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Esclerose múltipla e manifestações orofaciais: um caso clínico
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Pacientes com esclerose múltipla têm um risco maior de desenvolver doença periodontal, apesar da evidência limitada sobre cárie dentária. O objetivo deste trabalho é apresentar uma associação entre perda dentária por cárie e a esclerose múltipla assim como uma paciente sem as manifestações orofaciais típicas da doença.
As três manifestações orofaciais comuns associadas à esclerose múltipla são a nevralgia do trigémio, parestesia do trigêmeo e a paralisia facial sendo que no caso relatado outras foram observadas tais como distúrbios da articulação temporomandibular, hipersensibilidade dentária, bruxismo e halitose.
Foram discutidos variados tratamentos dependentes da avaliação óssea e gengival. Mesmo com uma boa higiene oral e longos períodos de remissão, pacientes com esta patologia apresentam mais perdas dentárias por cárie devido à própria doença ou aos fármacos imunossupressores. O número de dentes cariados e perdidos destaca a evidência de que a doença tem um impacto significativo na qualidade de vida da paciente.
Patients with multiple sclerosis have an increased risk of developing periodontal disease, despite limited evidence on dental caries. The aim of this work is to present an association between dental caries loss and multiple sclerosis in a patient without the typical orofacial manifestations of the disease. The three common orofacial manifestations associated with multiple sclerosis are trigeminal neuralgia, trigeminal paresthesia and facial paralysis and in the case reported others were observed such as temporomandibular joint disorders, dental hypersensitivity, bruxism and halitosis. Several treatments were discussed depending on bone and gingival evaluation. Even with good oral hygiene and long periods of remission, patients with this pathology have more tooth loss by caries due to the disease itself or to immunosuppressive drugs. The number of decayed and lost teeth highlights the evidence that the disease has a significant impact on the patient's quality of life.
Patients with multiple sclerosis have an increased risk of developing periodontal disease, despite limited evidence on dental caries. The aim of this work is to present an association between dental caries loss and multiple sclerosis in a patient without the typical orofacial manifestations of the disease. The three common orofacial manifestations associated with multiple sclerosis are trigeminal neuralgia, trigeminal paresthesia and facial paralysis and in the case reported others were observed such as temporomandibular joint disorders, dental hypersensitivity, bruxism and halitosis. Several treatments were discussed depending on bone and gingival evaluation. Even with good oral hygiene and long periods of remission, patients with this pathology have more tooth loss by caries due to the disease itself or to immunosuppressive drugs. The number of decayed and lost teeth highlights the evidence that the disease has a significant impact on the patient's quality of life.
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Esclerose múltipla Nevralgia do trigémio Diagnóstico diferencial Dor odontológica Multiple sclerosis Trigeminal neuralgia Differential diagnosis Odontological pain