Exploring the Impact of Orofacial Symptoms and Treatment Preferences Among Systemic Sclerosis Patients: Findings from a Comprehensive Global Survey
By
Eleni Deligianni
Lee Shapiro
Deana Gibbs
Zsuzsanna H. McMahan
Michael Hughes
July 6, 2026
Clinical Scorecard: Exploring the Impact of Orofacial Symptoms and Treatment Preferences Among Systemic Sclerosis Patients: Findings from a Comprehensive Global Survey
At a Glance
Category Detail
Condition Systemic Sclerosis (SSc)
Key Mechanisms Immune-mediated tissue injury, excessive extracellular matrix deposition resulting in fibrosis, progressive vasculopathy.
Target Population Patients with systemic sclerosis experiencing orofacial manifestations.
Care Setting Rheumatology and dental care settings.
Key Highlights
Common orofacial manifestations include xerostomia, facial appearance concerns, restricted mouth opening, dysphagia, and denture-related problems. Patients expressed more confidence in rheumatologists than dentists regarding orofacial management. Significant physical, psychological, and social impacts associated with orofacial disease were reported. Up to two-thirds of patients with SSc experience xerostomia, with moderate to severe impact reported by over half. Involvement of orofacial tissues affects a substantial proportion of patients, with some studies indicating up to 87.1%.
Guideline-Based Recommendations
Diagnosis
Diagnosis of Sjögren's disease based on American-European Consensus Group criteria.
Management
Consideration of laser-based therapy for cutaneous telangiectasia.
Monitoring & Follow-up
Regular assessment of oral health needs, including periodontal health and dental caries.
Risks
Increased risk of oropharyngeal cancers in patients with SSc.
Patient & Prescribing Data
Patients with systemic sclerosis experiencing orofacial symptoms.
Patients reported unmet needs related to oral health, particularly concerning periodontal health and dental caries.
Clinical Best Practices
Integrate oral health assessments into routine care for patients with SSc. Enhance collaboration between rheumatologists and dental care providers to address orofacial manifestations.
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