Resorption of the mandibular condyles and coronoid processes in progressive systemic sclerosis (scleroderma)

Osial, Thaddeus A.; Avakian, Araksy; Sassouni, Viken; Agarwal, Abhishek; Medsger, Thomas A.; Rodnan, Gerald P.

doi:10.1002/art.1780240519

Cited by 29 publications

(8 citation statements)

References 12 publications

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“…Multiple researchers have commented on the causes of condylar loss. 12,16,19,20,22,[24][25][26]30,[32][33][34] Consensus favors a combination of factors, including ischemia based on vasospasm, intense vasculitis, compression secondary to perivascular fibrosis, and direct functional stress on the condylar head. Ramon et al, 34 citing several anatomic investigators, noted that the vasculature off the maxillary artery to the condyle, coronoid process, mandibular angle, and masseteric and pterygoid muscles is finer than that to the other structures of the maxillomandibular apparatus and thus might more likely provoke SSc-induced ischemia and destruction at those sites.…”

Section: Discussionmentioning

confidence: 98%

“…22,23 Resorption of the mandible has long been recognized as a consequence of SSc. [24][25][26][27] Haers and Sailer 16 in 1995 compiled 29 such cases reported in the literature to that date, the first being the at least suggestive case reported by Taylor 18 in 1949. The compilation by Haers and Sailer included 15 cases of temporomandibular joint (TMJ) resorption; since that tabulation, 3 additional such cases have been described, 12,28,30 and 4 more have been added describing ramal/body involvement.…”

mentioning

confidence: 90%

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Scleroderma and the Temporomandibular Joint: Reconstruction in 2 Variants

MacIntosh

Shivapuja²,

Naqvi

2015

Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 98%

mentioning

confidence: 90%

Scleroderma and the Temporomandibular Joint: Reconstruction in 2 Variants

MacIntosh

Shivapuja²,

Naqvi

2015

Journal of Oral and Maxillofacial Surgery

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“…There have been cases with osteolysis 19 and even atrophy of the mandible. 20 Some cases may deteriorate to the extent that surgery may be needed for correction 21 The main feature that was seen in the presented case is the resorption of the mandibular condyles, 22 which may lead to all the extended pathological conditions that may accompany this condition. The radiologist should be aware of the condition and the image characteristics of the disease and must bare it in mind in the differential diagnosis of the condition.…”

Section: Discussionmentioning

confidence: 87%

Osteolysis Affecting the Jaws in Systemic Sclerosis: Clinical and Osseous Changes Based on a Case Presentation

Delantoni

Matziari

2015

Clin Med�Insights�Arthritis�Musculoskelet Disord

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OBJECTIVESThe aim of the current paper is to present a case of systemic sclerosis of the jaws with all the characteristics and some extensive findings.METHODSSystemic sclerosis is a connective tissue condition characterized by chronic inflammatory changes, presenting with a number of symptoms. The paper aims to present a case of systemic sclerosis that had some of the characteristics of the condition unilaterally. The features were prominent and well demarcated on the panoramic radiograph.RESULTSThe panoramic radiograph of the patient showed extensive condylar head resorption almost to the level of complete flattening.DISCUSSIONThe rarity of the condition and the awareness the oral radiologist must have upon presentation of similar images is the main reason for the presentation of the case. The features the case presents are both characteristic and well demarcated. Finally, the authors try to alert the clinician, who should be mindful of the fact that sclerodermatous involvement of organ systems is so pleotropic, that it may include the oral cavity, which is not always thoroughly observed, and is often left unattended by medical practitioners.

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“… 11 Mandibular resorption was usually detected 5–7 years after SSc diagnosis. 11 , 29 , 30 Other pathologic conditions, such as local infection, necrotic bone damage, and trigeminal neuropathy were described. 29 , 30 In SSc, TMJ dysfunction may be related to progressive reduction and loss of skin elasticity due to local skin ischemia and to increased skin thickness, and may be associated with reduced mandibular movements and to alteration of the position of the condyle.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of the face and temporomandibular joint in systemic sclerosis

Bongi

Passalacqua

Landi

et al. 2021

Therapeutic Advances in Musculoskeletal

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Background: Systemic sclerosis (SSc) alterations of the face and of the mouth cause aesthetic modifications and disability, impairing self-esteem and quality of life (QoL). The aim of this study was to verify the effects of two rehabilitation protocols on facial mimic and mouth opening. Methods: A total of 47 SSc patients (40 females and 7 males, mean age ± SD 59.08 ± 10.31 years), were consecutively selected: 22 were randomly assigned to protocol 1 [home exercises for temporomandibular joint (TMJ), mimic, masticatory and cervical spine muscles] and 25 to protocol 2 (home exercises and combined physiotherapeutic procedures performed by a physiotherapist). Each treatment had a duration of 12 weeks with a follow up of 8 weeks. TMJ dysfunction, orofacial involvement, disability, QoL, and safety were assessed at enrollment (T0), at the end of the treatment (T1), and at follow up (T2). Results: Both Protocol 1 and Protocol 2 induced significant improvements of some clinical and clinimetric parameters, but better results were obtained with Protocol 2. In the comparison between the effects of Protocol 1 and Protocol 2 at T1 and T2, a significant difference was observed only for Mouth Handicap in SSc [MHISS; Total ( p = 0.00178] and for MHISS Mouth opening ( p = 0.0098) at T1. No significant difference of indices of short-form 36 was observed. Conclusion: The present data suggest that TMJ involvement in SSc may be managed by rehabilitation treatments. The action of a physiotherapist prescribing and personalizing exercises may induce better therapeutic effects.

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Resorption of the mandibular condyles and coronoid processes in progressive systemic sclerosis (scleroderma)

Cited by 29 publications

References 12 publications

Scleroderma and the Temporomandibular Joint: Reconstruction in 2 Variants

Scleroderma and the Temporomandibular Joint: Reconstruction in 2 Variants

Osteolysis Affecting the Jaws in Systemic Sclerosis: Clinical and Osseous Changes Based on a Case Presentation

Rehabilitation of the face and temporomandibular joint in systemic sclerosis

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