Scleroderma of the face with involvement of the alveolar process

Looby, John P.; Burket, Lester W.

doi:10.1016/s0096-6347(42)90456-3

Cited by 16 publications

(6 citation statements)

References 6 publications

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“…In virtually all previously described cases, as summarized in table 1[13,14,15,16,17,18,19,20,21,22,23,24,25,26,27], oral involvement was secondary to a linear form of morphea, either in the en coup de sabre variant or in the Parry-Romberg syndrome. Besides the typical cutaneous features, the patients presented with scar-like or white indurated oral plaques, unerupted teeth, root development defects, root atrophy, localized gingival recession and alveolar bone resorption.…”

Section: Discussionmentioning

confidence: 99%

“…The latter also encompasses morphea en coup de sabre and Parry-Romberg syndrome affecting the scalp and face with potentially devastating complications [3,5,6,7,8,9,10,11]. Whilst in almost all cases the sclerosing process exclusively affects the skin, there are anecdotal cases in which associated mucosal involvement has been described [12,13,14,15,16,17,18,19]. …”

Section: Introductionmentioning

confidence: 99%

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Oral Mucosal Morphea: A New Variant

et al. 2012

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Morphea is a cutaneous disorder characterized by an excessive collagen deposition. While in almost all cases the sclerosing process exclusively affects the skin, there are anecdotal cases in which associated mucosal involvement has been described. We here report the case of a woman developing a whitish indurated plaque over the left upper vestibular mucosa and hard palate leading to dental mobility and exposure of the roots of several teeth. Cone beam computed tomography of the left maxilla showed bone resorption involving the upper cuspid to the second molar region with widened periodontal ligament spaces, while light microscopy studies demonstrated epithelial atrophy and fibrosis of the dermis extending into the submucosa with hyalinization of subepithelial collagen. Our observation expands the spectrum of clinical presentations of morphea and provides the first example of isolated oral morphea. Its recognition is important to avoid significant local complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral Mucosal Morphea: A New Variant

et al. 2012

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“…7,8 Only a few cases have been described in which the intra-oral tissues are involved. 2,4,[9][10][11][12][13] Described here is a case of morphea causing intra-oral symptoms and its follow-up.…”

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confidence: 99%

A rare cause of gingival recession: morphea with intra-oral involvement

Veken

Haes

Hauben

et al. 2015

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…6,8 This alveolar bone loss may be secondary to an external-pressure resorptive process, leading to premature tooth loss in adults. 9 Reports of oral mucosal morphea describe leukoplakia, widened periodontal ligaments space, localized bone and root resorption, fibrosis and hyalinization of the subepithelial collagen, and gross tooth mobility. 9,10 Most current literature focuses on the use of implants 11 and surgical considerations, i.e.…”

mentioning

confidence: 99%

“…9 Reports of oral mucosal morphea describe leukoplakia, widened periodontal ligaments space, localized bone and root resorption, fibrosis and hyalinization of the subepithelial collagen, and gross tooth mobility. 9,10 Most current literature focuses on the use of implants 11 and surgical considerations, i.e. poor wound healing, 12 in regard to treatment of patients with LSF, though the following case is the first to our knowledge to report long term success of soft tissue ridge augmentation in said population.…”

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confidence: 99%

17‐Year Follow‐Up of Ridge Augmentation in a Patient With Linear Scleroderma: A Novel Case Report

Goldberg¹,

Pinn

Goldberg

2018

Clin Adv Periodontics

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IntroductionScleroderma is a chronic autoimmune disease associated with connective tissue changes and fibrosis, which often includes oral manifestations. Involvement of the oral mucosa results in gingival recession, loss of alveolar housing, root resorption, gross mobility, and other deleterious side effects. Therefore, patients may require extensive restorative care, but pathology can often prevent optimal delivery.Case PresentationThe following case presents a patient with localized scleroderma requiring a ridge augmentation for the placement of a fixed partial denture. Following the disease diagnosis and treatment planning, the patient received local subcutaneous injections of 25 mg‐methotrexate to halt disease progression. Given the success of the prophylaxis, the patient underwent three extractions followed by two surgical augmentation procedures, including the placement of xenographic bovine matrix and an overlying connective tissue graft. Healing occurred within normal limits, allowing the successful delivery of a permanent prosthesis.ConclusionsThis case presentation is the first to our knowledge to document successful soft tissue ridge augmentation in a patient with localized scleroderma in order to place a fixed bridge; thereby, documenting the feasibility of esthetically restoring patients presenting with said systemic disease. The case uniquely illustrates identification of a rare connective tissue disease that saw successful treatment outcomes due to proper diagnosis, disease management, interprofessional collaboration, and advanced treatment planning.

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Scleroderma of the face with involvement of the alveolar process

Cited by 16 publications

References 6 publications

Oral Mucosal Morphea: A New Variant

Oral Mucosal Morphea: A New Variant

A rare cause of gingival recession: morphea with intra-oral involvement

17‐Year Follow‐Up of Ridge Augmentation in a Patient With Linear Scleroderma: A Novel Case Report

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