Evaluation of temporomandibular joint disorders in patients with systemic scleroderma after two years of rehabilitation

Aim: To objectively evaluate the range of mandibular mobility based on linear measurements in patients with generalized scleroderma treated atthe Department of Dermatology of the PIM of the Ministry of Internal Medicine, who underwent rehabilitation for 2 years. Materials and Methods: The study group consisted of 55 patients aged 27 to 80 years (mean 56.4) with systemic scleroderma, who periodically received rheologic treatment in the Department of Dermatology. Additionally, pharmacotherapy was supplemented with 2 years of individually tailored rehabilitation, including facial muscle exercises and self-massage, adapted to each patient's motor capabilities. Each patient received a set of exercises to perform at home. The results of the study were analyzed before and after therapy, including measurements of mandibular range of motion: active mandibular inversion, lateral mandibular displacement, and anterior movement. Forty-two patients completed the project. Results and Conclusions: The study confirmed significant mobility limitations in the temporomandibular joints of patients with generalized scleroderma. A slight improvement was observed after facial exercises and massage.