Zigdon Hadar, Gutmacher Zvi, Teich Sorin, Levin Liran
Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel.
Quintessence Int. 2011 Oct;42(9):781-5.
Scleroderma is an autoimmune multisystem rheumatic condition that affects connective tissues. Oral manifestations of the disease are directly relevant to the dental and periodontal diagnosis, treatment plan, and management of patients diagnosed with scleroderma. In the presented case, progressive limitation of mouth opening together with severe caries and periodontal disease warranted a fixed implant-supported rehabilitation using dental implants. Three-year follow-up revealed good oral hygiene and clinical appearance with no radiologic evidence of bone loss around the implants. Implant-supported rehabilitation might be a viable treatment option in patients with scleroderma under chronic use of systemic steroids. Further studies with long-term follow-up are warranted.
硬皮病是一种影响结缔组织的自身免疫性多系统风湿性疾病。该疾病的口腔表现与硬皮病患者的牙科和牙周诊断、治疗计划及管理直接相关。在本病例中，张口逐渐受限以及严重的龋齿和牙周疾病使得有必要使用牙种植体进行固定种植体支持的修复治疗。三年随访显示口腔卫生良好，临床外观正常，种植体周围无骨质流失的影像学证据。对于长期使用全身类固醇的硬皮病患者，种植体支持的修复可能是一种可行的治疗选择。有必要进行长期随访的进一步研究。
