Dental Management of Patients with Autoimmune Disorders. Adrienne J. Yoon, D.D.S. November 18, 2004. Autoimmune Disorders. Hashimoto’s Disease Rheumatoid Arthritis Sjogrens Syndrome Systemic Lupus Erythematosus. Hashimoto’s Disease. A chronic inflammatory disease of the thyroid.
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Adrienne J. Yoon, D.D.S.
November 18, 2004
A chronic inflammatory disease of the thyroid
A chronic nonsuppurative inflammatory destruction of the joints
morning stiffness; difficult to resume motion
Inflammation of the lacrimal and salivary glands
Interstitial lung fibrosis
Primary biliary cirrhosis (PBC)
SclerodermaExtra-glandular Signs and Symptoms
daily use of fluoride, frequent recalls
sugarless gum/candy, saliva substitutes (salivart, biotene, oral balance, mouth kote, glandosane, prescription medication (salagen, ` evoxac)
A chronic multisystem disease of unknown origin that exhibits wide variations in its clinical expression and disease course
Butterfly rash on the malar area and nose
40-50% of patients have affected kidneys
-Libman-sacks endocarditis found in 50% of patients upon autopsy
-pericarditis, myocarditis, endocarditis, CAD
-5-25% of patients have affected palate, buccal mucosa, and gingivaSigns and Symptoms