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Multiple Sclerosis: Impact on Oral Hygiene, Dysphagia, and Quality of Life.
International Journal of Environmental Research and Public Health Pub Date : 2020-06-04 , DOI: 10.3390/ijerph17113979
Francesco Covello 1 , Giovanni Ruoppolo 2 , Camilla Carissimo 1 , Giulia Zumbo 1 , Carla Ferrara 3 , Antonella Polimeni 1 , Iole Vozza 1
Affiliation  

Multiple sclerosis (MS) is an autoimmune disease in which the immune system reacts by damaging the central nervous system, specifically myelin and oligodendrocytes. It is the most debilitating neurological disease among young adults, causing personal, familiar, social, and professional limitations. Multiple sclerosis can cause disturbances in the orofacial district, due to a demyelination process on the nerves of the head and neck district. The aim of this study was to evaluate the oral health status, dysphagia, and quality of life of patients affected by MS. For this study, 101 patients aged between 12 and 70 (47 males, 54 females) affected by MS were selected, and three questionnaires were handed out and anonymously filled in by them: An oral hygiene test, DYMUS (DYsphagia in MUltiple Sclerosis), and IOHIP-14 (Italian version Oral Health Impact Profile). Through the analysis of the questionnaires it was possible to observe pathological conditions, such as gingival inflammation, xerostomia, dysphagia, neuralgia, and dysarthria. Through the analysis it was possible to outline how the roles of a medical team, composed of a dentist, otolaryngologist, and dental hygienist, are fundamental in coping with other medical figures, during the whole development of the diseases, as well as to prevent possible complications.

中文翻译:


多发性硬化症:对口腔卫生、吞咽困难和生活质量的影响。



多发性硬化症(MS)是一种自身免疫性疾病,免疫系统通过损害中枢神经系统,特别是髓鞘质和少突胶质细胞来做出反应。它是年轻人中最使人衰弱的神经系统疾病,会导致个人、熟悉、社交和职业方面的限制。由于头部和颈部神经的脱髓鞘过程,多发性硬化症可引起口面部区域的紊乱。本研究的目的是评估多发性硬化症患者的口腔健康状况、吞咽困难和生活质量。在这项研究中,选择了 101 名年龄在 12 岁至 70 岁之间的 MS 患者(47 名男性,54 名女性),发放了三份问卷并由他们匿名填写:口腔卫生测试、DYMUS(多发性硬化症吞咽困难)、和 IOHIP-14(意大利版口腔健康影响概况)。通过对问卷的分析,可以观察牙龈炎症、口干、吞咽困难、神经痛和构音障碍等病理状况。通过分析,可以概述由牙医、耳鼻喉科医生和牙科保健员组成的医疗团队在疾病的整个发展过程中如何在应对其他医疗人员以及预防可能发生的情况方面发挥重要作用。并发症。
更新日期:2020-06-04
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