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The periodontal membrane in systemic sclerosis

N R Rowell, F E Hopper

The British Journal of Dermatology

|January 1, 1977

Summary

Systemic sclerosis affects the periodontal membrane in 30% of patients, causing widening. This widening, unlike in chronic periodontal disease, often affects the entire tooth root in systemic sclerosis patients.

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Area of Science:

Oral medicine
Periodontology
Rheumatology

Background:

Periodontal membrane widening is observed in systemic sclerosis.
This finding is not exclusive to systemic sclerosis and can be seen in chronic periodontal disease and normal individuals.

Purpose of the Study:

To investigate the prevalence and characteristics of periodontal membrane involvement in patients with systemic sclerosis.
To differentiate periodontal membrane changes in systemic sclerosis from other conditions.

Main Methods:

Radiographic analysis of periodontal membrane width in patients with systemic sclerosis.
Comparison with control groups including patients with chronic periodontal disease and healthy individuals.

Main Results:

About 30% of systemic sclerosis patients exhibit significant periodontal membrane involvement.
Widening is more extensive, involving the whole root in systemic sclerosis, compared to the coronal third in others.
No direct correlation was found between periodontal membrane changes and systemic manifestations or prognosis in systemic sclerosis.

Conclusions:

Periodontal membrane widening is a notable feature in a subset of systemic sclerosis patients.
The pattern of involvement (whole root) may help distinguish it from other causes.
Periodontal membrane changes in systemic sclerosis do not appear to be linked to overall disease status or prognosis.

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