title: Previously undescribed pulpal and periodontal ligament calcifications in systemic sclerosis: a case report.
abstract: Systemic sclerosis (SSc), a multisystem autoimmune disease characterized by widespread fibrosis, vascular alterations, autoimmunity, and inflammation, has effects on the hard and soft tissues of the orofacial region. The most common oral radiographic features correspond to widening of the periodontal ligament space and to mandibular resorption. In this report, cone-beam computerized tomography (CBCT) confirmed not only the well described periodontal features associated with SSc but also revealed previously undescribed calcifications within the periodontal ligament space of most maxillary teeth. Moreover, CBCT showed pulp calcifications in some incisors and premolars with these calcifications leading to root canal obliterations. Such manifestations (which could be linked to different major pathogenic features of SSc such as calcinosis, vasculopathy, and fibrosis) contribute to the phenotypic spectrum of the disease.
authors: Department of Oral Medicine and Oral Surgery, University Hospital, Strasbourg, France. s.jung@unistra.fr
authors: Sophie
authors: S
authors: Jung
authors: Maryline
authors: M
authors: Minoux
authors: Marie-Cécile
authors: MC
authors: Manière
authors: Thierry
authors: T
authors: Martin
authors: Matthieu
authors: M
authors: Schmittbuhl
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000000981:diagnostic imaging*; D054893:Cone-Beam Computed Tomography / Q000379:methods; D003784:Dental Pulp Calcification / Q000000981:diagnostic imaging*; D003786:Dental Pulp Cavity / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging; D008963:Molar / Q000000981:diagnostic imaging; D010510:Periodontal Diseases / Q000000981:diagnostic imaging*; D010513:Periodontal Ligament / Q000000981:diagnostic imaging*; D012595:Scleroderma, Systemic / Q000150:complications*