Avaliação da saúde bucal dos pacientes assistidos no ambulatório de reumatologia do Hospital Universitário da Universidade Federal de Juiz de Fora

Abstract

Rheumatological diseases cover a diverse group of pathologies that have joint involvement and the musculoskeletal system as a common feature. Being able to present varied clinical manifestations. They usually appear insidiously, showing signs and symptoms in the oral cavity in its early stages. The objective of the present study was to evaluate, through a dental protocol, the oral condition of patients assisted in the Rheumatology Sector of the University Hospital of the Federal University of Juiz de Fora (HU-UFJF). For this, a clinical record, DMFT index, xerostomia questionnaire, salivary flow measurement and oral health impact profile questionnaire (OHIP-14) were used. Twenty-one patients were included, including 10 diagnosed with SLE, 1 diagnosed with Chikungunya, 1 diagnosed with MCTD, 3 diagnosed with RA, 1 diagnosed with JIA, 4 diagnosed with SS and 1 diagnosed with S. Jogren. 16 (76.2%) were female and 5 (23.8%) were male. All patients used medications to control and treat their disease/ morbidity. The average DMFT index was 21.52. And the analysis of the salivary flow revealed that 9 of the patients (42.86%) presented reduction of the salivary flow and 1 (10%) -SLE- hyposalivation without stimulus and whereas 3 (14.29%) presented reduction of the flow and 9 (42.86%) hyposalivation when stimulated, and 18 (85.71%) reported symptoms of dry mouth. Of the 21 patients evaluated, only 1 (4.76%) had a greater impairment of general quality of life related to oral health, since it scored above 14 points (half of the OHIP-14 questionnaire score). It can be concluded that patients with rheumatological diseases have a high DMFT index, reduced salivary flow (xerostomia and hyposalivation) and little interference of these conditions in their general health. These combined findings increased data may contribute to the prevention and a more effective therapeutic intervention of oral diseases in rheumatic patients and can assist in a better understanding of the onset of the disease and the reduction of its comorbidities.