Condition: Scleroderma

Common Dental Problems and Considerations for Provision of Dental Care:

  • Xerostomia (dry mouth) placing at increased risk of tooth decay)
  • Microstomia, making access to cleaning both by patient and dentist challenging

Recommendations for Dental Care:

  • Regular dental recalls
  • Proper oral hygiene including use of daily applied topical fluoride
  • Diet low in sweets including soda pop
  • Make sure dentures are checked and adjusted regularly
  • Gentle, frequent brushing
  • May need to modify grip of denture or use smaller brushes, either child-sized or "end-tufted" brush where access is difficult

Dental Specialties Typically Involved in Care:

  • All, including prosthodontist for difficult restorative siutations

Recommended Resources

Chaffee NR. CREST syndrome: clinical manifestations and dental management. J Prosthodont. 1998 Sep;7(3):155-60. PMID: 9807098. Abstract.

Spackman GK. Scleroderma: what the general dentist should know. Gen Dent. 1999 Nov-Dec;47(6):576-9. Review. PMID: 10687451. Abstract.

Zandman-Goddard G, Tweezer-Zaks N, Shoenfeld Y. New therapeutic strategies for systemic sclerosis--a critical analysis of the literature. Clin Dev Immunol. 2005 Sep;12(3):165-73. PMID: 16295521. Abstract.

Scardina GA, Messina P. Systemic sclerosis: description and diagnostic role of the oral phenomena. Gen Dent. 2004 Jan-Feb;52(1):42-7. PMID: 15055670. Abstract.