Abstract
A 33-year-old woman reported generalized pain and burning symptoms in the mouth; trouble speaking, chewing, and swallowing; and fragile of teeth. During the anamnesis, the patient reported hypothyroidism and bilateral erythema. Extraoral examination revealed dryness of the face, semi-mucos of lip, and reddened eyes. Intraoral evaluation revealed dryness of the entire oral mucosa with bleeding areas and deep caries lesions. Salivary flow measurement and biopsy of the minor salivary gland were performed, which, combined with laboratory tests that showed SSA/RO (anti-Sjögren's-syndrome-related antigen A autoantibodies) and ANA (antinuclear antibody) reagents, confirmed Sjogren's syndrome. The constant use of artificial saliva, citric acid, and xylitol tablets was prescribed and low-power laser therapy was applied for 5 consecutive weeks. The patient continues to be followed up at the stomatology clinic, with an increase in salivary production and a reduction in the use of artificial saliva.
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