Clinical and radiographic study of orofacial alterations in patients with systemic sclerosis

Clinical and radiographic study of orofacial alterations in patients with systemic sclerosis

Author Marcucci, Marcelo Google Scholar
Abdala, Nitamar Autor UNIFESP Google Scholar
Institution Heliópolis Hospital Department of Stomatology and Oral & Maxillo Facial Surgery
Universidade Federal de São Paulo (UNIFESP)
Abstract Systemic sclerosis (SS) is an autoimmune disease with great repercussions on the hard and soft tissues of the orofacial region. The aim of this study was to investigate the relationship between mandibular osteolysis and mouth opening measurements, duration of disease and presence/absence of teeth. Twenty-five subjects were selected: 15 diagnosed with systemic sclerosis and 10 healthy controls. The SS patients were grouped according to the presence (group I) or absence (group II) of mandibular osteolysis. The healthy subjects served as the control group (III). All of them underwent panoramic radiography on Ortophos® equipment (Siemens) and were clinically examined, with mouth opening measurement. We observed that group I had a longer duration of the disease than group II (p = 0.003). Groups I and II presented the same mean mouth opening. There was an increasing correlation between mouth opening and duration of the disease in group I (p = 0.095), but this was not observed in group II (p = 0.596). There was no correlation between presence/absence of teeth and osteolysis (p > 0.999), or between presence/absence of teeth and side of osteolysis (p = 0.143). We could conclude that osteolysis 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.
Keywords Scleroderma, systemic
Clinical trial
Panoramic radiography
Language English
Date 2009-03-01
Published in Brazilian Oral Research. Sociedade Brasileira de Pesquisa Odontológica - SBPqO, v. 23, n. 1, p. 82-88, 2009.
ISSN 1806-8324 (Sherpa/Romeo)
Publisher Sociedade Brasileira de Pesquisa Odontológica - SBPqO
Extent 82-88
Origin http://dx.doi.org/10.1590/S1806-83242009000100014
Access rights Open access Open Access
Type Article
SciELO ID S1806-83242009000100014 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/4926

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