“…1 A limited oral opening can be caused by surgical treatment of orofacial cancers, head and neck radiation, reconstructive lip surgery, burns, trauma, microinvasion of muscles of mastication, temporomandibular joint (TMJ) dysfunction syndrome and genetic disorders. [2][3][4][5][6][7] Scleroderma is a connective tissue disease of the skin, joints, and sometimes internal organs. Facial skin and oral mucosa become thin and taut, and wrinkles disappear, resulting in a mask-like appearance and a reduced oral opening.…”