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Manifestations of the oral mucosa and salivary glands in irritable bowel syndrome and microscopic colitis – A systematic review

Göthlin, Hanna ; Hasséus, Bengt ; Sjöberg, Klas LU orcid and Bankvall, Maria (2025) In Acta Odontologica Scandinavica 84. p.349-362
Abstract

Objective: There is a well-established association of oral manifestations in the non-infectious chronic diarrhoeal conditions namely, Morbus Crohn, ulcerative colitis, and coeliac disease. Such a connection may exist also for the remaining non-infectious chronic diarrhoeal conditions, that is irritable bowel syndrome (IBS) and microscopic colitis (MC). Materials and methods: A systematic search was performed in Scopus and PubMed, rendering a total of 710 articles to be screened. All articles were screened independently and assessed for eligibility reporting comorbidity between either IBS or MC, and oral symptoms/disease. Quality assessment and data extraction were performed. Results: In all, 17 articles were included. Sjögren’s syndrome... (More)

Objective: There is a well-established association of oral manifestations in the non-infectious chronic diarrhoeal conditions namely, Morbus Crohn, ulcerative colitis, and coeliac disease. Such a connection may exist also for the remaining non-infectious chronic diarrhoeal conditions, that is irritable bowel syndrome (IBS) and microscopic colitis (MC). Materials and methods: A systematic search was performed in Scopus and PubMed, rendering a total of 710 articles to be screened. All articles were screened independently and assessed for eligibility reporting comorbidity between either IBS or MC, and oral symptoms/disease. Quality assessment and data extraction were performed. Results: In all, 17 articles were included. Sjögren’s syndrome (SS) in patients with IBS ranged from 3% to 33% and for IBS in SS between 29% to 62%. Dry mouth, bad breath, and foul taste were overrepresented in these patients. The occurrence of SS in patients with MC ranged from 2% to 9%, and for MC in SS from 1% to 2%. Conclusions: An association between SS and IBS and MC, respectively, is plausible. Few articles have explored other oral manifestations. Therefore, no specific conclusions can be drawn. It is pivotal to further explore oral manifestations of these conditions bridging the gap between dental care and general medicine to optimise diagnostics, treatment strategies, and ultimately patient care.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Gastrointestinal disease, irritable bowel syndrome, microscopic colitis, oral cavity, oral mucosal disease
in
Acta Odontologica Scandinavica
volume
84
pages
14 pages
publisher
Taylor & Francis
external identifiers
  • scopus:105008461293
  • pmid:40497389
ISSN
0001-6357
DOI
10.2340/aos.v84.43870
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025 The Author(s).
id
14d8e05d-63e4-4f86-b58d-2d219c8d901c
date added to LUP
2026-01-26 14:54:20
date last changed
2026-01-27 03:00:10
@article{14d8e05d-63e4-4f86-b58d-2d219c8d901c,
  abstract     = {{<p>Objective: There is a well-established association of oral manifestations in the non-infectious chronic diarrhoeal conditions namely, Morbus Crohn, ulcerative colitis, and coeliac disease. Such a connection may exist also for the remaining non-infectious chronic diarrhoeal conditions, that is irritable bowel syndrome (IBS) and microscopic colitis (MC). Materials and methods: A systematic search was performed in Scopus and PubMed, rendering a total of 710 articles to be screened. All articles were screened independently and assessed for eligibility reporting comorbidity between either IBS or MC, and oral symptoms/disease. Quality assessment and data extraction were performed. Results: In all, 17 articles were included. Sjögren’s syndrome (SS) in patients with IBS ranged from 3% to 33% and for IBS in SS between 29% to 62%. Dry mouth, bad breath, and foul taste were overrepresented in these patients. The occurrence of SS in patients with MC ranged from 2% to 9%, and for MC in SS from 1% to 2%. Conclusions: An association between SS and IBS and MC, respectively, is plausible. Few articles have explored other oral manifestations. Therefore, no specific conclusions can be drawn. It is pivotal to further explore oral manifestations of these conditions bridging the gap between dental care and general medicine to optimise diagnostics, treatment strategies, and ultimately patient care.</p>}},
  author       = {{Göthlin, Hanna and Hasséus, Bengt and Sjöberg, Klas and Bankvall, Maria}},
  issn         = {{0001-6357}},
  keywords     = {{Gastrointestinal disease; irritable bowel syndrome; microscopic colitis; oral cavity; oral mucosal disease}},
  language     = {{eng}},
  pages        = {{349--362}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Odontologica Scandinavica}},
  title        = {{Manifestations of the oral mucosa and salivary glands in irritable bowel syndrome and microscopic colitis – A systematic review}},
  url          = {{http://dx.doi.org/10.2340/aos.v84.43870}},
  doi          = {{10.2340/aos.v84.43870}},
  volume       = {{84}},
  year         = {{2025}},
}