Oral manifestations of morphea en plaque: Case report

Abstract

Introduction Morphea, or localized scleroderma, is an inflammatory disease that leads to sclerosis of the skin and underlying tissues due to excessive collagen deposition. Its etiology remains elusive. Morphea also affects oral and perioral tissues, the most common clinical manifestations being facial skin and tongue rigidity. Below, we present a case of morphea with oral manifestations. Case presentation A 17-year-old patient was referred to our department of oral surgery by her dermatologist for possible oral morphea involvement. She presented pigmented skin lesions involving the right labial-chin region. On palpation, the skin of her perioral was sclerotic. the panoramic radiograph showed a shortening of the roots of the 46/47 with a developmental delay of the 48 compared to the 38. A bone biopsy was performed between 46/47 and distal to 48. histological examination showed bone tissue with fibrous and collagenous reorganization in favor of scleroderma. Conclusion The management of plaque morphea is multidisciplinary. The role of the dentist is very important to avoid any oral complications.

HIV-Associated Systemic Sclerosis: Literature Review and a Rare Case Report

“…The oral features in systemic sclerosis necessitate an interdisciplinary and preventive approach [ 40 ]. Patients should be educated and encouraged to maintain meticulous oral hygiene [ 43 ]. The significance of oral hygiene may be emphasized by instructing proper brushing techniques, thus preventing caries and periodontal diseases (gingivitis, periodontitis, gingival hyperplasia, etc.).…”

“…Patients should be advised to have regular physical therapies (tongue blade/ice cream stick exercises) and occupational remedies. This will not only ameliorate the mouth opening but also aid in minimizing contractures [ 33 , 43 ]. Microstomia may further hinder impression-taking for prosthetic rehabilitation.…”

“…Xerostomia and xerostomia-related complications (dysgeusia, candidiasis, and dental caries) may be prevented by the use of fluoridated toothpaste, sugar-free candies, artificial saliva, and sialagogues [ 33 , 43 ]. Mouthwash containing baking soda and systemic fluoridation with fluorine-carrying devices and fluoride varnishes are helpful.…”