Elmatary Ahmed, Longridge Nicholas, Jarad Fadi
Department of Restorative Dentistry, Liverpool University Dental Hospital, Pembroke Place, Liverpool, United Kingdom.
Department of Restorative Dentistry, Liverpool University Dental Hospital, Pembroke Place, Liverpool, United Kingdom.
J Endod. 2023 Jul;49(7):915-919. doi: 10.1016/j.joen.2023.05.008. Epub 2023 May 19.
Scleroderma, or systemic sclerosis, is a multisystem autoimmune disorder characterized by hardening and fibrosis of the skin. To date, only a small number of case reports have established a relationship between scleroderma and external cervical resorption (ECR). The aim of this case report is to document the case of a patient with multiple external cervical resorption lesions, who was referred to our unit. A 54-year-old female patient, with a 10-year history of systemic sclerosis diagnosed by her rheumatologist, was referred to our unit regarding extensive ECR. A total of 14 maxillary and mandibular teeth with ECR were detected by clinical examination and cone-beam computed tomography. The characteristic vascularity of resorptive defects with profuse bleeding upon probing was not evident. The patient declined any active treatment owing to the desire to avoid lengthy and unpredictable treatment, which may hasten the loss of her teeth. General practitioners should be aware of the relationship between connective tissue disorders and ECR. Although not well established in the literature, the vascular changes implicated in scleroderma may stimulate the odontoclastic processes involved in ECR.
硬皮病，即系统性硬化症，是一种多系统自身免疫性疾病，其特征为皮肤硬化和纤维化。迄今为止，仅有少数病例报告证实硬皮病与外部性颈椎吸收（ECR）之间存在关联。本病例报告旨在记录一名患有多处外部性颈椎吸收病变的患者转诊至我科室的情况。一名54岁女性患者，由风湿科医生诊断为患有10年系统性硬化症病史，因广泛性外部性颈椎吸收转诊至我科室。通过临床检查和锥形束计算机断层扫描共检测出14颗上颌和下颌牙齿存在外部性颈椎吸收。探诊时吸收性缺损处大量出血的典型血管情况并不明显。由于患者希望避免冗长且不可预测的治疗，而这种治疗可能会加速其牙齿脱落，因此拒绝了任何积极治疗。全科医生应了解结缔组织疾病与外部性颈椎吸收之间的关系。尽管文献中对此尚未明确，但硬皮病所涉及的血管变化可能会刺激外部性颈椎吸收中破牙细胞的活动。
