Progressive systemic sclerosis – oro‐facial manifestations. Case report

Progressive systemic sclerosis is a chronic disease characterized by diffuse sclerosis of connective tissue. Cutaneous and visceral tissues may be involved and there are oro-facial manifestations of which dental practitioners should be aware. Facial skin rigidity and microstomia are features of the disorder which may compromise effective oral hygiene practices and render routine dental treatment more difficult. Radiographically there may be widening of the periodontal ligament spaces and loss of mandibular bone associated with muscular attachments. A case of scleroderma is presented which illustrates a typical presentation of the disease. The need for regular dental care in these patients is discussed.