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Int. J. Environ. Res. Public Health 2017, 14(3), 281; doi:10.3390/ijerph14030281

Oral Health Status of Patients with Lysosomal Storage Diseases in Poland

Department of Conservative Dentistry and Periodontology, Poznan University of Medical Sciences, 60-812 Poznan, Poland
Department of Anatomy, Poznan University of Medical Sciences, 61-781 Poznan, Poland
Department of Pathophysiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland
Department of Metabolic Disease, Nutrition and Internal Medicine, Poznan University of Medical Sciences, 60-355 Poznan, Poland
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 16 January 2017 / Revised: 20 February 2017 / Accepted: 2 March 2017 / Published: 9 March 2017
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [1085 KB, uploaded 9 March 2017]   |  


Patients with lysosomal storage diseases (LSDs) suffer from physical and mental disabilities, which together with poor access to professional care may lead to impaired oral health. This cross-sectional case-control study characterized the status of oral health in patients with LSDs in Poland. Thirty-six children and young adults with various forms of LSDs were examined. The data were compared with those from age- and sex-matched healthy controls. Exemplary cases were presented to highlight typical problems in oral care associated with LSDs. When possible, saliva was collected and analyzed for total protein, inflammatory mediators, and antioxidant status. Generally, patients with LSDs had significantly higher prevalence of caries, inferior gingival status, and inadequate oral hygiene. The severity of oral health impairment in mucopolysaccaridoses, the most common LSD in Poland, was similar to that seen in patients with mannosidoses or Pompe disease. Saliva could be collected only from few less handicapped patients. In MPS, it did not appear to differ significantly from the controls, but in patients with Pompe disease it contained lower concentrations of vascular endothelial growth factor (VEGF) and monocyte chemoattractant protein-1 (MCP-1), but higher levels of tumor necrosis factor receptors 1 and 2 (TNF-R1, TNF-R2) and myeloperoxidase (MPO). In conclusion, Polish patients with LSDs have an inadequate level of oral hygiene and substantially deteriorated oral health. View Full-Text
Keywords: lysosomal storage disease; oral health; developmental disabilities; saliva lysosomal storage disease; oral health; developmental disabilities; saliva

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Drążewski, D.; Grzymisławska, M.; Korybalska, K.; Czepulis, N.; Grzymisławski, M.; Witowski, J.; Surdacka, A. Oral Health Status of Patients with Lysosomal Storage Diseases in Poland. Int. J. Environ. Res. Public Health 2017, 14, 281.

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