Oral Health Issues in Psoriasis: An Overview of the Literature

Abstract

Psoriasis is defined as an immune-mediated multiple-cause disease of genetic basis [1] and different phenotypes [2] that affects up to 8.5% of the population in the Western countries and requires careful management [3]. Among the skin chronic forms of psoriasis, those with circumscribed thick white to silver plaques, surrounded by areas redness are more common [4]. Psoriasis can spread to the elbows, knees, shins, scalp, lower back, nails, genitals, mouth and joint areas with many grades of damage, leading to the emotional consequences with negative impact in the patient’s life [3, 6]. Oral cavity can reveals details about systemic health status. Oral diseases also have immune-involvement with multiple causes and can lead to local and systemic complications. Oral care are the health treatments that people more often have performed [74]. Relying on surgical resources and increasingly advanced pharmacological therapy, these treatments can lead to the damages, even in healthy patients [4]. In some conditions, dental treatments can be invasive and for Psoriasis it can cause problems in complex ways. The oral aspects for psoriasis were not assessed with a comprehensive literature review and accurate inferences are possible only if a previous systematic analysis of risk factors was done [5].