Scleroderma, or
progressive systemic sclerosis (PSS), an autoimmune rheumatic condition affecting the
connective tissues, has a profound impact on
oral health. Common orofacial findings include
xerostomia,
gastroesophageal reflux disease and limited
mouth opening. This
review article describes scleroderma, or PSS, and its various manifestations. The features of
CREST syndrome and
morphea are reviewed. Concerns relevant to the prevention of
dental disease and the safe
delivery of dental care in this group of challenging
patients are emphasized.