Periodontal Manifestations Research Articles

Oral and Periodontal Manifestations in Bidri Workers from Bidar, Karnataka, India: A Cross-sectional Study

Oral and Periodontal Manifestations in Bidri Workers from Bidar, Karnataka, India: A Cross-sectional Study

The Impact of Orthodontic Treatment on the Periodontium: A Literature Review

Introduction: The periodontium is a complex system of supporting tissues and alveolar bone that surrounds and maintains the teeth in place. It is essential for oral health and functionality. Orthodontic treatment, aimed at correcting dental malpositions and improving occlusion, has a significant impact on the health and integrity of the periodontium. Currently, there is a constant increase in demand for orthodontic treatments, both in children and adults, with a variety of available appliances, fixed or removable. However, these devices can compromise dental hygiene and potentially lead to periodontal problems. Our work, based on a literature review, aims to discuss the effects of fixed and removable orthodontic treatments on periodontal health. Materials and Methods: The objective of this work is to present the adverse effects of orthodontic treatment on the periodontium through a bibliographic study on the two databases Google Scholar and PubMed. There are numerous epidemiological studies on the influence of fixed and removable orthodontic treatment on periodontal health. Conclusion: Throughout this work, we will explore the interactions between orthodontics and the periodontium, highlighting the physiological mechanisms and therapeutic implications that stem from these close relationships, with the primary goal being to minimize adverse effects on the periodontium during and after orthodontic treatment. By fully understanding these periodontal manifestations following orthodontic therapy, orthodontists will be better equipped to plan and execute orthodontic treatments that not only improve aesthetics and occlusal function but also preserve the long-term health of their patients' periodontium.

Periodontal manifestations of local and systemic diseases: Color atlas and text.

Periodontal manifestations of local and systemic diseases: Color atlas and text.

Dentists and dental hygienists' comprehension of HIV infection associated periodontal implications and management.

In an era wherein, persuasive evidence continues to witness the association between systemic and periodontal diseases, the absence of scientific data on dental professionals' comprehension concerning the HIV infection and periodontal link is lamentably backward. Thus, the key objective of this research is to ascertain the extent of comprehension possessed by dentists and dental hygienists concerning periodontal implications and their management in HIV patients. It is a quantitative cross-sectional survey employing a descriptive approach focusing on a specific cohort of dental professionals. The study setting featured an online platform for the distribution of concealed, closed-ended, structured questionnaire. The data was gathered for four sections: six comprehension statements about periodontal manifestations in HIV patients; fifteen comprehension statements about HIV patients' periodontal management; eight familiarity statements about HIV management; and two educational statements about HIV. The comparisons of comprehension scores were drawn between variables such as specialties, age groups, and genders. The survey represented 468 dental professionals representing distinct dental specialties, with a mean age of 24.26 ± 7.53 years. The mean comprehension score for all groups of participants is 10.31 ± 9.34 (33.25%). The highest scores were recorded among those aged 31-40 (20.67 ± 8.31), followed by those aged 40+ (19.38 ± 9.39), 20-30 (9.53 ± 8.96), and under 20 (8.92 ± 8.57), at p < 0.001. The female participants (15.06 ± 12.2) exhibited substantially better scores in contrast to the male participants (8.74 ± 7.57). Periodontists (27.77 ± 3.08) comprehended most, then the oral medicine practitioners (25 ± 0). Dental hygiene students (5.52 ± 3.56) and hygienists (7.67 ± 9.72) comprehended the least. The scores for all four domains assessed were disappointingly low: knowledge about HIV-periodontal manifestations (2.81 ± 2.18), knowledge about management of periodontal diseases in HIV patients (3.73 ± 4.7), familiarity with periodontal care in HIV patients (2.87 ± 3.01), and education received about HIV and periodontal diseases (0.91 ± 0.66). Dental professionals are notably incomprehensive, unfamiliar, and lacking in expertise in the realm of periodontal facets of HIV. The periodontists and oral medicine practitioners showed a substantial amount of comprehension, while the dental hygiene students and dental hygienists presented a conspicuously inadequate level of comprehension. The study outcome could potentially serve as an invaluable instrument for self-assessment by dental professionals and educators. HIV/AIDS ought not to persist as an unspoken taboo or disregarded subject within the dental field, particularly in periodontics, but rather should receive prominence in dental schools and professional development programs.

Oral and Periodontal Manifestation of Smokeless Tobacco (SLT) Users in Khartoum Locality 2022-2023

Back ground: Smokeless Tobacco (SLT) can cause oral mucosal lesions such as keratosis, gingival inflammation, periodontal inflammation, alveolar bone damage, dental caries, tooth abrasion, staining of tooth structure, dysplasia, and oral cancer. Tobacco has been linked to severe consequences for overall health. Objective: To identify the oral and periodontal manifestation of smokeless tobacco (SLT) users in Khartoum locality. Methodology: A descriptive cross-sectional hospital based study was done among 80current smokeless tobacco patients attending the outpatients and periodontology clinic in ACTH (Academy Charity Teaching Hospita), KDTH(Khartoum Dental Teaching Hospital), and alhekmah health center from January to March 2023, patients undergo oral examination after obtaining an informed consent, data collected using online Google form, pretested questionnaire and interviews. Data collected using Microsoft Excel spreadsheets and analyzed by SPSS version 23. Results: The study included mostly male participants (97.5%), aged 18-29 years old (31.3%). With lower education levels (31.3%). and working as unskilled workers (47.5%). Most participants put the snuff at buccal mucosa (42.5%), used for less than 10 years (41.3%), for 1-5 minutes (52.5%), and 1 pack per day (56.3%). The majority had dental caries (66.3%) with class I predominance (53.8%), inflammation (97.5%), recession (67.5%), staining (78.8%), and halitosis (73.8%). Mucosal hypertrophy was the most common mucosal change (71.3%). There was a statistical association between start time and plaque index (P value = 0.008), and quantity in packs and pocket depth (P value = 0.013). Conclusions: The study revealed that SLT has sever and considerable adverse effects on oral health and periodontal tissues.

Premenstrual Syndrome: Awareness and Oral Manifestations in Patients Attending Dental Hospital in Pune

ABSTRACT Fluctuations in androgenic hormonal levels are noticeable through women’s menstrual cycle. Changes in estrogen and progesterone have been shown to affect periodontium. Many women report an increase in gingival inflammation and discomfort associated with their menstrual cycle, most commonly before the menstrual period. Approximately 80% of women experience complaints of premenstrual syndrome (PMS) 7 to 10 days before menstruation. Therefore, the present study was carried out to check prevalence of PMS and its oral and periodontal manifestations in patients attending dental hospital. For the study, 100 systemically healthy women of reproductive age attending dental hospital were selected. Thorough recording of oral discomfort and associated symptoms during late luteal phase was done. Clinical parameters such as plaque index and gingival index were recorded.Thirty-seven females reported complaints suggestive of PMS. Oral changes during PMS were experienced by 59 females. Halitosis and oral ulcers were more frequent. Findings of the present study showed the possibility of influence of sex hormones on oral manifestations during premenstrual period.

Gingival Enlargement with Marfan Syndrome: A Case Report

Marfan syndrome (MFS) is an autosomal dominant and multisystemic disorder affecting the connective tissues. Patients with MFS may exhibit characteristic oral features including maxillary protrusion, high palate, crowded teeth, and fragility of the temporomandibular joint. Periodontal manifestations may include a higher prevalence of gingivitis and/or periodontitis owing to the high concentration of elastic fibres in the periodontal ligament. This case report describes the management of gingival enlargement associated with MFS. The patient was successfully managed with non-surgical and surgical periodontal therapy. In patients with oral manifestations of systemic disorders, patient motivation and effective treatment planning are able to achieve the optimum periodontal and oral health outcomes.

Periodontal findings in a rare case of Takayasu arteritis

Chronic periodontitis has been associated with many systemic diseases and many times chronic systemic diseases result in periodontal manifestations. An association between cardiovascular disease and periodontitis has been observed based on the current literature. The present case shows a rare finding of chronic periodontitis in a male patient as a result of an inflammatory disease of the blood vessel called Takayasu arteritis, which itself is a rare finding in a 31-year-old male patient. This case report attempts to highlight the role of diagnosis and understanding the etiology behind periodontal disease as a result of a rare systemic inflammatory disease, such as Takayasu arteritis.

Assessment of Oral Mucosal and Periodontal Manifestations in COVID-19 Positive Patients: A Cross Sectional Study

Background: Since 2021, there have been steadily increasing numbers of SARS-CoV-2 or novel coronavirus infection that causes COVID-19 disease. Some oral manifestations have been observed in patients with coronavirus during 2021(SARS- COV-2). Methods: This study was a Cross sectional study which was conducted at the department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka, Bangladesh. This study conducts within 12 months. The sample size for this study was 100. Result: Age range of the patient was 21 to 69 years. The mean age of the patients was 54.7±12.5 years. Maximum 70.0% patients belong to age more than 50 years followed by 14.0% patients were in 41-50 years. 69.0% patients were male and 31.0% were female. Male: female ratio was 2:2:1. Male patients were predominant. 57.0% patients had acute oral ulcer, 36% patients had chronic ulcer and 7% recurrent oral ulcer. 64.0% patients had recurrent intra-oral petechiae, 20.0% patients had acute intra-oral petechiae and 16% patients had chronic intra-oral petechiae. 54.0% patients had chronic intra-oral vesicle/bullae followed by 41.0% patients had acute intra oral vesicle/bullae and 5% recurrent intra-oral vesicle/bullae. 94% patients had dryness of mouth. 97% patients had tongue whitish patches. Conclusion: We concluded that oral health status could have a potential impact on the severity of COVID-19 illness.

Oral and Dental Considerations of Combat-Induced Post Traumatic Stress Disorder (PTSD)-A Cross-Sectional Study.

Objective: This study compared dental, periodontal, oral, and joint/muscle tenderness among Israeli combat-induced post-traumatic stress disorder (Ci-PTSD) war veterans to non-PTSD patients. Study design: This retrospective three-arm study compared oral and facial manifestations between 100 Israeli veterans with Ci- PTSD (study group) and 103 non-PTSD periodontal patients (Control group). The study group was further divided into two subgroups of individuals who received psychiatric medications (40 patients) or did not (60 patients). All patients underwent complete dental, oral, and periodontal examinations, including assessing signs of parafunction. Results: All PTSD patients had poor oral hygiene. The plaque index (PI) was higher in the PTSD group compared to the control group (0.72 ± 0.28 vs. 0.45 ± 0.29, respectively, p < 0.001). The decayed, missing, and filled teeth score (DMFt) was higher in the PTSD population than in the controls (19.97 ± 8.07 vs. 13.05 ± 6.23 p < 0.05). Severe periodontal disease was more common among the PTSD subgroup taking medications (med -group) (62.5%) compared to the nonmedicated group (non-med group) (30.0%) and the controls (27.2%) (p = 0.001). Heavy smoking was more prevalent in the medicated PTSD patients than in other groups. Conclusions: The present study shows higher morbidities in combat-induced PTSD patients, including oral, dental, and periodontal manifestations, especially in medicated patients.

Periodontal Diseases and COVID-19: A Scoping Review

The aim of this scoping review was to present the existing literature regarding the relationship between periodontal diseases and coronavirus disease 2019 (COVID-19). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping review guidelines was followed. Articles were retrieved from PubMed/MEDLINE and Scopus databases and screened to include studies relating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 to periodontal cells and/or tissues and/or diseases. Twenty-five papers were included; consisting of six reviews, seven original articles, six short reports, four letters to the editor, one commentary, and one case report. The articles were allocated to three different topics: (i) hypotheses on the relationship between periodontal diseases and COVID-19; (ii) risk factors and comorbidities common to periodontitis and COVID-19; (iii) periodontal manifestations of COVID-19. Certain molecules (angiotensin-converting enzyme-2, furin, cathepsin, TMPRSS2...) that are found at a high level in periodontal tissues, particularly in patients with periodontitis, are involved in the mechanism of entry of SARS-CoV-2 into cells. Periodontopathic bacteria could also play a direct role in the mechanism of entry of SARS-CoV-2 by cleaving the S-protein, and the cytokines produced during periodontitis could add to the cytokine storm found in the severe forms of COVID-19. It thus appears that the treatment of periodontitis, which allows a reduction in periodontopathic bacteria and of the local and systemic inflammation state, could be part of a strategy to prevent the development of severe forms of COVID-19.

Rare Genetic Disorders Affecting the Periodontal Supporting Tissues in Adolescence

In adolescents periodontal destruction may be the primary manifestation of an as yet unrecognized rare systemic disease, and it may be up to the periodontist to make the correct tentative diagnosis. Many genetic diseases that present with primary periodontal manifestations in adolescence affect immune function, sometimes with only mild or absent systemic features. They include periodontal Ehlers-Danlos syndrome (lack of attached gingiva, various connective tissue abnormalities), Papillon-Lefèvre syndrome (palmoplantar hyperkeratosis), and plasminogen deficiency (fibrin deposition within mucous membranes). Other immune disorders with severe periodontitis manifesting in adolescence are usually diagnosed in early childhood due to unmistakeable systemic features. They include Cohen syndrome (developmental disorder, truncal obesity, and microcephaly), Hermansky-Pudlak Syndrome (oculocutaneous albinism, bleeding diathesis, and other systemic manifestations), glycogen storage disease type 1b, and Chediak-Higashi syndrome (pyogenic infections, albinism, and neuropathy). The structural integrity of periodontal tissue is affected in genodermatoses such as Kindler syndrome, a type of epidermolysis bullosa. In primary hyperoxaluria, inflammatory periodontal destruction is associated with renal calculi. Breakdown of periodontal tissues independent of dental plaque biofilm-induced periodontitis is found in hypophosphatasia (highly variable skeletal hypomineralization) or isolated odontohypophosphatasia, hypophosphatemic rickets and primary hyperparathyroidism. Finally, alveolar osteolysis mimicking localized periodontitis may be due to neoplastic processes, e.g., in neurofibromatosis type 1 (typical skin features including café au lait macules and neurofibromas), Langerhans cell histiocytosis (locally destructive proliferation of bone marrow-derived immature myeloid dendritic cells), and Gorham-Stout disease (diffuse cystic angiomatosis of bone).

Periodontal manifestations as related to the cytokines in the gingival crevicular fluid

Backround: Periodontal diseases are classified into different categories based on the clinical symptoms and related to these there can be changes in the cytokine levels in the connective tissue and elaboration of these in the gingival crevicular fluid. (GCF). Aims and objectives: The aim of this study was to evaluate the levels of IL-11 and IL-17 in the gingival crevicular fluid of patients with Aggressive Periodontitis and Chronic Periodontitis and co-relate them with the clinical parameters. Materials and Methods: GCF was collected from the deepest sites of the periodontitis patients and ELIS A was used to determine the levels of IL-11 and IL-17 levels. Results: GCF of patients in each category was assayed and the levels of IL-11 and IL-17 were co-related with clinical symptoms. Conclusion: Study showed strong co-relation of Aggressive and Chronic Periodontitis with IL-11 and IL-17.

Oral conditions in HIV patients

OBJECTIVE: It is estimated that almost 38 million people are currently living with HIV, with more than a third presenting oral manifestations. The high degree of immunological weakness of these patients has a huge impact on their quality of life and can be seen clinically in the oral cavity. METHODS: The present study sought to evaluate the oral manifestations most due to HIV infection. This study had as methodology, the active search for information in the databases of the Medline, Lilacs, SciELO, Embase and Cochrane. It was sought to carry out the bibliographic research on the two central themes of this work: buccal manifestations and hiv, mouth care in hiv patients, oral care hiv, oral health in hiv, Aids oral care, Aids oral manifestations, mouth care in Aids patients. RESULTS: It was observed at least 24 different oral lesions reported in the HIV literature, but only ten of them are found consistently, and these, in decreasing prevalence, are oral candidiasis, oral hairy leukoplakia, herpes simplex virus infection. Oral candidiasis was reported as the most commonly found in different countries, including studies in groups that performed antiretroviral therapy. Such lesions may be of bacterial, viral, fungal origin, neoplastic processes and lesions of unknown etiology, as well as periodontal manifestations, which may be aggravated. CONCLSUION: Antiretroviral therapy improves immune competence by attacking HIV viral replication and its immediate start is now recommended for all HIV-infected adults, adolescents and children with oropharyngeal candidiasis according to the guidelines of the World Health Organization.

The "Gum-Gut" Axis in Inflammatory Bowel Diseases: A Hypothesis-Driven Review of Associations and Advances.

In modern medicine, the oral cavity has often been viewed as a passive conduit to the upper airways and gastrointestinal tract; however, its connection to the rest of the body has been increasingly explored over the last 40 years. For several diseases, the periodontium and gingiva are at the center of this oral-systemic link. Over 50 systemic conditions have been specifically associated with gingival and periodontal inflammation, including inflammatory bowel diseases (IBD), which have recently been elevated from simple “associations” to elegant, mechanistic investigations. IBD and periodontitis have been reported to impact each other’s progression via a bidirectional relationship whereby chronic oral or intestinal inflammation can impact the other; however, the precise mechanisms for how this occurs remain unclear. Classically, the etiology of gingival inflammation (gingivitis) is oral microbial dysbiosis in the subgingival crevice that can lead to destructive periodontal disease (periodontitis); however, the current understanding of gingival involvement in IBD is that it may represent a separate disease entity from classical gingivitis, arising from mechanisms related to systemic inflammatory activation of niche-resident immune cells. Synthesizing available evidence, we hypothesize that once established, IBD can be driven by microbiomial and inflammatory changes originating specifically from the gingival niche through saliva, thereby worsening IBD outcomes and thus perpetuating a vicious cycle. In this review, we introduce the concept of the “gum–gut axis” as a framework for examining this reciprocal relationship between the periodontium and the gastrointestinal tract. To support and explore this gum–gut axis, we 1) provide a narrative review of historical studies reporting gingival and periodontal manifestations in IBD, 2) describe the current understanding and advances for the gum–gut axis, and 3) underscore the importance of collaborative treatment and research plans between oral and GI practitioners to benefit this patient population.

Oral Rehabilitation in Neurofibromatosis Type 1- A Six Year Follow-Up Case Report

Neurofibromatosis is an autosomal dominant disorder that affects the bone, the nervous system, soft-tissue, and the skin. The expressivity of the disease is extremely variable, with manifestations ranging from mild lesions to several complications and functional impairment. The penetrance, otherwise, is 100%. Approximately 72% of Neurofibromatosis Type1 patients present with oral manifestations. These patients have an estimated 3-15% additional risk of malignant disease in their life-time. The following report presents a 32 year old lady diagnosed with Neurofibromatosis Type 1 in childhood who presented to department with complain of bleeding gums. Radiograph showed shallow sigmoid notch on left side, obtuse and thinned out left angle of mandible which are some additional features. A multidisciplinary approach of dental and medical specialties was taken here for oral rehabilitation and to manage and treat periodontal manifestations and other oral complaints. Case was followed for more than 6 years. Neurofibromatosis has no cure hence when such patients report to dental professionals it is up to them to act as primary care giver and instill positive frame of mind to help reduce stressful life events.

Oral and Periodontal Manifestations of COVID-19 and its Plausible Association with Periodontal Disease

The coronavirus disease 2019 (COVID-19), has caused a significant and urgent threat to the global health. It has markedly affected the delivery of healthcare services all over the world. Early diagnosis of the disease is imperative to contain the spread of the viral infection. The virus can also lead to potential systemic complications such as lungs involvement, skin, and oral manifestations. The presence of oral lesions is emerging evidence that may indicates the presence of COVID-19 infection. Since, the virus has affinity for Angiotensin Converting Enzyme (ACE2) receptors present in the respiratory tract, oral mucosa, tongue and salivary glands; therefore, the oral cavity serves as a major habitat for invasion of the virus. This review aimed to discuss the oral and periodontal manifestations of COVID-19. Articles between December 2019 and April 2021 were searched for this narrative review in Pub Med, Scopus, Science Direct related to COVID-19 and its oral manifestations, using the following terms: “Corona virus,” “COVID-19,” and “SARS-CoV-2” in combination with “Stomatognathic diseases,” “Oral manifestation,” and “Mouth diseases” and "Periodontal diseases". The oral manifestations commonly associated with COVID-19 are salivary gland disorders, xerostomia, alteration of taste and smell and lesions in oral mucosa. The appearance of these oral manifestations during the asymptomatic phase of disease helps in early identification of the disease. The recent COVID-19 infection has been strongly associated with the appearance and establishment of cytokine storm. It is found that many components of the cytokine storm are common with the cytokine expression found in periodontitis. This narrative review aims at exploring the association between COVID-19 and periodontal disease through their cytokine profiles.

Periodontal manifestations in pregnant women at the "Vilma Espín" Maternal Home of the Polyclinic November 30

Objective : Clinical and epidemiological characterization of pregnant women with periodontal disease at the “Vilma Espín” Maternal Home, from the “30 de Noviembre” Teaching Polyclinic. Materials and methods: A descriptive and cross-sectional study was carried out in 47 pregnant women with periodontal manifestations in the "Vilma Espín Guillote" Maternity Home, belonging to the "30 de Noviembre" Teaching Polyclinic, in the city of Santiago de Cuba, in the period from June to December 2018, with the objective of identifying the periodontal status of pregnant women and characterizing said prioritized group with periodontal disease in terms of clinical and epidemiological characteristics. The Russell Periodontal Index was used to determine the severity of the periodontal disease and the Simplified Green and Vermillion Oral Hygiene Index to specify the degree of oral hygiene. Results: It was obtained that 38.2% of the pregnant women with gingival disease were in the third trimester of pregnancy. Mild gingivitis was the one that predominated with 65.9% also in the third trimester. In 95.7% of the cases it was located. Conclusions : pregnant women with gingival disease predominated in the third trimester of pregnancy. Mild gingivitis was found in a higher percentage. Poor oral hygiene was present in a high number of pregnant women, which increased with the severity of the disease and the low level of schooling.

Impact of SARS-CoV-2 on periodontal tissue manifestation

Coronavirus disease 19 (COVID-19) is a recent infectious disease that is rapidly spreading worldwide and targets human angiotensin-converting enzyme 2 receptors. A recent study found that COVID-19 induces immune responses resulting in periodontal manifestation. The purpose of this study was to investigate the impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on periodontal tissue. Periodontal bacteria are implicated in systemic inflammation, bacteremia, and pneumonia. Moreover, it has been shown that 80% of patients with severe COVID-19 had high bacterial load. It has also been reported that the severity of COVID-19 in patients associates with increased levels of inflammatory markers such as interleukin and bacterial invasion. Systemic increase in the inflammatory response reveals the similarity with cytokine storm in COVID-19 patients. These conditions revealed that elevated levels of cytokines detected in locally inflamed gingival tissue through saliva analysis could expand to the systemic circulation, resulting in systemic inflammation and vice versa. It is suggested that there is a possibility of periodontitis due to increased inflammatory responses in host as an impact of SARS-CoV-2 infection. Periodontal impact was seen in COVID-19 patients as localized erythema in margins of gingiva leading to desquamative gingivitis and oral pain. Although COVID-19 might manifest in periodontal tissues, presence of periodontal pathogen could pose a risk of superinfection, and periodontal pocket could be a favorable anatomical niche for the virus, the literature is still lacking to conclude that COVID-19 has an impact on periodontal tissues and more studies are needed.

ORAL PATTERNS IN SYSTEMIC SCLEROSIS

Introduction Systemic sclerosis (SS) is a systemic autoimmune disease characterized by microvascular and macrovascular lesions and fibrotic changes and frequently affects the mouth. Objective To evaluate the oral patterns of systemic sclerosis. Methods A descriptive case series with consecutives patients from November 2015 to October 2016. Systemic features and orofacial parameters were evaluated according to disease type. Results The sample consisted of 50 individuals with SS and 43 controls. A high frequency of orofacial alterations was observed, with orofacial telangiectasia (42/50, 84%), microstomia (35/50, 70%), and oral candidosis (31/50, 62%) being the most frequent findings. Gingival bleeding index was higher in controls (21.57 ± 15.66) than in SS (7.05 ± 7.25) (P < .001). On the other hand, SS individuals presented more severe periodontitis (P < .0001) and higher attachment loss (P < .0001). Conclusions The pattern of periodontal manifestation is unique and characterized by few gingival bleeding and severe periodontitis. Systemic sclerosis (SS) is a systemic autoimmune disease characterized by microvascular and macrovascular lesions and fibrotic changes and frequently affects the mouth. To evaluate the oral patterns of systemic sclerosis. A descriptive case series with consecutives patients from November 2015 to October 2016. Systemic features and orofacial parameters were evaluated according to disease type. The sample consisted of 50 individuals with SS and 43 controls. A high frequency of orofacial alterations was observed, with orofacial telangiectasia (42/50, 84%), microstomia (35/50, 70%), and oral candidosis (31/50, 62%) being the most frequent findings. Gingival bleeding index was higher in controls (21.57 ± 15.66) than in SS (7.05 ± 7.25) (P < .001). On the other hand, SS individuals presented more severe periodontitis (P < .0001) and higher attachment loss (P < .0001). The pattern of periodontal manifestation is unique and characterized by few gingival bleeding and severe periodontitis.