A Sjogren's syndrome patient treated with implants: case report Connie Chi-Man Wong, DDS KUO GENERAL HOSPITAL

Sjogren's Syndrome (SS) occur in 0.5% to 1.0% of the population; whereas the

disease is not hereditary, associations with certain HLA genotype have been note(HLA-B8 and HLA-DR3) Over 80% are women. If the disease affects only salivary and lacrimal glands without other coexisting systemic autoimmune diseases, it is termed primary Sjogrens Syndrome. Patient with dry mouth (xerostomia) dry eyes (xerophthalmia) and mucosa in mouth and the eyes become thinned, inflamed, and painful with a burning. Also has root caries ( usually at the CEJ on the facial aspects). A 30y/o female comes to clinic due to anterior crown bridge loosen and multiple caries. She has Primary Sjogren's Syndrome over 8 yrs and asks for dental implant treatment. After bone augmentation from ramus, there are total 7 implant fixtures retained fixed crown bridges. After two year prosthetic treatment, patient indicated good comfort of the prostheses and the bone level are stable. It appears that implants can successfully be placed and maintained. Implant treatment may, therefore, offer a viable long-term treatment alternative for patients with Sjogren's syndrome.

1. Outcome of treatment with implant-retained dental prostheses in patients with Sjgren syndrome. Isidor F, Brndum K, Hansen HJ, Jensen J, Sindet-Pedersen S.

2. Int J Oral Maxillofac Implants. 1999 Sep-Oct;14(5):736-43. 3. Implant-prosthodontic treatment for special care patients: a case series study.

Oczakir C, Balmer S, Mericske-Stern R. 4. Int J Prosthodont. 2005 Sep-Oct;18(5):383-9. 5. Thirteen-year follow-up of a mandibular implant-supported fixed complete denture

in a patient with Sjogren's syndrome: A clinical report 6. Paul P. Binon DDS, MSD 7. School of Dentistry, Indiana University, Indianapolis, Ind; University of California

San Francisco, San Francisco, Calif. 8. Available online 5 November 2005.

Fig 1

Fig 2

Fig 3

Fig 4

Fig 5

Fig 6

Fig 7

Fig 8

Fig 9

Fig 10

Fig 11

Fig 12

Fig 13

Fig 14

Fig 15

.Connie Chi-Man Wong DDS.pdf1