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Revista Ciencias de la Salud
versión impresa ISSN 1692-7273versión On-line ISSN 2145-4507
Resumen
ALVES-FERREIRA, Andressa Kelly; TEIXEIRA DE ARGOLO, Isaura Freitas; SOARES, Maria Sueli Marques y PEREIRA DE MELO, Ângelo Brito. Salivary changes, oral symptoms, and oral health-related quality of life in patients with neuromuscular diseases. Rev. Cienc. Salud [online]. 2020, vol.18, n.1, pp.82-95. ISSN 1692-7273. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8765.
Introduction:
The aim of this study was to evaluate the salivary flow, the presence of oral symptoms, and the oral health-related quality of life perceptions among individuals with neuromuscular diseases.
Materials and Methods:
It is a cross-sectional study, with 30 individuals with neuromuscular diseases treated at a neurorehabilitation clinic of a Brazilian university hospital from October to December 2017. Anamnesis, assessment of resting salivary flow, and measurement of salivary pH were performed. The instrument Oral Health Impact Profile-14 was used to evaluate the oral health-related quality of life. Data were analyzed using descriptive analysis and chi-square test, using a 5 %> significance level (p <0.05).
Results:
Amyotrophic Lateral Sclerosis was the most common disease in the group (50 %>). The mean resting salivary flow was 0.44 ml/min, where it was found 43.3 %> of high salivary flow and 3.3 %> of hypo-salivation. The mean salivary pH found was 6.47 ± 0.57, where 56.6 %> of the patients had neutral pH and 40 %> low pH. The most prevalent oral symptoms were dysphagia (56.7 %>) and xerostomia (43.3 %>). The mean Oral Health Impact Profile-14 was 5.54 ± 4.93, with 90 %> of patients presenting some impact of oral conditions on quality of life. A statistically significant association (p <0.05) between the quality of life and symptoms of dysphagia, xerostomia, oral burning, and sialorrhea was found. The Oral Health Impact Profile-14 dimensions with the highest percentages were psychological inability (14.5 %>) and functional limitation (13.5 %>).
Conclusion:
The majority of patients presented salivary gland dysfunction with high salivary flows. The presence of oral symptoms negatively influenced the individual's quality of life perceptions of individuals with neuromuscular diseases.
Palabras clave : Neuromuscular diseases; oral health; saliva; quality of life; Hospital Unit of Dentistry.