Limited Mouth Opening Secondary to Diffuse Systemic Sclerosis

Wada, Tomoko; Ram, Saravanan

doi:10.1155/2013/937487

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Reports of surgical interventions to enlarge the oral orifice such as bilateral commissurotomy or commissuroplasty have been described but represent very invasive procedures (Johns et al , ; Mehra et al , ; TerzIoğlu et al , ; Koymen et al , ). Active (placing the thumbs in opposite corners of the mouth and pulling outwards) or passive (using tongue depressors inserted between the posterior teeth) mouth‐stretching exercises, facial grimacing, connective tissue massage, Kabat's techniques, or kinesitherapy can be proposed as an initial non‐surgical alternative to improve mouth opening, oral functions, and skin elasticity (Pizzo et al , ; Maddali‐Bongi et al , ; Wada and Ram, ). Encouraging SSc patient to perform exercises since the earliest phases of the disease will help to limit the extension of skin fibrosis.…”

Section: Oral Managementmentioning

confidence: 99%

The spectrum of orofacial manifestations in systemic sclerosis: a challenging management

et al. 2016

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Systemic sclerosis (SSc) is a rare multisystem connective tissue disorder characterized by the triad fibrosis, vasculopathy and immune dysregulation. This chronic disease has a significant impact on the orofacial region that is involved in more than two-thirds of the cases. SSc patients can show a wide array of oral manifestations, which are usually associated with a severe impairment of the quality of life. They often present a decreased the salivary flow and a reduced mouth opening that contribute substantially to the worsening of the oral health status. Therefore, SSc patients require specific and multidisciplinary interventions that should be initiated as early as possible. The identification of specific radiological and clinical signs at the early stage will improve the management of such patients. This study reviews the wide spectrum of orofacial manifestations associated with SSc and suggests clues for the oral management that remains challenging.

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Section: Oral Managementmentioning

confidence: 99%

The spectrum of orofacial manifestations in systemic sclerosis: a challenging management

et al. 2016

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“…It is indicated that patients with SS have regular dental appointments [8]. The knowledge that the patient has Systemic scleroderma (SS) disease makes the pediatric dentist to act accordingly, as for example with the difficulty of mouth opening to make molds, because patients with SS have difficulty in stretching and keeping their mouths open which can make treatments extremely difficult [9].…”

Section: Discussionmentioning

confidence: 99%

"Scleroderma in the Pediatric Patient. A Clinical Case Report of Systemic Sclerosis"

Santos¹

2023

BJSTR

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Scleroderma is an autoimmune disease affecting the skin and sometimes internal organs of the body. There are two types of scleroderma, localized scleroderma or systemic. The most common type of scleroderma in children it is localized scleroderma. Systemic Scleroderma it is rare in children. It is reported that of all children with scleroderma, less than 10% have the systemic kind. The clinical history and anamnestic research are essential for the diagnosis and treatment plan. Scleroderma can affect oral and perioral tissues that can lead to difficulty in swallowing, reduction of mouth opening, xerostomia, limitation of masticatory function and difficulty in healing.

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“…Some publications have shown structural and functional involvement of the stomatognathic system [5][6][7][8][9][10] , justifying the importance of including Speech, Language and Hearing Sciences in Rheumatology clinics.…”

Section: Discussionmentioning

confidence: 99%

“…In researches conducted by rheumatologists and dentists, were cited a few manifestations of Speech, Language and Hearing Sciences studies, including microstomia, xerostomia, loss of gengival mucosa 5 , laryngeal impairment, oropharyngeal dysphagia 6,7 , difficulty in chewing, tongue rigidity, changes in the production of bilabial sounds due to the limitation of mandibular movements and vocal changes [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Intervenção fonoaudiológica na esclerose sistêmica: relato de casos

et al. 2016

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Systemic sclerosis is a rare autoimmune rheumatic connective tissue disease, progressive of unknown etiology and variable evolution. Reaches vital organs and perioral tissues, causing limitation of mouth opening, stiffness of the articulators, face mask with appearance, difficulty in chewing and swallowing. Aiming to compare the pre and post intervention miofuncional speech orofacial in subjects with systemic sclerosis was performed qualiquantitativo exploratory clinical study in Rheumatology department of the University Hospital and Clinic, School of Speech Pathology, Federal University of Sergipe, from July / 2012 to December / 2013. The sample consisted of five individuals, of both genders, aged between 24 and 60 years and confirmed medical diagnosis of that condition. The subjects underwent evaluation by MBGR protocol and speech therapy (myofunctional and myoterapica), totaling 36 sessions. At the end, the initial and final results were compared from clinical indicators worked. After analyzing the results, improvements in all aspects worked were observed. The previous assessment of speech therapy revealed restriction of mouth opening in all subjects and the final results showed gains between 5.3 and 14.2mm opening (average: 9.26). Regarding tone, mobility of the articulators and orofacial numbness observed improvements and evidence of adequacy of oral functions. Can be concluded that although some patients still show changes in speech rehabilitation promoted significant improvements in clinical and quality of life of these individuals. Keywords: Speech, Language and Hearing Sciences; Scleroderma, Systemic; Speech Therapy RESUMO A Esclerose Sistêmica é uma doença reumática autoimune do tecido conjuntivo, progressiva, pouco frequente, de etiologia desconhecida e com evolução variável. Atinge órgãos nobres e tecidos periorais, causando limitação na abertura da boca, hipertonia dos órgãos fonoarticulatórios, face com "aparência de máscara", dificuldades na mastigação e deglutição. Com o objetivo de comparar os resultados pré e pós-intervenção fonoaudiológica miofuncional orofacial em sujeitos com esclerose sistêmica, realizou--se estudo clínico exploratório qualiquantitativo no setor de Reumatologia do Hospital Universitário e na Clínica escola de Fonoaudiologia da Universidade Federal de Sergipe, no período de julho/2012 a dezembro/2013. A amostra foi composta por cinco indivíduos, de ambos os gêneros, com faixa etária entre 24 e 60 anos e diagnóstico médico confirmado da referida afecção. Os indivíduos passaram por avaliação por meio do protocolo MBGR e 36 sessões de terapia fonoaudiológica (miofuncional e mioterápica). Ao término, os resultados iniciais e finais foram comparados a partir dos indicadores clínicos trabalhados. Diante da análise dos resultados obtidos, foram observadas melhoras em todos os aspectos trabalhados. A avaliação anterior à fonoterapia revelou restrição na abertura da boca em todos os indivíduos e os resultados finais apresentaram ganhos entre 5.3 e 14.2 mm de abertura (média: ...

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Limited Mouth Opening Secondary to Diffuse Systemic Sclerosis

Cited by 4 publications

References 15 publications

The spectrum of orofacial manifestations in systemic sclerosis: a challenging management

The spectrum of orofacial manifestations in systemic sclerosis: a challenging management

"Scleroderma in the Pediatric Patient. A Clinical Case Report of Systemic Sclerosis"

Intervenção fonoaudiológica na esclerose sistêmica: relato de casos

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