31. Reiter syndrome. Scleroderma. Rheumatism. Dental management of the patients.

Question 1

Reiter syndrome is also known as

Answer 1

Reactive Arthritis/Reactive anthropathy

Question 2

Reiter syndrome

Answer 2

• Comprises Arthritis
• Urethritis
• Conjunctivitis
• TMJ can be affected with erosions but no major symptoms
• In 15% patients- lines resembling erythema migrans
• Painless

Question 3

Reiters syndrome treatment

Answer 3

• Antibiotics- Eliminate gut or other infections
• NSAIDS for joint pain

Question 4

Scleroderma is also known as

Answer 4

Systemic sclerosis

Question 5

Scleroderma

Answer 5

• Rare
• Connective tissue disease characterised by widespread fibrosis
• Stiffening of skin, GI tract, heart, lungs and kidneys
• Reynauds phenomenon early manifestation

Question 6

Dental symtoms of Scleroderma

Answer 6

• Limitation of opening
• Limited oral access from microstomia
• Prominent gingival recession in a minority
• Coup de sabre linear scars of face and tongue
• Firm whitish-yellow fibrotic mucosal plaques, very
  rarely
• Widening of periodontal ligament radiographically in
  7% cases
• Dental erosion from gastric reflux
• Mandibular resorption at angle and ramus
• Dry mouth
• Risk of Sjögren’s syndrome