Abstract
Objective: To evaluate the oral hygiene and dental caries status on Systemic Lupus Erythematosus (SLE) patients, also it’s with SLE disease activity. Material and Methods: This is a descriptive study with a cross-sectional approach. The study was conducted on 93 SLE patients from 2017 to 2019 on Saiful Anwar Hospital Indonesia. All SLE patients had clinical examination using DMF-T, Personal Hygiene Performance-Modified (PHP-M), Calculus Index (CI), Debris Index (DI), Plaque Index (PI) and Simplified Oral Hygiene Index (OHI-S). Clinical examination and laboratory tests are conducted to assess the activity of SLE measured using. The data were analyzed by One Way ANOVA test . Results: A total of 74% of subjects with SLE had dental caries. PHP-M with SLE severity was found significant (p<0.001) and a strong positive correlation (r=0.982). Plaque with SLE severity was found significant (p=0.001) and a strong positive correlation (r=0.938). OHI-S with SLE severity was found significant (p<0.001) and a strong positive correlation (r=0.953). DMF-T levels with SLE severity was found significant (p=0.001) and a strong positive correlation (r=0.974). It showed that the severity of disease activity was related to poor oral hygiene and a high incidence of dental caries . Conclusion: There is a correlation between oral hygiene, dental caries and SLE severity.
Highlights
Oral health is one thing that is quite important to concern
There is a correlation between oral hygiene, dental caries and Systemic Lupus Erythematosus (SLE) severity
Data Collection All SLE patients had a clinical examination of the oral cavity to assess the presence of oral health using the index as Decay Missing Filling Teeth (DMF-T), Personal Hygiene Performance-Modified (PHP-M), Calculus Index (CI), Debris Index and Oral Hygiene Index (OHI-S) and Plaque Index (PI)
Summary
Oral health is one thing that is quite important to concern. Research shows that dental health can affect body health and other organs such as heart, blood vessels, digestion, and lungs. Autoreactive B cells could produce Anti-double stranded DNA (anti-dsDNA) These autoantibodies will form immune complexes and are deposited in the tissues, causing chronic inflammation [4]. SLE patient is vulnerable to infection due to immune dysfunction This condition could affect SLE severity, manifest in many organs, especially dental health. Poor dental health could cause an infection resulting in dental caries until missing teeth [5,6]. Salivary buffer [12,13,14] This condition could affect dental health resulting in poor oral hygiene and a high number of dental caries. This article aims to find dental health conditions on SLE patients, consist of oral hygiene and dental caries and its correlation with SLE disease activity
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