Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/3998 |
Resumo: | Scleroderma, an autoimmune disease, directly affects the production of collagen in the connective tissue. In its systemic form, the disease causes oral manifestations such as: limited mouth opening, xerostomia, periodontal disease, thickening of the periodontal ligament and bone resorption of the mandible. This case report aims to draw attention to the difficulties encountered in providing dental care to patients with scleroderma and also to highlight the imaging findings, with emphasis on the temporomandibular joints, which are of interest to dentists about the disease. In the present case, the patient presented bilateral condylar erosion, in addition to disc displacement without reduction. Due to the systemic condition of the patient, it was decided to make an individualized occlusal splint. The limitation of mouth opening is a limiting factor for the manufacture of prostheses and plates, which is why partial prostheses are indicated and are easily removed by the patient. The decisions taken have a great impact on the health and quality of life of patients in these conditions, so there is a need for multidisciplinary involvement in order to arrive at the best treatment plan. After five years of using the stabilizing plate overnight, the patient reports greater comfort and muscle relaxation upon waking up. KEYWORDS Case Reports; Diagnostic imaging; Systemic scleroderma; Temporomandibular joint; Temporomandibular joint disorders. |
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Brazilian Dental Science |
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Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disordersScleroderma, an autoimmune disease, directly affects the production of collagen in the connective tissue. In its systemic form, the disease causes oral manifestations such as: limited mouth opening, xerostomia, periodontal disease, thickening of the periodontal ligament and bone resorption of the mandible. This case report aims to draw attention to the difficulties encountered in providing dental care to patients with scleroderma and also to highlight the imaging findings, with emphasis on the temporomandibular joints, which are of interest to dentists about the disease. In the present case, the patient presented bilateral condylar erosion, in addition to disc displacement without reduction. Due to the systemic condition of the patient, it was decided to make an individualized occlusal splint. The limitation of mouth opening is a limiting factor for the manufacture of prostheses and plates, which is why partial prostheses are indicated and are easily removed by the patient. The decisions taken have a great impact on the health and quality of life of patients in these conditions, so there is a need for multidisciplinary involvement in order to arrive at the best treatment plan. After five years of using the stabilizing plate overnight, the patient reports greater comfort and muscle relaxation upon waking up. KEYWORDS Case Reports; Diagnostic imaging; Systemic scleroderma; Temporomandibular joint; Temporomandibular joint disorders.Institute of Science and Technology of São José dos Campos2023-12-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/399810.4322/bds.2023.e3998Brazilian Dental Science; Vol. 26 No. 4 (2023): Oct - Dec / 2023 - Published Oct 2023Brazilian Dental Science; v. 26 n. 4 (2023): Oct - Dec / 2023 - Published Oct 20232178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/3998/4680Copyright (c) 2023 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessTorquato, Letícia Cavassini Maciel , Clarissa Carvalho MartinsAlmeida, Nátaly DominguesOliveira, Wagner deJardini, Maria Aparecida NevesMelo Filho, Antonio Braulino deLopes, Sergio Lucio Pereira CastroDe Marco, Andréa Carvalho2023-12-18T18:42:48Zoai:ojs.pkp.sfu.ca:article/3998Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2023-12-18T18:42:48Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)false |
dc.title.none.fl_str_mv |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
title |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
spellingShingle |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders Torquato, Letícia Cavassini |
title_short |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
title_full |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
title_fullStr |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
title_full_unstemmed |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
title_sort |
Systemic scleroderma: imaging findings of diagnosis and clinical management of temporomandibular joint disorders |
author |
Torquato, Letícia Cavassini |
author_facet |
Torquato, Letícia Cavassini Maciel , Clarissa Carvalho Martins Almeida, Nátaly Domingues Oliveira, Wagner de Jardini, Maria Aparecida Neves Melo Filho, Antonio Braulino de Lopes, Sergio Lucio Pereira Castro De Marco, Andréa Carvalho |
author_role |
author |
author2 |
Maciel , Clarissa Carvalho Martins Almeida, Nátaly Domingues Oliveira, Wagner de Jardini, Maria Aparecida Neves Melo Filho, Antonio Braulino de Lopes, Sergio Lucio Pereira Castro De Marco, Andréa Carvalho |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Torquato, Letícia Cavassini Maciel , Clarissa Carvalho Martins Almeida, Nátaly Domingues Oliveira, Wagner de Jardini, Maria Aparecida Neves Melo Filho, Antonio Braulino de Lopes, Sergio Lucio Pereira Castro De Marco, Andréa Carvalho |
description |
Scleroderma, an autoimmune disease, directly affects the production of collagen in the connective tissue. In its systemic form, the disease causes oral manifestations such as: limited mouth opening, xerostomia, periodontal disease, thickening of the periodontal ligament and bone resorption of the mandible. This case report aims to draw attention to the difficulties encountered in providing dental care to patients with scleroderma and also to highlight the imaging findings, with emphasis on the temporomandibular joints, which are of interest to dentists about the disease. In the present case, the patient presented bilateral condylar erosion, in addition to disc displacement without reduction. Due to the systemic condition of the patient, it was decided to make an individualized occlusal splint. The limitation of mouth opening is a limiting factor for the manufacture of prostheses and plates, which is why partial prostheses are indicated and are easily removed by the patient. The decisions taken have a great impact on the health and quality of life of patients in these conditions, so there is a need for multidisciplinary involvement in order to arrive at the best treatment plan. After five years of using the stabilizing plate overnight, the patient reports greater comfort and muscle relaxation upon waking up. KEYWORDS Case Reports; Diagnostic imaging; Systemic scleroderma; Temporomandibular joint; Temporomandibular joint disorders. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/3998 10.4322/bds.2023.e3998 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/3998 |
identifier_str_mv |
10.4322/bds.2023.e3998 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/3998/4680 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 26 No. 4 (2023): Oct - Dec / 2023 - Published Oct 2023 Brazilian Dental Science; v. 26 n. 4 (2023): Oct - Dec / 2023 - Published Oct 2023 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
_version_ |
1800214394777370624 |