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Overview of Scleroderma Dental Involvement

Author: Shelley Ensz. Scleroderma is highly variable. See Types of Scleroderma. Read Disclaimer
Bone Resorption
Candida (Fungal)
Dental Amalgam
Dental Fears/Phobias
Dental Implants
General Dentistry
Microstomia (Small Mouth)
Microstomia Stories
Mouth Sores
Periodontal Disease
Photos of Dental Involvement
Scleroderma Dental
Sensitive Teeth
Stories of Scleroderma Dental
Sjogren's Syndrome
Taste and Smell
Tongue and Oral Cancers
Trigeminal Neuralgia
Xerostomia (Dry Mouth)


Overview of Dental Involvement in Systemic Scleroderma
Presented by Amanda Thorpe

Systemic scleroderma sometimes affects the mouth, teeth, jaw, and gums. It can cause the mouth to shrink, tooth loss, mouth sores, dry mouth, and jaw pain from TMJ. (Also see What is Scleroderma?)

Scleroderma is rare, and not everyone with scleroderma develops dental problems related to it. So it is often difficult, if not impossible, to find a dentist with any scleroderma dental experience.

It can help to seek out a good family dentist, one that also treats children, because they are used to dealing with smaller mouths (such as scleroderma can cause) and they will have the right equipment (such as small mouth rests and impression trays).

People with scleroderma and the accompanying Raynaud's should always specify "no epinephrine" ("no epi" for short) for novacaine (numbing) because epinephrine can cause or worsen attacks of Raynaud's. (Also see Raynaud's)

Dentists' Knowledge, Confidence Tied to Care for Scleroderma Patients. Dentists' awareness of protocols and complications associated with treating patients with scleroderma may help improve their oral health care. TuftsNow, Journal of Clinical Rheumatology, June 2014.

Bone Resorption of the Mandible (Lower Jaw)

Mouth by Shelley EnszBone Resorption of the Mandible. Systemic sclerosis (SSc), commonly known as scleroderma, can cause jaw bone resorption and tooth root resorption which can cause ligament loosening. The results of this are that teeth may loosen, crack, and either fall out or need to be extracted. ISN.

Candida (Fungal Infection) and Systemic Scleroderma

Tongue by Shelley EnszCandida (Fungal Infection) and Systemic Scleroderma. Systemic sclerosis (SSc), commonly known as scleroderma, can cause dry mouth. Many scleroderma patients also have Sjogren's syndrome, which can cause dry mouth, too. ISN.

Dental Amalgam and Autoimmune Disease

Dental Floss and Toothpaste by Shelley EnszDental Amalgam and Autoimmune Disease. Mercury in dental amalgam (a material that is commonly used to fill dental cavities) may be a risk factor for autoimmune diseases, such as systemic sclerosis (scleroderma). ISN.

Dental Caries (Cavities) and Scleroderma

Toothpaste and Brush by Shelley EnszDental Caries (Cavities) and Scleroderma. Dental caries (cavities) are perfectly normal in healthy people and are not, in themselves, a symptom of any illness. ISN.

Dental Fears, Difficulties and Phobias

Dental Fear by Shelley EnszDental Fears, Difficulties, and Phobias. Are you afraid of the dentist? If so, you are not alone! Here is a selection of resources to help. ISN.

Dental Implants and Systemic Sclerosis (SSc)

Dental Implant by Shelley EnszDental Implants and Systemic Sclerosis (SSc). Dental implants are metal screws that are surgically implanted into the bone, and then have crowns or bridges attached to them. ISN.

Dentures and Systemic Sclerosis (SSc)

Partial Dentures by Shelley EnszDentures and Systemic Sclerosis. Dry mouth, infections, and mouth ulcers may make partial or denture wearing difficult for scleroderma patients. Schedule frequent dental cleanings. Use over the counter products for dry mouth such as gels, toothpastes, and mouthwash. Clean and soak dentures every night, and never wear them while sleeping. (Also see What is Scleroderma?, Types of Scleroderma, and Systemic Sclerosis)

Microstomia (Small Mouth) and Systemic Sclerosis (SSc)

Microstomia (Small Mouth) in a Scleroderma Patient, ISN Photo RepositoryMicrostomia (Small Mouth) and Systemic Sclerosis. Systemic scleroderma can cause the mouth area to shrink and harden, which can impair chewing, brushing, flossing, and dental work. ISN.

Mouth Sores, Mouth Ulcers, Canker Sores, Apthous Ulcers

Mouth Ouch by Shelley EnszMouth Sores are also called apthous ulcers, canker sores, mouth blisters, mouth lesions, mouth ulcers, or oral ulcers. ISN.

Periodontal Disease and Systemic Sclerosis (SSc)

Periodontal Pick by Shelley EnszPeriodontal Disease and Systemic Sclerosis. Due to dry mouth and hygiene difficulties, scleroderma patients are at increased risk for periodontal disease. ISN.

Systemic Sclerosis Dental Involvement

Scleroderma Mouth by Shelley EnszScleroderma Dental Involvement. Systemic sclerosis (SSc), commonly known as scleroderma, can cause numerous dental problems when it affects the face and mouth. ISN.

Sensitive Teeth

Sensitive Tooth by Shelley EnszSjogren'sSensitive teeth is the term used to describe teeth that hurt when they are exposed to things like air, hot or cold food, or brushing and flossing. ISN.

Sjögren's Syndrome

Water Fountain by Janet Paulmenn, ISN ArtistSjögren's Syndrome. About twenty percent of patients with systemic scleroderma also have Secondary Sjögren's Syndrome. Hallmark symptoms of Sjögren's include dry eyes and dry mouth, however in some cases Sjögren's can also affect the skin, lungs, heart, kidneys, muscles, and central nervous system. ISN.

Taste and Smell Impairments in Systemic Sclerosis

Cup of coffee and cookieTaste and Smell Impairments. Taste and smell disorders can be caused by many things. Surprisingly, losing a sense of smell is a strong indication of poor health, so it warrants a trip to the doctor to identify the underlying cause. ISN.

TMJ (Temporo-Mandibular (Jaw) Joint

Pills Too by Shelley EnszTMJ and Systemic Sclerosis. TMJ problems are common in otherwise healthy people. A very rare cause of TMJ is systemic sclerosis (SSc), commonly known as scleroderma. ISN.

Tongue and Oral Cancers in Systemic Sclerosis

Tongue by Shelley EnszTongue and Oral Cancers in Systemic Sclerosis. Mouth sores or lumps that don't naturally resolve in two weeks should be examined by a doctor. ISN.

Trigeminal Neuralgia

Pills by Shelley EnszTrigeminal neuralgia is the term used to describe sudden, brief, shocking or stabbing pain in the face. ISN.

Xerostomia (Dry Mouth)

Dry Crackers by Shelley EnszXerostomia and Systemic Sclerosis and Sjogren's Syndrome. Systemic sclerosis (SSc), commonly known as scleroderma, can cause dry mouth. People with dry mouth are more likely to get periodontal disease, cavities, and dental infections. ISN.

Personal Stories About Dental/Mouth Involvement

Dental Floss by Shelley EnszPersonal Stories About Dental/Mouth Involvement. Here are stories from people who have mouth involvement from systemic sclerosis (SSc, scleroderma), either limited scleroderma or diffuse scleroderma. ISN.

Go to Dental Involvement: Bone Resorption

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