Overall, we conclude that SjD patients face a range of dental challenges including premature loss of teeth. This loss of teeth is not the result of an increased risk of periodontitis, but rather from an increased susceptibility to develop caries. The latter is presumably due to the reduced secretion of saliva, which reduces its protective and cleansing and effect. Our prospective clinical studies have shown that in SjD lost teeth can successfully be replaced by implant supported overdentures or restorations. Nevertheless, the overall oral health satisfaction of SjD patients remains lower than that of individuals without SjD. Further studies on the factors responsible for this lower satisfaction are warranted.
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