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Linear Scleroderma Causing Arrest of Root Development in a Pediatric Patient

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Localized scleroderma (LoS) or morphea is a rare group of inflammatory disorders resulting in excessive collagen deposition and subsequent sclerosis of the skin and subdermal tissues. Linear scleroderma (LiS) or linear morphea is the most common subtype of LoS in children and primarily affects the face and extremities. This case report details the three-year follow-up of a five-year-old girl with LiS of the left upper lip and adjacent oral mucosal tissue. She also presented with a concurrent developmental root defect of the permanent maxillary left central incisor. Intralesional corticosteroids were considered as a first-line treatment; however, parents declined it. Decision was made to biopsy when the lesion showed signs of progression. At subsequent reviews, the affected mucosal surface appeared to have stabilized but progressive notching of the upper lip was noted. In the long term, after cessation of disease activity, the patient will require aesthetic intervention to surgically correct her upper lip.


Document Type: Case Report

Affiliations: 1: Dr. Chua, Pediatric Dentistry Resident, Dentistry, National University of Singapore, Singapore 2: Drs. Yeo, Associate Professors, Discipline of Oral and Maxillofacial Surgery, Dentistry, National University of Singapore, Singapore 3: Drs. Wong, Associate Professors, Discipline of Oral and Maxillofacial Surgery, Dentistry, National University of Singapore, Singapore 4: Dr. Hong, Associate Professor, Discipline of Orthodontics and Pediatric Dentistry, Dentistry, National University of Singapore, Singapore

Publication date: January 1, 2022

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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