A rare cause of gingival recession: morphea with intra-oral involvement.

Authors :: Van der Veken D
De Haes P
Hauben E
Teughels W
Lambrechts P
Source :: Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2015 May; Vol. 119 (5), pp. e257-64. Date of Electronic Publication: 2015 Feb 14.
Publication Year :: 2015
Abstract: Morphea is an inflammatory disorder of the skin and underlying tissues characterized by an overabundance of collagen leading to fibrosis. The prevalence of this disease is estimated at around 0.4-2.7/100,000 people. When the process occurs in the gingival tissues, it induces traction, which can cause gingival recession. A 19-year-old woman was referred to the clinic for a progressive recession on teeth 11 and 12. A pale, atrophic, linear region extending from her nose to her upper lip on the right-hand side of her face was diagnosed as morphea en coup de sabre. Cone beam computed tomography, quantitative polymerase chain reaction and histologic evaluation were used to assess the pathology. Treatment with methotrexate was conducted. After 12 months, no progression of the recession could be observed.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)