Oral features in patients with psoriasis: an observational study.

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Oral features in patients with psoriasis: an observational study.

Minerva Stomatol. 2018 Feb;67(1):12-19

Authors: Romeo U, Richetta A, Rocchetti F, Macaluso L, Ciolfi C, Gaimari G, Caputo M, Tenore G, Brandi M, Palaia G, Polimeni A

Abstract
BACKGROUND: The aim of this study was to investigate and compare the prevalence of oral mucosal lesions in a group of psoriatic patients and healthy subjects.
METHODS: Twenty psoriatic patients were enrolled in this observational study. Clinical examination, panoramic X-ray, magnetic nuclear resonance of temporo-mandibular joint, parodontal evaluation, oropharyngeal buffer and incisional biopsies by scalpel, as applicable, were done in order to value the patients. The control group was formed by 201 non-psoriatic patients attending the hospital for dental conditions. Oral clinical evaluation of these patients was performed, to assess the presence of any oral manifestation that can be related to psoriasis: fissured tongue, geographic tongue, parodontitis, temporo-mandibular joint disorders and oral candidiasis. After the observational analysis, a statistical examination was conducted using the chi-square test (2-sided).
RESULTS: A percentage of 78.34% of patients belonging to the case group presented oral manifestations, while in the control group the 35.3% of the individuals presented any oral lesions. Especially geographic and fissured tongue showed a strong correlation with psoriasis.
CONCLUSIONS: Some oral mucosal lesions, such as geographic and fissured tongue, are strongly associated with psoriasis. Although these lesions are non-pathognomonic to psoriasis, their precise relationship needs to be clarified and further investigated.

PMID: 29307171 [PubMed - in process]

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