Oral disorders, saliva secretion, and oral health-related quality of life in patients with primary Sjogren's syndrome

Chemosensory function, burning sensations in the tongue (BST), halitosis, saliva secretion, and oral health-related quality of life (OHRQoL) were investigated in patients with primary Sjogren's syndrome (pSS). In 31 patients with pSS and 33 controls, olfactory and gustatory functions were evaluated. Self-reported complaints of dysgeusia, BST, and halitosis were recorded. Saliva secretion rates were measured and OHRQoL was assessed using the short-form Oral Health Impact Profile (OHIP-14). Patients had significantly lower olfactory (8.8 +/- 3.5 vs. 10.7 +/- 1.2) and gustatory (18.9 +/- 7.1 vs. 25.4 +/- 4.3) scores than controls, and significantly more patients complained of dysgeusia (58.1% vs. 0%), BST (54.8% vs. 6.1%), and halitosis (41.9% vs. 0%). A significantly greater proportion of patients with pSS had ageusia (19% vs. 0%), hypogeusia (32% vs. 12%), anosmia (13% vs. 0%), or hyposmia (29% vs. 9%). Significantly lower saliva secretion rates (ml min(-1)) were observed in patients with pSS for stimulated (0.62 +/- 0.40 vs. 1.57 +/- 0.71) and unstimulated (0.08 +/- 0.07 vs. 0.29 +/- 0.17) saliva. The mean OHIP-14 score was significantly higher in patients with pSS (16.2 +/- 10.8 vs. 2.7 +/- 3.1) and was positively correlated with dysgeusia, BST, and halitosis. In conclusion, patients with pSS reported higher occurrence of dysgeusia, BST, and halitosis, and demonstrated relatively impaired chemosensory and salivary functions. The patients' poorer OHRQoL was associated with dysgeusia, BST, and halitosis.