Diagnosis of Sjögren’s disease

Abstract

The diagnosis of Sjögren’s Disease (SjD) can be challenging due to the broad disease spectrum and often subtle presenting manifestations. As a result, many patients continue to suffer for years due to a delayed diagnosis. As initial symptoms often present in oral cavity, the oral health care team may be the first to suspect the condition. To support those efforts, this article will review the most common signs and symptoms, diagnostic criteria, and chairside diagnostic procedures for SjD which include sialometry and the labial salivary gland biopsy. Unique patient questions, important to the data collection process, are presented as well as the updated diagnostic criteria. While the diagnosis and management of SjD is a multi-specialty endeavor, the dentist can play a critical role in a timely diagnosis.