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Novel parotid sialo-cone-beam computerized tomography features in patients with suspected Sjogren's syndrome.
Keshet, Naama; Aricha, Adi; Friedlander-Barenboim, Silvina; Aframian, Doron J; Nadler, Chen.
Afiliação
  • Keshet N; Department of Oral Medicine, Sedation, and Maxillofacial Imaging, Sjogren's Syndrome Center, Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel.
  • Aricha A; Department of Oral Medicine, Sedation, and Maxillofacial Imaging, Sjogren's Syndrome Center, Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel.
  • Friedlander-Barenboim S; Oro-Maxillofacial Imaging, Department of Oral Medicine, Sedation, and Maxillofacial Imaging, Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel.
  • Aframian DJ; Division of Pediatric and Hospital Dentistry, The Chaim Sheba Medical Center, Ramat-Gan, Israel.
  • Nadler C; Department of Oral Medicine, Sedation, and Maxillofacial Imaging, Sjogren's Syndrome Center, Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel.
Oral Dis ; 25(1): 126-132, 2019 Jan.
Article em En | MEDLINE | ID: mdl-30070035
OBJECTIVE: Sjogren's syndrome (SjS) causes salivary gland impairment leading to oral dryness. Parotid sialo-cone-beam computerized tomography (sialo-CBCT) demonstrates ductal architecture and to a lesser extent gland activity. This study characterizes radiographic features of patients suspected for SjS and looks for a possible correlation with the diagnosis of SjS. METHODS: The clinical and radiographic data of suspected SjS/dry mouth patients referred for sialo-CBCT in 2011-2014 were reviewed retrospectively. Two observers studied the scans for various radiographic features including duct morphology, level of branching, ductopenia and sialectasia. These features were analysed taking the specific clinical data and two sets of SjS criteria: The 2002 American-European Consensus Group (AECG) and the 2012 American College of Rheumatology (ACR) Group. RESULTS: Sialo-CBCT scans of 67-referred patients suffering from dry mouth (115 parotid glands) were included. Intraradiographic association was found between ductopenia and all other radiographic parameters. Minimal, yet important, radiographic differences were found between left and right parotid glands. AECG-confirmed-SjS patients showed strong correlation with radiographic features, whereas ACR 2012-confirmed-SjS patients did not. CONCLUSION: Sialo-CBCT demonstrates novel radiographic features which may clarify the diagnosis of SjS. Further studies are needed to determine the role of sialo-CBCT in diagnosis of SjS.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Glândula Parótida / Glândulas Salivares / Síndrome de Sjogren / Tomografia Computadorizada de Feixe Cônico Tipo de estudo: Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Oral Dis Assunto da revista: ODONTOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Israel

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Glândula Parótida / Glândulas Salivares / Síndrome de Sjogren / Tomografia Computadorizada de Feixe Cônico Tipo de estudo: Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Oral Dis Assunto da revista: ODONTOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Israel