Understanding the burden of orofacial involvement and patient treatment preferences in systemic sclerosis: results from a large international survey - Scorecard - DentalSpire

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

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Clinical Scorecard: Exploring the Impact of Orofacial Symptoms and Treatment Preferences Among Systemic Sclerosis Patients: Findings from a Comprehensive Global Survey

At a Glance

CategoryDetail
ConditionSystemic Sclerosis (SSc)
Key MechanismsImmune-mediated tissue injury, excessive extracellular matrix deposition resulting in fibrosis, progressive vasculopathy.
Target PopulationPatients with systemic sclerosis experiencing orofacial manifestations.
Care SettingRheumatology 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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