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Mandibular resorption in progressive systemic sclerosis: a report of three cases

¹ Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, India; ² Department of Radiodiagnosis and Imaging, Kasturba Medical College, Manipal, India; ³ Department of Dermatology, Kasturba Medical College, Manipal, India

*Correspondence to: Dr Ajit Auluck, Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal – 576104, Karnataka, India; E-mail: drajitauluck{at}yahoo.co.in

Received 18 August 2004; revised 11 April 2005; accepted 1 May 2005

Progressive systemic sclerosis is a generalized collagen disorder, which is characterized by fibrosis that involves skin, muscles and other organ systems like the gastrointestinal tract, lungs, heart and kidneys. Its oral manifestations include features like restricted mouth opening, widening of periodontal ligament space, pseudoankylosis, malocclusion and mandibular resorption. Mandibular resorption in systemic sclerosis is relatively uncommon and is reported only in 10% of cases. The purpose of reporting these three cases is to highlight the importance of screening all patients with advanced systemic sclerosis with panoramic radiographs. Panoramic radiographs are essential for early detection of resorption in the mandible to prevent possible consequences like pathological fractures, osteomyelitis and neuropathies.

Keywords: mandible; bone resorption; systemic sclerosis; panoramic

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