medical history and a Dermatology Life Quality Index (DLQI) questionnaire. The severity of the disease was assessed using the Psoriasis Area and Severity Index (PASI) scale and a DLQI questionnaire. In order to evaluate the oral health status, the following techniques were used: Approximal Plaque Index (API), the Community Periodontal Index (CPI) and the Decayed, Missing and Filled Teeth (DMFT) index. Results Patients treated with biologicals presented a significantly lower mean CPI index and required no surgical interventions. Subjects managed with topical therapy had significantly more decayed teeth and higher treatment needs. Only 11.3% of patients did not require dental intervention. Conclusions The study revealed a high need for dental interventions in patients with psoriasis. The type of treatment used may affect the oral health status of patients. However, further investigations are required to explain the significantly lower CPI value in the group treated with biologicals.

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Section: Discussionsupporting

confidence: 70%

“…The oral mucosal lesions associated with psoriasis are mainly limited to the tongue 27,28 . Costa et al .…”

Section: Discussionmentioning

confidence: 99%

Oral health status and dental treatment needs of psoriatic patients with different therapy regimes

Olejnik

Adamski

Osmola‐Mańkowska

et al. 2021

Australian Dental Journal

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“…The oral mucosal lesions associated with psoriasis are mainly limited to the tongue. Fissured tongue described as the presence of anteroposteriorly or laterally oriented fissures on the dorsal surface of the tongue affects 2-5% of the general population and seems to be the most common oral lesion in psoriatic patients [26][27][28][29] The geographic tongue, characterized as well-demarcated zones of erythema at dorsal tongue mucosa, because it is associated with increased levels of TNF-a and IL-6, occurs less frequently in a population managed with biologicals [26,30].…”

Section: Discussionmentioning

confidence: 99%

Oral health status of psoriatic patients managed with modern biological therapy

Olejnik¹,

Adamska²,

Adamski³

et al. 2022

pdia

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Introduction: Psoriasis is a chronic multifactorial dermatosis with an autoimmune and genetic background, with characteristic periods of remission and exacerbation, affecting up to 3% of the population; it is currently regarded as a systemic disease. Aim: The aim of the study was to investigate the oral health status, including oral mucosal lesion frequency and prosthetic treatment requirements, in psoriatic patients managed with biological therapies. Material and methods: Forty-two patients diagnosed with psoriasis and managed with biologics were enrolled in this study. All subjects completed a general medical history and a Dermatology Life Quality Index (DLQI) questionnaire. The disease severity was assessed using the Psoriasis Area and Severity Index (PASI) scale and a DLQI questionnaire. To evaluate the oral health status, the following techniques were used: Approximal Plaque Index (API), the Community Periodontal Index (CPI), and the Decayed, Missing, and Filled Teeth (DMFT) index. The oral mucosa evaluation was based on the clinical appearance, location, and morphology of the lesions. Results: The most common oral lesions in patients with psoriasis were found to be fissured tongue and white coated tongue. Thirteen patients (31%) presented with clinically healthy oral mucosa. Type II (diffuse type) denture stomatitis (DS) was most common amongst psoriatic patients wearing acrylic removable dentures. Most of the subjects required prosthetic treatment (57.1 %) and the removal of calculus (40.5%); however, no one required surgical treatment. Conclusions: Fissured tongue seemed to be associated with skin lesions in psoriatic patients managed with biological therapies. The need for dental treatment was observed in 71.4% of the patients, with most subjects requiring prosthetic treatment. The study indicated that the diffuse type of DS occurred amongst subjects with psoriasis, who were wearers of acrylic removable dentures.

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“…Here, this study utilised experts’ opinion to validate the reliability of the newly developed GTASI in assessing and classifying GT lesions based on the PASI scale [ 13 , 20 ]. Characteristics of clinical studies [ 21 , 22 , 23 , 24 , 25 , 26 , 27 ] containing the results of the hypothetical interrelationship between GT and psoriasis is presented in Supplementary Materials, Table S1 .…”

Section: Discussionmentioning

confidence: 99%

Applicability of the Geographic Tongue Area and Severity Index among Healthcare Professionals: A Cross-Sectional Clinical Validation of a Newly Developed Geographic Tongue Scoring System

Picciani

Santos

Amin

et al. 2021

JCM

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Geographic tongue (GT) is a chronic condition of unknown aetiology, with no defined parameters to establish the protocol for evidence-based management. Validation of a newly developed and proposed clinical index to assess the severity of GT could assist in its diagnosis, especially in cases associated with systemic dermatological diseases in the form of psoriasis. Objective: To verify the applicability of the geographic tongue area and severity index (GTASI). This involved healthcare professionals from different specialties to evaluate the usefulness of the GTASI in supporting GT classification, as well as the follow-up process. Methods: One hundred cases of previously diagnosed GT were initially evaluated by three independent, experienced researchers/clinicians to obtain a standardised classification baseline. Subsequently, nine cases of GT were selected, three cases for each category—mild, moderate and severe. These stages were professionally evaluated by 51 healthcare professionals from three groups: 17 dentists (33%), 22 oral medicine specialists (43%) and 12 specialist dermatologists (24%) during a cross-sectional survey. Results: The quantitative and qualitative assessment based on experts’ opinions in the cross-sectional survey demonstrated an acceptable, similar level of GT clinical diagnosis (p > 0.05), with coherence between the various groups of professionals critically appraising the GTASI. An apparent divergence was observed for the moderate GT category, as well as in the group of less experienced evaluators. Conclusion: Whilst the validation of GTASI applicability was successfully executed, the general dental practitioners, specialists in oral medicine and dermatologists were equally capable of correct GT diagnosis and appropriately rating its severity. These coherent results were especially replicated among the experienced clinicians. The validation of the newly proposed index confirmed its reliability as a feasible instrument in oral medicine, with the prospect of its wider implementation in clinical practice.

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Impact of oral lesions on the quality of life of psoriatic individuals: A case–control study

Cited by 8 publications

References 41 publications

Oral health status and dental treatment needs of psoriatic patients with different therapy regimes

Oral health status and dental treatment needs of psoriatic patients with different therapy regimes

Oral health status of psoriatic patients managed with modern biological therapy

Applicability of the Geographic Tongue Area and Severity Index among Healthcare Professionals: A Cross-Sectional Clinical Validation of a Newly Developed Geographic Tongue Scoring System

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