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Oral and Gingival Changes in Systemic Sclerosis (Scleroderma)
Author(s) -
Eversole L. R.,
Jacobsen P. L.,
Stone C. E.
Publication year - 1984
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.1984.55.3.175
Subject(s) - scleroderma (fungus) , medicine , progressive systemic sclerosis , systemic scleroderma , gingival disease , mouth mucosa , dermatology , dentistry , pathology , raynaud disease , dermatomyositis , inoculation
N ineteen patients with systemic sclerosis, including two with CREST syndrome variant, were clinically evaluated for oral and gingival manifestations of their disease. Subjectively, over 50% complained of xerostomia, limited opening, recurrent “mouth sores” and dysphagia. Four patients indicated that they had been refused dental care due to limited accessibility to the oral cavity. Objectively, physical examination disclosed prominent lingual and buccal mucosal crenations and loss of tongue mobility with fibrotic induration in 25% of the subjects examined. Three patients with advanced disease exhibited foci of severe gingival recession due to fibrous strictures and attached gingiva stripping. None of the patients showed any indication of uncontrolled dental disease secondary to xerostomia.