EdenteV1, Main, Exploration, bibRecord, 000351

The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population

Identifieur interne : 000351 ( Main/Exploration ); précédent : 000350; suivant : 000352

The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population

Auteurs : Murray Baron [Canada] ; Marie Hudson [Canada] ; Solène Tatibouet ; Russell Steele [Canada] ; Ernest Lo ; Sabrina Gravel ; Geneviève Gyger [Canada] ; Tarek El Sayegh ; Janet Pope [Canada] ; Audrey Fontaine ; Ariel Masseto ; Debora Matthews ; Evelyn Sutton ; Norman Thie ; Niall Jones ; Maria Copete ; Dean Kolbinson ; Janet Markland ; Getulio Nogueira-Filho ; David Robinson [Canada] ; Mervyn Gornitsky [Canada]

Source :

Rheumatology (Oxford, England) [ 1462-0324 ] ; 2014.

RBID : PMC:4103515

Abstract

Objective. The aim of this study was to compare oral abnormalities and oral health-related quality of life (HRQoL) of patients with SSc with the general population.

Methods. SSc patients and healthy controls were enrolled in a multisite cross-sectional study. A standardized oral examination was performed. Oral HRQoL was measured with the Oral Health Impact Profile (OHIP). Multivariate regression analyses were performed to identify associations between SSc, oral abnormalities and oral HRQoL.

Results. We assessed 163 SSc patients and 231 controls. SSc patients had more decayed teeth (SSc 0.88, controls 0.59, P = 0.0465) and periodontal disease [number of teeth with pocket depth (PD) >3 mm or clinical attachment level (CAL) ≥5.5 mm; SSc 5.23, controls 2.94, P < 0.0001]. SSc patients produced less saliva (SSc 147.52 mg/min, controls 163.19 mg/min, P = 0.0259) and their interincisal distance was smaller (SSc 37.68 mm, controls 44.30 mm, P < 0.0001). SSc patients had significantly reduced oral HRQoL compared with controls (mean OHIP score: SSc 41.58, controls 26.67, P < 0.0001). Multivariate regression analyses confirmed that SSc was a significant independent predictor of missing teeth, periodontal disease, interincisal distance, saliva production and OHIP scores.

Conclusion. Subjects with SSc have impaired oral health and oral HRQoL compared with the general population. These data can be used to develop targeted interventions to improve oral health and HRQoL in SSc.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103515

DOI: 10.1093/rheumatology/ket441
PubMed: 24464709
PubMed Central: 4103515

Affiliations:

Le document en format XML

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<author><name sortKey="Gravel, Sabrina" sort="Gravel, Sabrina" uniqKey="Gravel S" first="Sabrina" last="Gravel">Sabrina Gravel</name>
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<author><name sortKey="Fontaine, Audrey" sort="Fontaine, Audrey" uniqKey="Fontaine A" first="Audrey" last="Fontaine">Audrey Fontaine</name>
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<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
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<author><name sortKey="Masseto, Ariel" sort="Masseto, Ariel" uniqKey="Masseto A" first="Ariel" last="Masseto">Ariel Masseto</name>
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<author><name sortKey="Matthews, Debora" sort="Matthews, Debora" uniqKey="Matthews D" first="Debora" last="Matthews">Debora Matthews</name>
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<author><name sortKey="Sutton, Evelyn" sort="Sutton, Evelyn" uniqKey="Sutton E" first="Evelyn" last="Sutton">Evelyn Sutton</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia,</nlm:aff>
<wicri:noCountry code="subfield">Nova Scotia</wicri:noCountry>
</affiliation>
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<author><name sortKey="Thie, Norman" sort="Thie, Norman" uniqKey="Thie N" first="Norman" last="Thie">Norman Thie</name>
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</affiliation>
</author>
<author><name sortKey="Jones, Niall" sort="Jones, Niall" uniqKey="Jones N" first="Niall" last="Jones">Niall Jones</name>
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</affiliation>
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<author><name sortKey="Copete, Maria" sort="Copete, Maria" uniqKey="Copete M" first="Maria" last="Copete">Maria Copete</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Pathology, College of Dentistry, University of Saskatchewan,</nlm:aff>
<wicri:noCountry code="subfield">University of Saskatchewan</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Kolbinson, Dean" sort="Kolbinson, Dean" uniqKey="Kolbinson D" first="Dean" last="Kolbinson">Dean Kolbinson</name>
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<wicri:noCountry code="subfield">University of Saskatchewan</wicri:noCountry>
</affiliation>
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<author><name sortKey="Markland, Janet" sort="Markland, Janet" uniqKey="Markland J" first="Janet" last="Markland">Janet Markland</name>
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</affiliation>
</author>
<author><name sortKey="Nogueira Filho, Getulio" sort="Nogueira Filho, Getulio" uniqKey="Nogueira Filho G" first="Getulio" last="Nogueira-Filho">Getulio Nogueira-Filho</name>
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</affiliation>
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<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
<orgName type="university">Université McGill</orgName>
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<affiliation wicri:level="1"><nlm:aff id="ket441-AFF1">Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population</title>
<author><name sortKey="Baron, Murray" sort="Baron, Murray" uniqKey="Baron M" first="Murray" last="Baron">Murray Baron</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="ket441-AFF1">Division of Rheumatology, Faculty of Medicine, McGill University,</nlm:aff>
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<author><name sortKey="Hudson, Marie" sort="Hudson, Marie" uniqKey="Hudson M" first="Marie" last="Hudson">Marie Hudson</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="ket441-AFF1">Division of Rheumatology, Faculty of Medicine, McGill University,</nlm:aff>
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<author><name sortKey="Tatibouet, Solene" sort="Tatibouet, Solene" uniqKey="Tatibouet S" first="Solène" last="Tatibouet">Solène Tatibouet</name>
<affiliation><nlm:aff id="ket441-AFF1">Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
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<author><name sortKey="Steele, Russell" sort="Steele, Russell" uniqKey="Steele R" first="Russell" last="Steele">Russell Steele</name>
<affiliation><nlm:aff id="ket441-AFF1">Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="ket441-AFF1">Department of Mathematics and Statistics, McGill University, Montreal, Quebec,</nlm:aff>
<orgName type="university">Université McGill</orgName>
<country>Canada</country>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lo, Ernest" sort="Lo, Ernest" uniqKey="Lo E" first="Ernest" last="Lo">Ernest Lo</name>
<affiliation><nlm:aff id="ket441-AFF1">Epidemiology, Lady Davis Institute, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Gravel, Sabrina" sort="Gravel, Sabrina" uniqKey="Gravel S" first="Sabrina" last="Gravel">Sabrina Gravel</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Gyger, Genevieve" sort="Gyger, Genevieve" uniqKey="Gyger G" first="Geneviève" last="Gyger">Geneviève Gyger</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, Department of Internal Medicine, SMBD Jewish General Hospital,</nlm:aff>
<wicri:noCountry code="subfield">SMBD Jewish General Hospital</wicri:noCountry>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="ket441-AFF1">Division of Rheumatology, Faculty of Medicine, McGill University,</nlm:aff>
<country>Canada</country>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
<orgName type="university">Université McGill</orgName>
</affiliation>
</author>
<author><name sortKey="Sayegh, Tarek El" sort="Sayegh, Tarek El" uniqKey="Sayegh T" first="Tarek El" last="Sayegh">Tarek El Sayegh</name>
<affiliation><nlm:aff id="ket441-AFF1">School of Dentistry, University of Western Ontario,</nlm:aff>
<wicri:noCountry code="subfield">University of Western Ontario</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Pope, Janet" sort="Pope, Janet" uniqKey="Pope J" first="Janet" last="Pope">Janet Pope</name>
<affiliation wicri:level="2"><nlm:aff id="ket441-AFF1">Division of Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario,</nlm:aff>
<country>Canada</country>
<placeName><region type="province">Ontario</region>
</placeName>
<wicri:cityArea>Division of Rheumatology, Department of Medicine, University of Western Ontario, London</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Fontaine, Audrey" sort="Fontaine, Audrey" uniqKey="Fontaine A" first="Audrey" last="Fontaine">Audrey Fontaine</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec,</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Masseto, Ariel" sort="Masseto, Ariel" uniqKey="Masseto A" first="Ariel" last="Masseto">Ariel Masseto</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Rheumatology, Université de Sherbrooke, Sherbrooke, Quebec,</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Matthews, Debora" sort="Matthews, Debora" uniqKey="Matthews D" first="Debora" last="Matthews">Debora Matthews</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Periodontology, Faculty of Dentistry,</nlm:aff>
<wicri:noCountry code="subfield">Faculty of Dentistry</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Sutton, Evelyn" sort="Sutton, Evelyn" uniqKey="Sutton E" first="Evelyn" last="Sutton">Evelyn Sutton</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia,</nlm:aff>
<wicri:noCountry code="subfield">Nova Scotia</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Thie, Norman" sort="Thie, Norman" uniqKey="Thie N" first="Norman" last="Thie">Norman Thie</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Oro-facial Pain, School of Dentistry,</nlm:aff>
<wicri:noCountry code="subfield">School of Dentistry</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Jones, Niall" sort="Jones, Niall" uniqKey="Jones N" first="Niall" last="Jones">Niall Jones</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Medicine, University of Alberta, Edmonton, Alberta,</nlm:aff>
<wicri:noCountry code="subfield">Alberta</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Copete, Maria" sort="Copete, Maria" uniqKey="Copete M" first="Maria" last="Copete">Maria Copete</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Pathology, College of Dentistry, University of Saskatchewan,</nlm:aff>
<wicri:noCountry code="subfield">University of Saskatchewan</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Kolbinson, Dean" sort="Kolbinson, Dean" uniqKey="Kolbinson D" first="Dean" last="Kolbinson">Dean Kolbinson</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Pathology, College of Dentistry, University of Saskatchewan,</nlm:aff>
<wicri:noCountry code="subfield">University of Saskatchewan</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Markland, Janet" sort="Markland, Janet" uniqKey="Markland J" first="Janet" last="Markland">Janet Markland</name>
<affiliation><nlm:aff id="ket441-AFF1">Division of Rheumatology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan,</nlm:aff>
<wicri:noCountry code="subfield">Saskatchewan</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Nogueira Filho, Getulio" sort="Nogueira Filho, Getulio" uniqKey="Nogueira Filho G" first="Getulio" last="Nogueira-Filho">Getulio Nogueira-Filho</name>
<affiliation><nlm:aff id="ket441-AFF1">Department of Periodontology,</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Robinson, David" sort="Robinson, David" uniqKey="Robinson D" first="David" last="Robinson">David Robinson</name>
<affiliation wicri:level="4"><nlm:aff wicri:cut=" and" id="ket441-AFF1">Rheumatology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba</nlm:aff>
<orgName type="university">Université du Manitoba</orgName>
<country>Canada</country>
<placeName><settlement type="city">Winnipeg</settlement>
<region type="state">Manitoba</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gornitsky, Mervyn" sort="Gornitsky, Mervyn" uniqKey="Gornitsky M" first="Mervyn" last="Gornitsky">Mervyn Gornitsky</name>
<affiliation wicri:level="4"><nlm:aff id="ket441-AFF1">Division of Rheumatology, Faculty of Medicine, McGill University,</nlm:aff>
<country>Canada</country>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
<orgName type="university">Université McGill</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="ket441-AFF1">Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec, Canada.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Canada</country>
<wicri:regionArea>Department of Dentistry, SMBD Jewish General Hospital, Montreal, Quebec</wicri:regionArea>
<wicri:noRegion>Quebec</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Rheumatology (Oxford, England)</title>
<idno type="ISSN">1462-0324</idno>
<idno type="eISSN">1462-0332</idno>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p><bold>Objective.</bold>
 The aim of this study was to compare oral abnormalities and oral health-related quality of life (HRQoL) of patients with SSc with the general population.</p>
<p><bold>Methods.</bold>
 SSc patients and healthy controls were enrolled in a multisite cross-sectional study. A standardized oral examination was performed. Oral HRQoL was measured with the Oral Health Impact Profile (OHIP). Multivariate regression analyses were performed to identify associations between SSc, oral abnormalities and oral HRQoL.</p>
<p><bold>Results.</bold>
 We assessed 163 SSc patients and 231 controls. SSc patients had more decayed teeth (SSc 0.88, controls 0.59, <italic>P = </italic>
0.0465) and periodontal disease [number of teeth with pocket depth (PD) >3 mm or clinical attachment level (CAL) ≥5.5 mm; SSc 5.23, controls 2.94, <italic>P < </italic>
0.0001]. SSc patients produced less saliva (SSc 147.52 mg/min, controls 163.19 mg/min, <italic>P = </italic>
0.0259) and their interincisal distance was smaller (SSc 37.68 mm, controls 44.30 mm, <italic>P < </italic>
0.0001). SSc patients had significantly reduced oral HRQoL compared with controls (mean OHIP score: SSc 41.58, controls 26.67, <italic>P < </italic>
0.0001). Multivariate regression analyses confirmed that SSc was a significant independent predictor of missing teeth, periodontal disease, interincisal distance, saliva production and OHIP scores.</p>
<p><bold>Conclusion.</bold>
 Subjects with SSc have impaired oral health and oral HRQoL compared with the general population. These data can be used to develop targeted interventions to improve oral health and HRQoL in SSc.</p>
</div>
</front>
</TEI>
<affiliations><list><country><li>Canada</li>
</country>
<region><li>Manitoba</li>
<li>Ontario</li>
<li>Québec</li>
</region>
<settlement><li>Montréal</li>
<li>Winnipeg</li>
</settlement>
<orgName><li>Université McGill</li>
<li>Université du Manitoba</li>
</orgName>
</list>
<tree><noCountry><name sortKey="Copete, Maria" sort="Copete, Maria" uniqKey="Copete M" first="Maria" last="Copete">Maria Copete</name>
<name sortKey="Fontaine, Audrey" sort="Fontaine, Audrey" uniqKey="Fontaine A" first="Audrey" last="Fontaine">Audrey Fontaine</name>
<name sortKey="Gravel, Sabrina" sort="Gravel, Sabrina" uniqKey="Gravel S" first="Sabrina" last="Gravel">Sabrina Gravel</name>
<name sortKey="Jones, Niall" sort="Jones, Niall" uniqKey="Jones N" first="Niall" last="Jones">Niall Jones</name>
<name sortKey="Kolbinson, Dean" sort="Kolbinson, Dean" uniqKey="Kolbinson D" first="Dean" last="Kolbinson">Dean Kolbinson</name>
<name sortKey="Lo, Ernest" sort="Lo, Ernest" uniqKey="Lo E" first="Ernest" last="Lo">Ernest Lo</name>
<name sortKey="Markland, Janet" sort="Markland, Janet" uniqKey="Markland J" first="Janet" last="Markland">Janet Markland</name>
<name sortKey="Masseto, Ariel" sort="Masseto, Ariel" uniqKey="Masseto A" first="Ariel" last="Masseto">Ariel Masseto</name>
<name sortKey="Matthews, Debora" sort="Matthews, Debora" uniqKey="Matthews D" first="Debora" last="Matthews">Debora Matthews</name>
<name sortKey="Nogueira Filho, Getulio" sort="Nogueira Filho, Getulio" uniqKey="Nogueira Filho G" first="Getulio" last="Nogueira-Filho">Getulio Nogueira-Filho</name>
<name sortKey="Sayegh, Tarek El" sort="Sayegh, Tarek El" uniqKey="Sayegh T" first="Tarek El" last="Sayegh">Tarek El Sayegh</name>
<name sortKey="Sutton, Evelyn" sort="Sutton, Evelyn" uniqKey="Sutton E" first="Evelyn" last="Sutton">Evelyn Sutton</name>
<name sortKey="Tatibouet, Solene" sort="Tatibouet, Solene" uniqKey="Tatibouet S" first="Solène" last="Tatibouet">Solène Tatibouet</name>
<name sortKey="Thie, Norman" sort="Thie, Norman" uniqKey="Thie N" first="Norman" last="Thie">Norman Thie</name>
</noCountry>
<country name="Canada"><region name="Québec"><name sortKey="Baron, Murray" sort="Baron, Murray" uniqKey="Baron M" first="Murray" last="Baron">Murray Baron</name>
</region>
<name sortKey="Gornitsky, Mervyn" sort="Gornitsky, Mervyn" uniqKey="Gornitsky M" first="Mervyn" last="Gornitsky">Mervyn Gornitsky</name>
<name sortKey="Gornitsky, Mervyn" sort="Gornitsky, Mervyn" uniqKey="Gornitsky M" first="Mervyn" last="Gornitsky">Mervyn Gornitsky</name>
<name sortKey="Gyger, Genevieve" sort="Gyger, Genevieve" uniqKey="Gyger G" first="Geneviève" last="Gyger">Geneviève Gyger</name>
<name sortKey="Hudson, Marie" sort="Hudson, Marie" uniqKey="Hudson M" first="Marie" last="Hudson">Marie Hudson</name>
<name sortKey="Pope, Janet" sort="Pope, Janet" uniqKey="Pope J" first="Janet" last="Pope">Janet Pope</name>
<name sortKey="Robinson, David" sort="Robinson, David" uniqKey="Robinson D" first="David" last="Robinson">David Robinson</name>
<name sortKey="Steele, Russell" sort="Steele, Russell" uniqKey="Steele R" first="Russell" last="Steele">Russell Steele</name>
</country>
</tree>
</affiliations>
</record>

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The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population

The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population

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