Maxillofacial Manifestations of Crohn's Disease: clinical and dental considerations
DOI:
https://doi.org/10.33448/rsd-v11i16.37852Keywords:
Crohn's disease; Mouth; Oral Lesions; Inflammatory bowel disease.Abstract
Crohn's disease (CD) is a chronic inflammatory bowel disease (IBD) of the gastrointestinal tract of unknown cause. However, it is known that environmental factors, epigenetics, intestinal microbiota and genetic factors are known to play a significant role in the etiology of the disease. Thus, this study aimed to review the literature on oral manifestations resulting from Crohn's Disease, as well as the proper management of oral lesions. As methodological procedures, a literature review is adopted using the SciVerse Scopus, Scientific Electronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) and ScienceDirect, with the help of the Mendeley reference manager. The results indicate that oral lesions resulting from Crohn's Disease include lip edema, granulomatous nodular edema, deep linear ulcerations, mucogingivitis, aphthous ulceration, angular cheilitis and pyosestomatitis vegetans. The dentist must give the patient the necessary help by providing information on hygiene techniques and suggesting an increase in the number of consultations to control the manifestations. You must consult with the gastroenterologist to adjust the control of pharmacological therapy, all with the aim of providing the best alternative for the patient and improving their quality of life.
References
Atarbashi-Moghadam, S., Lotfi, A., & Fazele, A-M. 2016. “Pyostomatitis Vegetans: A Clue for Diagnosis of Silent Crohn’s Disease.” Journal of Clinical and Diagnostic Research : JCDR 10(12):ZD12–13.
Chang, J., Li, C-C., Achtari, M., & Stoufi, E. 2019. “Crohn’s Disease Initiated with Extraintestinal Features.” BMJ Case Reports 12(4):e229916. 10.1136/bcr-2019-229916.
Freeman, H. J. 2014. “Natural History and Long-Term Clinical Course of Crohn’s Disease.” World Journal of Gastroenterology 20(1):31–36. 10.3748/wjg.v20.i1.31.
Jajam, M., Bozzolo, P., & Niklander, S. 2017. “Oral Manifestations of Gastrointestinal Disorders.” Journal of Clinical and Experimental Dentistry 9(10):e1242–48. 10.4317/jced.54008.
Laranjeira, N., Valido, S., Meira, T., Fonseca, J., & Freitas, J. 2015. “Manifestações Orais Em Doentes Com Doença Inflamatória Intestinal . Estudo Piloto Oral Disorders in Patients with Inflammatory Bowel Disease . A Pilot Study.” Colóqios Garcia Da Orta 2:1–5.
Li, N., & Shi, R-H. 2018. “Updated Review on Immune Factors in Pathogenesis of Crohn’s Disease.” World Journal of Gastroenterology 24(1):15–22. 10.3748/wjg.v24.i1.15.
Marazuela García, P., López-Frías López-Jurado, A., & Vicente Bártulos, A.. 2019. “Acute Abdominal Pain in Patients with Crohn’s Disease: What Urgent Imaging Tests Should Be Done?” Radiologia 61(4):333–36. doi: 10.1016/j.rx.2018.12.003.
Neville, B. W., Damm, D., Allen, C., & Bouquot, J. 2009. Oral and Maxillofacial Pathology. 3rd ed.
Rajbhandari, R., Blakemore, S., Gupta, N., Alma, J. A., Noble, C. A., Mannan, S., Nikolli, K., Yih, A., Joshi, S., & Bukhman, G. 2020. “Crohn’s Disease in Low and Lower-Middle Income Countries: A Scoping Review.” World Journal of Gastroenterology 26(43):6891–6908. 10.3748/wjg.v26.i43.6891.
Rofifah, D. 2020. “Manifestações Orais Da Doença de Crohn.” Paper Knowledge . Toward a Media History of Documents 12–26.
Tan, C. X. W., H. S. Brand, N. K. H. de B., & Forouzanfar, T. 2016. “Gastrointestinal Diseases and Their Oro-Dental Manifestations: Part 1: Crohn’s Disease.” British Dental Journal 221(12):794–99. 10.1038/sj.bdj.2016.954.
Veauthier, B., & Jaime, R. H. 2018. “Crohn’s Disease: Diagnosis and Management.” American Family Physician 98(11):661–69.
Woo, V. L. 2015. “Oral Manifestations of Crohn’s Disease: A Case Report and Review of the Literature.” Case Reports in Dentistry 2015(Figure 1). 10.1155/2015/830472.
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Copyright (c) 2022 Áquila de Oliveira Afonso; Felipe Gomes Dallepiane; Grace Kelly Martins Carneiro; Heuber de Sales Gonçalves ; Marcos Dyllan de Souza Braga ; Raira Santos de Oliveira ; Alexandra de Lima Pereira; César Vinícius Gato Sena ; Marcos Paulo Maia de Lima; Brenda Graziella Coêlho Nogueira
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