Título:	Estudo epidemiológico das condições bucais de pacientes com lúpus eritematoso sistêmico atendidos no hospital universitário de Brasília – DF
Autor(es):	Santana, Caroline Menezes
Orientador(es):	Amorim, Rivadávio Fernandes Batista de
Coorientador(es):	Falcão, Denise Pinheiro
Assunto:	Lúpus eritematoso sistêmico Xerostomia Doença periodontal Epidemiologia - Distrito Federal
Data de publicação:	5-Set-2016
Data de defesa:	25-Jul-2016
Referência:	SANTANA, Caroline Menezes. Estudo epidemiológico das condições bucais de pacientes com lúpus eritematoso sistêmico atendidos no hospital universitário de Brasília – DF. 2016. 87 f., il. Dissertação (Mestrado em Ciências Médicas) — Universidade de Brasília, Brasília, 2016.
Abstract:	Background: The Systemic Lupus Erythematosus (SLE) is na autoimmune disease, of unknow etiology, multisystemic, of na inflamatory autoimmune nature, pleomorphic, with multiple possible manifestations, with multiple manifestations of medical interest. Objective: to realize an epidemiologic survey of the oral conditions of patients with SLE that are treated at the University Hospital of Brasília (HUB) to know the specific needs and establish a dental plan of action for this group of patients. Methodology: Was evaluated patients with SLE treated at the Rheumatology Department of the University Hospital of Brasilia (HUB), of both genders and of all ages. Rheumatologists collected medical information during the LES monitoring queries. Four experienced examiners performed the oral exam. Salivary flow and the presence of xerostomia. It was recorded the presence of lesions in soft tissues, periodontal probing, index of decayed, missing and filled teeth (DMF). Results: Was evaluated 69 patients, 1 male. Median salivary flow at rest (25th and 75th percentiles) was 0.41 milliliters/minute (0.18 and 0.60), and the age group 45-64 years (n = 20) showed flow 0 18 milliliters/minute (0.10 to 0.53) and 33% of patients reported occurrence of continuous xerostomia. It was found that 26% of the patients had oral lesions. Among the present lesions, 21 (57%) were erythematous macula and of the total injuries, 34% were in the hard palate. The median of the visible plaque index was 61.3; bleeding index 25 and the probing depth was 1.6. The gingival recession presented a median of 0.3 while the level of the clinical attachment loss was 1.3. The DMF index was 16.35. Conclusion: As the saliva, it was found that: the average rate of unstimulated salivary flow was within the normal range; xerostomia was present in 32%, similar to the general population - 30% (Silvestre, 2011; Anurang, 2006). As the oral lesions: 36% of patients had oral lesions. The prevalence of lesions is similar to other studies, but the most prevalent type of injury is different. In relation to periodontal disease: The prevalence of PD was 36% lower than those reported in the literature. The high plaque index compared to the ISS, PS, REC and NIC may be associated with the use of steroids made by these patients. Comparing our results for the periodontal condition and DMFT with the results of the National Oral Health Survey (2011) the Ministry of Health, it was found that: the study population had higher average rate of gingival bleeding, but the mean depth poll was lower; the DMFT compared the age groups was lower. The oral findings indicate not need specific approach for patients with SLE.
Unidade Acadêmica:	Faculdade de Medicina (FM)
Informações adicionais:	Dissertação (mestrado) — Universidade de Brasília, Faculdade de Medicina, Programa de Pós-Graduação em Ciências Médicas, 2016.
Programa de pós-graduação:	Programa de Pós-Graduação em Ciências Médicas
Licença:	A concessão da licença deste item refere-se ao termo de autorização impresso assinado pelo autor com as seguintes condições: Na qualidade de titular dos direitos de autor da publicação, autorizo a Universidade de Brasília e o IBICT a disponibilizar por meio dos sites www.bce.unb.br, www.ibict.br, http://hercules.vtls.com/cgi-bin/ndltd/chameleon?lng=pt&skin=ndltd sem ressarcimento dos direitos autorais, de acordo com a Lei nº 9610/98, o texto integral da obra disponibilizada, conforme permissões assinaladas, para fins de leitura, impressão e/ou download, a título de divulgação da produção científica brasileira, a partir desta data.
DOI:	http://dx.doi.org/10.26512/2016.07.D.21393
Aparece nas coleções:	Teses, dissertações e produtos pós-doutorado

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