Abstract

AMARAL, Cristhiane Olívia Ferreira do et al. Study of characteristics and systemic stomatological in patients with lupus erythematosus. Rev. Assoc. Paul. Cir. Dent. [online]. 2014, vol.68, n.3, pp. 223-229. ISSN 0004-5276.

Introduction: Systemic lupus erythematosus (SLE ) is a chronic inflammatory disease of unknown cause and autoimmune nature. The use of multiple medications and the presence of multiple systemic changes may compromise the dental care of these patients especially when they are uncompensated and debilitated. Objectives: The aim of this study was to analyze the condition of oral and general health of patients with SLE. The frequency, types of systemic damage, use of controlled medications used to treat this disease that undertake dental treatment. Methods: 34 patients were analyzed with SLE that were submitted a structured interview about systemic condition and dental exam: DMFT index, gingival health condition and temporo mandibular joint pain. Results: DMFT average 15.3%; gingival condition: 65 % with gingivitis; arthritis: 94 %; hematologic involvement: 41 %, renal involvement: 29%, cardiovascular and pulmonary involvement: 18%. Most widely used drugs: glucocorticosteroids: 88 %, anti - inflammatory drugs 52 %; hydroxychloroquine: 41%; antidepressant: 32 %. Conclusion: The oral health of the patients is poor, there is great variability in systemic diseases, use of various drugs with negative side effects and immunosuppressants for the general condition of patients with SLE. These patients becomes an high risk for dental care and the dentists may be vigilant and prepared to apply special needs of patients with SLE.

Keywords : oral health; lupus erythematosus; systemic pathological conditions; signs and symptoms; oral manifestations.