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Related Experiment Videos

Oral problems associated with CREST syndrome: a case report

M Paley1, P McLoughlin

  • 1Department of Oral and Maxillofacial Surgery, Glan Glwyd Hospital, Bodelwyddan.

British Dental Journal
|October 23, 1993
PubMed
Summary

CREST syndrome can severely limit mouth opening, necessitating dental extractions before medical procedures like upper gastrointestinal endoscopy. Oral surgeons must understand these oral manifestations for effective patient management.

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Area of Science:

  • Oral Surgery
  • Gastroenterology
  • Rheumatology

Background:

  • CREST syndrome, a variant of systemic sclerosis, presents with characteristic calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasias.
  • Limited mouth opening (microstomia) is a significant oral manifestation impacting patient care and treatment planning.

Observation:

  • A case report details a patient with CREST syndrome experiencing severe microstomia.
  • The limited jaw mobility precluded the performance of an upper gastrointestinal endoscopy.

Findings:

  • Dental extractions were required to facilitate the necessary endoscopic examination.
  • Specific features of CREST syndrome relevant to dental and oral surgical practice were identified.

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Implications:

  • Highlights the critical need for interdisciplinary collaboration between oral surgeons, gastroenterologists, and rheumatologists in managing CREST syndrome.
  • Emphasizes the importance of recognizing and addressing oral complications of CREST syndrome to ensure comprehensive patient care and procedural success.