Occlusal and MRI characterizations in systemic sclerosis patients: A prospective study from Southern Italian cohort

Letter to the Editor: Re: Increased Periodontal Attachment Loss in Patients With Systemic Sclerosis

“…Recently, in accord with the authors’ results, we reported a detectable prevalence of symptoms and signs of dysfunction of TMJs and self‐reported symptoms in SSc patients (limited and diffuse) compared with healthy subjects 5 . Notably, our study primarily demonstrated in the SSc group an association between TMJ symptoms with MRSS and the mean duration of SSc.…”

Impact of systemic sclerosis oral manifestations on patients’ health‐related quality of life: A systematic review

“… 18 studies described oropharyngeal manifestations of SSc without assessing patients’ quality of life 5 studies evaluated the use of scales …”

“…• 18 studies described oropharyngeal manifestations of SSc without assessing patients' quality of life. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] • 5 studies evaluated the use of scales. [28][29][30][31][32] SMIRANI ET AL.…”

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

“…Bilateral condylysis can be found in 7–13.7% of the cases (Haers and Sailer, ; Rout et al , ; Vincent et al , ; Doucet and Morrison, ). Temporomandibular joint (TMJ) disorders are also frequently associated with the disease (Vincent et al , ; Matarese et al , ; Pischon et al , ) and can be the consequence of mandibular resorption. The prevalence of clinical signs of TMJ dysfunction (pain, TMJ sounds, impairment of mandibular movements…) and characteristic magnetic resonance imaging (MRI) findings (disk, articular surface and bone changes) is higher in SSc patients compared to healthy controls (Matarese et al , ; Pischon et al , ).…”

“…Recently, the replacement of destroyed temporomandibular condyles with costochondral grafts in two SSc patients has been described with long‐term functional improvement (MacIntosh et al , ). As TMJ involvement is common in SSc patients, a careful examination (including MRI exploration when necessary) should be performed during rheumatologic assessment (Matarese et al , ).…”