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Scleroderma: what the general dentist should know.

G K Spackman1

  • 1433rd Contingency Hospital, Lackland AFB, Texas, USA.

General Dentistry
|February 25, 2000
PubMed
Summary

Scleroderma causes fibrotic changes affecting skin and organs. Oral manifestations include wide periodontal ligament spaces, impacting function and healing.

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Area of Science:

  • Rheumatology
  • Oral Medicine
  • Dermatology

Background:

  • Scleroderma is a fibrotic disease affecting skin and organs.
  • It presents in various forms, including progressive systemic sclerosis (PSS), CREST syndrome, morphea, and linear scleroderma.
  • Oral manifestations stem from collagen deposits in tissues or around nerves and vessels.

Purpose of the Study:

  • To describe the oral manifestations of scleroderma.
  • To highlight the impact of collagen deposition on oral tissues.
  • To identify common oral findings in scleroderma patients.

Main Methods:

  • Review of literature on scleroderma and its oral manifestations.
  • Analysis of clinical presentations and pathological changes.
  • Correlation of disease forms with oral symptoms.

Main Results:

  • All oral tissues can be affected by scleroderma.
  • Wide periodontal ligament spaces are a common oral finding.
  • Limited function, impaired healing, and neurologic symptoms are variable.

Conclusions:

  • Scleroderma significantly impacts oral health through collagen deposition.
  • Recognizing oral manifestations is crucial for comprehensive patient care.
  • The severity of oral symptoms correlates with disease form and progression.

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