The Canadian Systemic Sclerosis Oral Health Study IV: oral radiographic manifestations in systemic sclerosis compared with the general population

Dagenais, M; Macdonald, D; Baron, M; Hudson, M; Tatibouet, S; Steele, R; Gravel, S; Mohit, S; El Sayegh, T; Pope, J; Fontaine, A; Masseto, A; Matthews, D; Sutton, E; Thie, N; Jones, N; Copete, M; Kolbinson, D; Markland, J; Nogueira-Filho, G; Robinson, D; Gornitsky, M

HERO ID

2902071

Reference Type

Journal Article

Year

2015

Language

English

PMID

25959972

HERO ID 2902071
In Press No
Year 2015
Title The Canadian Systemic Sclerosis Oral Health Study IV: oral radiographic manifestations in systemic sclerosis compared with the general population
Authors Dagenais, M; Macdonald, D; Baron, M; Hudson, M; Tatibouet, S; Steele, R; Gravel, S; Mohit, S; El Sayegh, T; Pope, J; Fontaine, A; Masseto, A; Matthews, D; Sutton, E; Thie, N; Jones, N; Copete, M; Kolbinson, D; Markland, J; Nogueira-Filho, G; Robinson, D; Gornitsky, M
Abstract <strong>OBJECTIVE: </strong>The aim of this study was to compare oral radiologic abnormalities associated with systemic sclerosis (SSc) against abnormalities in the general population.<br /><br /><strong>STUDY DESIGN: </strong>Patients with SSc and healthy controls were enrolled in a multi-site cross-sectional study. Included in the radiology examination were a panoramic radiograph, four bitewings, and an anterior mandibular periapical radiograph. Radiographs were evaluated by two oral and maxillofacial radiologists tested for interobserver and intraobserver reliability. Chi-squared tests, Fisher exact tests, and Mann Whitney U tests were used to summarize the radiologic manifestations of patients and controls.<br /><br /><strong>RESULTS: </strong>We assessed 163 SSc patients and 231 controls. Widening of the periodontal ligament space (PLS) (P &lt; .001), with higher percentage of teeth with PLS widening (P &lt; .001), was significantly more frequent in patients with SSc than in controls. The most significant differences between the two groups were found in the molars and premolars (P &lt; .001). Moreover, 26% of the patients with SSc had a periapical PLS greater than 0.19 mm compared with 13% of the controls (P = .003). Patients with SSc had significantly more erosions compared with controls (14.5% vs. 3.6%; P &lt; .001), mostly in the condyles (P = .022), coronoid processes (P = .005) and other locations (P = .012).<br /><br /><strong>CONCLUSION: </strong>Patients with SSc had more teeth with PLS widening and erosions of the mandible compared with controls.
Doi 10.1016/j.oooo.2015.03.002
Pmid 25959972
Is Certified Translation No
Dupe Override No
Comments Journal: Oral surgery, oral medicine, oral pathology and oral radiology ISSN: 2212-4411
Is Public Yes
Language Text English