Bone Resorption of the Jaw in Systemic Sclerosis (Scleroderma)

Author: Shelley Ensz. Scleroderma is highly variable. See Types of Scleroderma. Read Disclaimer

Mouth by Shelley EnszSystemic 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. (Also see Scleroderma Dental Involvement, What is Scleroderma?, Types of Scleroderma, and Systemic Sclerosis)

Bone Density Loss Issues. Numerous events, oral disease, dental conditions and a patient's history of dental treatments can compromise important jawbone characteristics. Dental Health Library.

Root Resorption Associated with Mandibular Bone Erosion in a Patient with Scleroderma. A rare feature of mandibular bone erosion and external apical resorption of a mandibular left third molar in a patient with scleroderma is described. Resorption of the distal root of the tooth was notable, coincident with the mandibular erosive process, and such association has not yet been reported. Journal of Endodontics Volume 34, Issue 1, Pages 102-103, January 2008.

Clinical and radiographic study of orofacial alterations in patients with systemic sclerosis. We could conclude that osteolysis (bone resorption) seemed to develop in patients with a longer duration of the disease, but did not modify the degree of mouth opening in relation to patients without osteolysis, and the presence/absence of teeth was not significant. On the other hand, in the osteolysis cases, the longer the duration of the disease, the greater the opening of the mouth. Marcucci M. (PubMed) Braz Oral Res. 2009 Jan-Mar;23(1):82-8.

Mandibular resorption, an underdiagnosed manifestation of systemic scleroderma. Mandibular resorption is a rare but probably underdiagnosed manifestation of SSc. In addition to its esthetic effects, it can cause severe disability. PubMed, Presse Med. 2006 Apr;35(4 Pt 1):611-4.

Mandibular resorption in progressive systemic sclerosis: a report of three cases. Mandibular resorption in systemic sclerosis is relatively uncommon and is reported only in 10% of cases. Panoramic radiographs are essential for early detection of resorption in the mandible to prevent possible consequences like pathological fractures, osteomyelitis and neuropathies. PubMed, Dentomaxillofac Radiol. 2005 Nov;34(6):384-6.

Tinnitus: Treatment and Relief by Jack A. Vernon. A good book for both patients and practitioners. It covers nearly everything known about tinnitus (extraneous noise in the ears; which is often referred to as "ringing in the ears" and is sometimes related to dental or TMJ problems.)

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