Main Oral Manifestations in Immune-Mediated and Inflammatory Rheumatic Diseases

Roberta Gualtierotti, Angelo Valerio Marzano, Francesco Spadari, Massimo Cugno

Research output: Contribution to journalReview article

Abstract

Oral manifestations are frequent in patients with rheumatic diseases. The aim of this review is to offer readers practical advice concerning the onset, diagnosis and treatment of the main oral manifestations encountered in rheumatological and dental clinics. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, periodontal disease, and dysphagia may be the first expression of a number of rheumatic diseases. Some of these manifestations are aspecific and very frequent, such as oral aphthosis, which can be the first manifestation in patients with systemic lupus erythematosus; some are potentially dangerous, such as jaw claudication during the course of giant cell arteritis; and some are very rare but peculiar, such as strawberry-like gingivitis in patients with granulomatosis with polyangiitis. Other oral manifestations are due to adverse reactions to disease-modifying anti-rheumatic drugs. Oral alterations in rheumatic diseases are frequently overlooked in clinical practice, but their prompt recognition not only allows the local lesions to be appropriately treated, but also makes it possible to identify an underlying systemic disease.

Original languageEnglish
JournalJournal of Clinical Medicine
Volume8
Issue number1
DOIs
Publication statusPublished - Dec 25 2018

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Oral Manifestations
Rheumatic Diseases
Xerostomia
Dental Clinics
Temporomandibular Joint Disorders
Fragaria
Gingivitis
Giant Cell Arteritis
Granulomatosis with Polyangiitis
Antirheumatic Agents
Periodontal Diseases
Deglutition Disorders
Jaw
Systemic Lupus Erythematosus
Signs and Symptoms
Therapeutics

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Main Oral Manifestations in Immune-Mediated and Inflammatory Rheumatic Diseases. / Gualtierotti, Roberta; Marzano, Angelo Valerio; Spadari, Francesco; Cugno, Massimo.

In: Journal of Clinical Medicine, Vol. 8, No. 1, 25.12.2018.

Research output: Contribution to journalReview article

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