title: A rare cause of gingival recession: morphea with intra-oral involvement.
abstract: Morphea is an inflammatory disorder of the skin and underlying tissues characterized by an overabundance of collagen leading to fibrosis. The prevalence of this disease is estimated at around 0.4-2.7/100,000 people. When the process occurs in the gingival tissues, it induces traction, which can cause gingival recession. A 19-year-old woman was referred to the clinic for a progressive recession on teeth 11 and 12. A pale, atrophic, linear region extending from her nose to her upper lip on the right-hand side of her face was diagnosed as morphea en coup de sabre. Cone beam computed tomography, quantitative polymerase chain reaction and histologic evaluation were used to assess the pathology. Treatment with methotrexate was conducted. After 12 months, no progression of the recession could be observed.
authors: Department of Oral Health Sciences, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium. Electronic address: dominique.vanderveken@kuleuven.be.
authors: Dominique
authors: D
authors: Van der Veken
authors: Department of Dermatology, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium.
authors: Petra
authors: P
authors: De Haes
authors: Department of Pathology, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium.
authors: Esther
authors: E
authors: Hauben
authors: Department of Oral Health Sciences, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium.
authors: Wim
authors: W
authors: Teughels
authors: Department of Oral Health Sciences, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium.
authors: Paul
authors: P
authors: Lambrechts
mesh_terms: D054893:Cone-Beam Computed Tomography; D005260:Female; D005889:Gingival Recession / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D016133:Polymerase Chain Reaction; D012594:Scleroderma, Localized / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D055815:Young Adult
chemical_list: D008727:Methotrexate