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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

Pejda, Slavica ; Alajbeg, Ivan ; Alajbeg, Iva AUudit of epidemiological, diagnostic and etiological data in 395 patients with xerostomia // Oral diseases / Bruce Baum, Crispian Scully (ur.). 2008

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

Indeksiranost