Systemic sclerosis (SSc), commonly known as scleroderma, can cause jaw bone resorption and tooth root resorption which can cause ligament loosening. The results of this are that teeth may loosen, crack, and either fall out or need to be extracted. (Also see Scleroderma Dental Involvement, What is Scleroderma?, Types of Scleroderma, and Systemic Sclerosis)
Bone Density Loss Issues. Numerous events, oral disease, dental conditions and a patient's history of dental treatments can compromise important jawbone characteristics. Dental Health Library.
Case Report: Mandibular resorption and vocal cord paralysis: a catastrophic form of systemic sclerosis. Permanent vocal cord damage in combination with severe loco-regional bone resorption resulted in severe disability and impaired nutrition. PubMed, BMJ Case Rep.
Case Report: Root Resorption Associated with Mandibular Bone Erosion in a Patient with Scleroderma. A rare feature of mandibular bone erosion and external apical resorption of a mandibular left third molar in a patient with scleroderma is described. PubMed, J Endod.
Case Report: Mandibular resorption, an underdiagnosed manifestation of systemic scleroderma. Mandibular resorption is a rare but probably underdiagnosed manifestation of SSc. In addition to its esthetic effects, it can cause severe disability. PubMed, Presse Med.
Multiple External Root Resorption (MERR) of Teeth as a New Manifestation of Systemic Sclerosis — A Cross-Sectional Study in Japan. Further clinical and basic studies are needed to elucidate the mechanisms underlying MERR in SSc patients. PubMed, J Clin Med, 2019 Oct 4;8(10):1628.
Evaluation of radiomorphometric indices and bone findings on panoramic images in patients with scleroderma. The most common prevalent oral radiographic manifestations of scleroderma were widening of the periodontal ligament space and of the lamina dura. PubMed, Oral Surg Oral Med Oral Pathol Oral Radiol, 2019 Jan;127(1):e23-e30.
Tinnitus: Treatment and Relief by Jack A. Vernon. A good book for both patients and practitioners. It covers nearly everything known about tinnitus (extraneous noise in the ears; which is often referred to as "ringing in the ears" and is sometimes related to dental or TMJ problems.)
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