AUudit of epidemiological, diagnostic and etiological data in 395 patients with xerostomia (CROSBI ID 538299)
Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Pejda, Slavica ; Alajbeg, Ivan ; Alajbeg, Iva
engleski
AUudit of epidemiological, diagnostic and etiological data in 395 patients with xerostomia
The aim was to assess xerostomia and salivary hypofunction in the pool of our patients, to classify epidemiological data and etiological factors of dry mouth, to assess adherence to diagnostic protocols for Sjogren’ s syndrome (SS), with major purpose to establish possible need for diagnostic improvement. A retrospective study was conducted regarding clinical and diagnostic parameters of patients seen for dry mouth during the period January 2000-December 2004 at our Department. Records of 6606 patients, of which 395 satisfied the inclusion criteria for further investigation, were searched. Database was formed comprising epidemiological, clinical, sialometric, immunological, scintigraphic, ultrasonographic, pathohistologic and drug intake data. Descriptive statistics were used. Real salivary hypofunction was seen in 88% of patients complaining of dry mouth. The most common identifiable cause of xerostomia was pharmacotherapy. SS, in accordance with diagnostic protocols, was diagnosed in only 6.7% patients with xerostomia. In another 8% of patients SS was strongly suspected, but strict adherence to diagnostic protocol was absent. Idiopathic xerostomia was encountered in 36% of cases. Our data showed present trends and our diagnostic insufficiencies. As delaying the diagnosis of SS carries the risk for lymphoma, the most important local relevance is that additionally up to 8% of dry mouth could be, but is presently not, attributable to SS. Diagnosis can be improved in 2 major aspects: strict adherence to labial gland biopsy, and application of more sensitive and specific tests for dry eye assessment (other than Tear Break-up Time and Schirmer-I tests).
xerostomia; salivary hypofunction; Sjogren's syndrome; epidemiology; diagnosis
DOI: 10.1111/j.1601-0825.2008.01481.x
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Podaci o prilogu
2008.
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objavljeno
Podaci o matičnoj publikaciji
Oral diseases
Bruce Baum, Crispian Scully
Blackwell Publishing
1354-523X
Podaci o skupu
9th Biennial Congress of the European Association of Oral Medicine. Sept. 18-20, 2008 Salzburg, Austria
poster
18.09.2008-20.09.2008
Salzburg, Austrija
Povezanost rada
Kliničke medicinske znanosti, Dentalna medicina